Fill in the information below to pay for your 4-H Enrollment with a credit card, on a secure online system.
Last Name: ✻
First Name: ✻
Email Address: ✻
Daytime Phone Number: ✻
4-H County ✻
Primary Club: ✻
List all members and adult volunteers you are paying for: *VERY IMPORTANT* ✻
Check a payment box and elect the number of youth and/or adults volunteers you are paying for.
Youth Enrollment Fee (Youth enrollment is $75.00. There is a $2.50 service fee added per youth when paying by credit card.)
Number of Youth Paying for:
Adults Volunteers Enrollment Fee (Adult Volunteer enrollment is $30.00. There is a $1.00 service fee added per adult volunteer when paying by credit card.)
Number of Adults Paying for:
Total Payment Amount: ✻
On the next screen you will begin the process fo entering your credit card information.
If you are having trouble with the credit card processing, please see this Credit Card Processing Help Guide.
For verification that you are human, please enter the following code in the box below: VLZUOO
(if the code is not entered correctly, the survey will not be submitted)
