ONLINE Payment for Monterey County 4-H Youth Development Program 2023-2024

First Name of person filling out this form: ✻

Last Name of person filling out this form: ✻

E-mail that was used in ZSuites online enrollment sysytem: ✻

Phone # (format XXX-XXX-XXXX): ✻

List name(s) of all YOUTH MEMBER(S) you are paying for:

(separated by ; if listing multiple names; enter N/A if no youth enrollment) ✻

List name(s) of all RETURNING ADULT MEMBER(S) you are paying for:

(separated by ; if listing multiple names; enter N/A if no adult enrollment)

  ✻

List name(s) of all NEW ADULT MEMBER(S) you are paying for:

(separated by ; if listing multiple names; enter N/A if no adult enrollment) ✻

What is the PRIMARY 4-H Unit you will enroll in ✻

Have ALL RETURNING ADULT(S) completed the RETURNING Adult Volunteer video training courses?  if not, log in here:  Campus Extension 4-H Adult volunteer training videos ✻

Have ALL NEWLY ENROLLING ADULT(S) filled out the online 4-H Volunteer Interest Survey?  if not, log in here:  https://forms.gle/QvCWEsZ3JgFy6wf77  

(answer no if not applicable)  ✻

Have ALL NEWLY ENROLLING ADULT(S) completed the 2023-2024  Video training Courses?  if not, log in here:  Campus Extension 4-H Adult Volunteer Training videos  (answer no if not applicable)  ✻

Have ALL NEWLY ENROLLING ADULT(S) completed your 4-H required  live scan / fingerprinting? (answer no if not applicable) 

New volunteers who have lived in California for the past 10 years will use a 4-H Fingerprint form. Those who have not lived in California for 10 years will use a special form. Contact the club Enrollment Coordinator or 4-H offices for the correct form. 831-759-7373.

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How many YOUTH are you enrolling?  (Remember, there will be a credit card processing fee that will show on your statement.

How many ADULT VOLUNTEER(S) are you enrolling?  There will be a processing fee for this payment.
(Do not check the box if your fee will be paid by your 4-H club )

If your club will pay for all adult volunteers, please mark this box.  We will contact the Club Enrollment Coordinator for payment instructions.

First name of person filling out this form ✻