2024-2025 4-H Enrollment Payment Form

✻ = Required

Payor Information
(Please do not use Auto-Fill)

Email address: ✻

Last Name: ✻

First Name: ✻

Daytime Phone Number: ✻

4-H Enrollment Information

4-H County:

✻

Youth Members

How many youth?
(Youth enrollment is $71.00. There is a $2.84 non-refundable service fee added per youth when paying by credit card.)

If not paying for youth membership, leave box unchecked.

$73.84 Quantity:

List all youth members you are paying for:

If you are NOT paying for a youth member, leave the box above unchecked and type "NONE" in this box. ✻

Adult Volunteers

How many adults?
(Adult volunteer enrollment is $30.00. There is a $1.25 service fee added per adult enrollment when paying by credit card.)

If not paying adult membership fee, leave box unchecked.

$31.25 Quantity:

List all adult volunteers you are paying for:

If you are NOT paying for an adult volunteer, leave the box above unchecked and type "NONE" in this box. ✻

ZSuite Enrollment Application

Have you submitted an enrollment application via ZSuite for each of the above listed youth and/or adult member(s)?

If not, visit https://4h.zsuite.org/ to submit your application right away. ✻

Yes No

Required Reading - Please check that your name appears below.

Type your name here to agree to your county's enrollment guidelines for participating at the County Fair.

Amador County Enrollment Guidelines for Partcipation in County Fair (Click and read if you belong to Amador County 4-H.)

Calaveras County Enrollment Guidelines for Partcipation in County Fair (Click and read if you belong to Calaveras County 4-H.)

El Dorado County Enrollment Guidelines for Partcipation in County Fair (Click and read if you belong to El Dorado County 4-H.)

Tuolumne County Enrollment Guidelines for Participation in County Fair (Click and read if you belong to Tuolumne County 4-H.) ✻

On the next FOUR screens you will complete the payment process. You'll know your payment was successful when you reach the screen that says "Thank you! This is your receipt."

If you are having trouble with the credit card processing, please see this Credit Card Processing Help Guide.

Survey Verification✻

For verification that you are human, please enter the following code in the box below:
HDBBQY

(if the code is not entered correctly, the survey will not be submitted)

2024-2025 4-H Enrollment Payment Form - Central Sierra