2024-2025 4-H Enrollment Payment Form

Fill in the information below to pay for 4-H enrollment(s) with a credit card, using UCANR's secure online system.

Please make sure you complete your 4-H Enrollment before submitting your payment.

If you are unable to pay your enrollment fees or need to request a reduced fee, please submit a 4-H Enrollment Fee Waiver Form.

Please note:

If you would prefer to pay by check instead of by credit card, please make payable to UC Regents and mail to:

UC 4-H YDP, Central Sierra
311 Fair Lane
Placerville, CA 95667

✻ = Required

Payor Information
(Please do not use Auto-Fill)

Email address: ✻

Last Name: ✻

First Name: ✻

Daytime Phone Number: ✻

4-H Enrollment Information

4-H Club:

✻

Youth Members

How many youth?
(Youth enrollment is $10.00. There is a $0.40 non-refundable service fee added per youth when paying by credit card.

$10.40 Quantity:

List all youth members you are paying for: ✻

ZSuite Enrollment Application

Have you submitted an enrollment application via ZSuite for each of the above listed youth 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.

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:
VOGNUQ

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

2024-2025 4-H Enrollment Payment Form - TUOLUMNE COUNTY ONLY