Thank you for your interest in becoming a 4-H youth member or a 4-H adult volunteer in Contra Costa County.
This survey is only intended for 4-H program annual enrollment fee payments for participation for the 2026-2027 4-H Program Year.

STOP

-- Before completing your enrollment payment --

Please update and submit your household's 4-H enrollment profile in Z Suite.

A ZSuite enrollment must be "Pending Approval" and the payment survey must be completed before we can make an enrollment active.

Returning members:
DO NOT create a new profile if you have been enrolled at any time prior to July 2026.

New Members (never enrolled in 4-H)
New families willcreate a new household profilein theZSuite system.
ADULTS:

ONLY create an Adult Volunteer profile if you intend to also complete the requirements to become a certified 4-H volunteer within the next 60 days.

What is the Cost?
To enroll in the 4-H program, youth pay $150.00 per youth and $30 per adult. (includes accident and illness insurance for members and enrolled volunteers) Enrollment fees are charged annually and cover one 4-H program year (July 1 - June 30). Fees are not prorated for partial-year enrollment.
Clubs and/or projects may collect additional fees from families or youth to cover the costs of project materials and 4-H events.
More questions?
Contact the 4-H Youth Development Program Office, University of California Cooperative Extension, Contra Costa County,info@contracosta4h.org.

✻ = Required

Printable Enrollment Information:

NEW 4-H Youth Enrollment Returning 4-H Youth Enrollment

NEW Adult Volunteer Enrollment Returning Adult Volunteer Enrollment

PAYOR INFORMATION

Household Email used in ZSuite: ✻

Household Last Name used in ZSuite: ✻

Phone number for payor: ✻

4-H MEMBERSHIP INFORMATION:

What is the Contra Costa County 4-H Club you will enroll in?

Club info ✻

YOUTH MEMBERS ENROLLING FOR 2026-2027 PROGRAM YEAR

CHECK BOX AND SELECT THE # OF YOUTH MEMBERS you will pay for by credit card for the 2026-2027 4-H Program year?
If no youth enrolling from this household, do not check box.

Note:

Youth enrollment will open August 4, 2026

___________________________________________________

$150.00 Quantity:

FAMILIES REQUESTING FINANCIAL ASSISTANCE

A Fee waiver request must be submitted through theseparate form, linked here.

If no youth from this household is eligible for a fee waiver, do not complete this section.

Once you have submitted the Fee Waiver Request, check the box and choose the # of YOUTH MEMBERS who are eligible for a need-based 50% enrollment fee waiver for the 2026-2027 4-H Program year?

_________________________________________________

$75.00 Quantity:

Once you have submitted the Fee Waiver Request, check the box and choose the # of YOUTH MEMBERS who are eligible for a need-based 100% enrollment fee waiver for the 2026-2027 4-H Program year?

_________________________________________________

List all youth name(s) you are submitting the enrollment fee survey for in this transaction:

Or, enter, "none"

✻

ADULT VOLUNTEERS ENROLLING FOR 2026-2027 4-H PROGRAM YEAR

CHECK BOX AND CHOOSE the # OF Adult Volunteers you will pay for by credit card for the 2026-2027 4-H Program year.
If no adult volunteers are enrolling from this household, do not check box.

_________________________________________________

$30.00 Quantity:

List all adult(s) you are submitting the enrollment fee survey for and will complete their enrollment within 60 days of this survey submission.

Or, enter, "none"

Note:

*Volunteer enrollment is not required for your child to participate.

(Adults should ONLY be listed if they intend to certify as an appointed adult volunteer.)

✻

On the next screen, you will begin the process for entering your credit card information.

If you have not selected the checkbox for any enrollment payments, the next page will show zero.

Please review this Credit Card Processing Help Guide.

After August 4, activation of youth enrollments may take up to 48 hours (not including holidays & weekends).

Note: Returning adult enrollments are made active when the required Campus Extension training is completed and the annual family fee is received.

Additionally, for new volunteers, enrollment becomes active after all enrollment steps are completed and the Live Scan has been cleared by DOJ/FBI, and approved by the UCCE Area Director.

CCC UC 4-H Enrollment Fee Survey 2026-2027

Thank you for your interest in becoming a 4-H youth member or a 4-H adult volunteer in Contra Costa County.This survey is only intended for 4-H program annual enrollment fee payments for participation for the 2026-2027 4-H Program Year.

STOP

A ZSuite enrollment must be "Pending Approval" and the payment survey must be completed before we can make an enrollment active.

Returning members: **DO NOT** create a new profile if you have been enrolled at any time prior to July 2026.

New Members (never enrolled in 4-H)New families willcreate a new household profilein theZSuite system.ADULTS:

ONLY create an Adult Volunteer profile if you intend to also complete the requirements to become a certified 4-H volunteer within the next 60 days.

CHECK BOX AND SELECT THE # OF YOUTH MEMBERS you will pay for by credit card for the 2026-2027 4-H Program year?If no youth enrolling from this household, do not check box.

Note:

Youth enrollment will open August 4, 2026

___________________________________________________

Once you have submitted the Fee Waiver Request, check the box and choose the # of YOUTH MEMBERS who are eligible for a need-based 50% enrollment fee waiver for the 2026-2027 4-H Program year?

_________________________________________________

Once you have submitted the Fee Waiver Request, check the box and choose the # of YOUTH MEMBERS who are eligible for a need-based 100% enrollment fee waiver for the 2026-2027 4-H Program year?

_________________________________________________

List all youth name(s) you are submitting the enrollment fee survey for in this transaction:

Or, enter, "none"

ADULT VOLUNTEERS ENROLLING FOR 2026-2027 4-H PROGRAM YEAR

CHECK BOX AND CHOOSE the # OF Adult Volunteers you will pay for by credit card for the 2026-2027 4-H Program year.If no adult volunteers are enrolling from this household, do not check box.

_________________________________________________

List all adult(s) you are submitting the enrollment fee survey for and will complete their enrollment within 60 days of this survey submission.

Or, enter, "none"

Note:

*Volunteer enrollment is not required for your child to participate.

(Adults should ONLY be listed if they intend to certify as an appointed adult volunteer.)

Thank you for your interest in becoming a 4-H youth member or a 4-H adult volunteer in Contra Costa County.
This survey is only intended for 4-H program annual enrollment fee payments for participation for the 2026-2027 4-H Program Year.

Returning members:
DO NOT create a new profile if you have been enrolled at any time prior to July 2026.

New Members (never enrolled in 4-H)
New families willcreate a new household profilein theZSuite system.
ADULTS:

CHECK BOX AND SELECT THE # OF YOUTH MEMBERS you will pay for by credit card for the 2026-2027 4-H Program year?
If no youth enrolling from this household, do not check box.

CHECK BOX AND CHOOSE the # OF Adult Volunteers you will pay for by credit card for the 2026-2027 4-H Program year.
If no adult volunteers are enrolling from this household, do not check box.