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Member Forms

All 4-H members must enroll annually.  An annual enrollment fee is required.
All 4-H volunteers must activate their volunteer status annually (no fee for volunteers).

In order to enroll in 4-H the parents of all NEW members must complete the following paper forms:

Member Enrollment Form

Member Code of Conduct

Member Health Form

Member Permission & Liability Form

Enrollment Fees:  NEW fees for 2017-2018

  • $50 for new members
  • $50 for re-enrolling members through November 30
  • $100 for re-enrolling members after November 30

Optional:

Policy for Participants Needing Special Accommodation

Fee Waiver Guidelines

The following forms are in Spanish for your convenience:

Formulario de Salud Para Los Participantes

Código de Conducta de los Miembros

Formulario de Matricula para Nuevos Miembros

Formulario de Permiso y de Exoneracio

Before filling out the enrollment forms the prospective member must have permission from the leader to join the group they are listing on the enrollment form.  Clubs do have numerical enrollment limits and may be full at any given time.  Enrollment forms must be signed by the club leader before they are sent into the 4-H office. 

Re-enrolling members should re-enroll online at ma.4honline.com  Paper forms are required for brand new members. The leader's signature is required on the Member Enrollment Form.  Parents must sign the Member Enrollment Form, Health Form, Permission and Liability Form and the Member Code of Conduct.  The member’s signature is required on the Code of Conduct. 

There is a nonrefundable participation fee to join 4-H.  The enrollment fee for new members is $50.  NEW THIS YEAR:  the fee for re-enrolling members is $50 until November 30.  After November 30 the re-enrollment fee doubles to $100 and full waivers are no longer accepted from re-enrolling members. 

All checks must be made payable to UMass 4-H.  Cash will not be accepted.  There is also an option to charge the participation fee.  Charge fee with credit card at UMass Extension Bookstore

A NEW member is not enrolled until all forms are complete and on file in the local office (office of county membership) along with the participation fee.  For those re-enrolling thorugh 4honline the enrollment is not complete until the family receives an email confirming the registration is complete.

Every enrolled 4-H member and volunteer club leader is covered by an accident policy through American Income Life.  This policy covers medical expenses due to accidents at 4-H activities (up to $2500).  Claim forms are available from your local 4-H Educator.

Any question on 4-H member enrollment should be directed to your local 4-H Educator.