4-H enrollment night

4-H Forms

Welcome to Chautauqua County 4-H. Below are important forms you may find beneficial to you and your club. If you have any additional questions, please contact the 4-H Office. 

Member Forms 

4-H enrollees must complete enrollment, code of conduct, and medical release forms. Enrollment scholarships are awarded on a first come, first served basis. 

2021-2022 4-H Youth Enrollment Form

2021-2022 Enrollment Scholarship

Please note that these forms are fillable PDF forms. You may print these forms and hand-write them. If you would like to complete them electronically please SAVE the form to your computer before entering any information. 

The 2021-2022 enrollment fee is $50.00 per child not to exceed $150.00 per family. The Enrollment Scholarship is funded by the United Way of Southern Chautauqua County and reduces the enrollment fee to $20.00 per child not to exceed $60.00 per family. Scholarship enrollment forms are due November 1, 2021 with completed enrollment forms and are available on a first-come, first-served basis. 

CCE can accept cash or check made payable to "CCE."

Volunteer Forms

Please note that the form below is a fillable PDF form. You may print these forms and hand-write them. If you would like to complete them electronically please SAVE the form to your computer before entering any information.

2021-2022 4-H Volunteer Enrollment Form 


Re-enrollment forms and payment

are due Monday, November 1, 2021


Contact

Kate Ewer
4-H Community Educator, Chautauqua Grown
kde32@cornell.edu
716-664-9502 ext. 212

Last updated September 29, 2021