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

Enrollment scholarhip is due November 1, 2021. Scholarship applications must include the scholarship form, youth enrollment form, and $20.00 per child. 

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." Paypal is also an option by visiting http://chautauqua.cce.cornell.edu/ and scrolling to the bottom of the page to the "Pay Now" bubble. 

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

Last updated October 27, 2021