4-H Member Enrollment Form
An enrollment form for new 4-H members to record contact details, project interests, and family consent so the club can register them for the program year.
Download free PDF1 page, US Letter, prints clean in black and white
Form4-HFree PDF
What you fill in
- Member full name
- Date of birth (per your state form)
- Parent or guardian name
- Home address and phone
- Email address
- Projects of interest
- Health or allergy notes
- Emergency contact
- Parent or guardian signature
How to use this form
Fill in each labeled line, sign and date it, and keep a copy. Write clearly, since someone else may need to read it later.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with eXtension and USDA.
For more in this area, see the ag jobs and careers. Between chores, farm.FM has farm humor, including Dairy Goats Form Union; Demand Better Fences to Climb Over, and farming farm stories.