4-H Member Enrollment Form
Download a blank fillable 4-H Member Enrollment Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete 4-H Member Enrollment Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
14-H MEMBER ENROLLMENT FORM
Personal Information
Club _____________________________________________________________________________________
Last Name _______________________________________ First Name _______________________________
Address (Put the address you want your 4-H mail directed to, it must include a civic number)
Civic Number and Road/Street Name _____________________________________________________
P.O. Box, RR#, and Post Office _________________________________________________________
Community, Town or City
_____________________________ Postal Code _____________
Phone
_____________________
________________________
_________________________
(home #)
(Mother/Guardian’s Work/Cell #)
(Father/Guardian’s Work/Cell #
Email (Parent’s email if member is under 18)
__________________________________________________________________________________
Date of Birth (dd/mm/yyyy) ___________________________
Gender □ Male
□ Female
Parent/Guardian: First Name __________________________
Last Name _____________________________
Number of Years in 4-H? _______ (Include this year. If this is your first year, put 1)
Do You Live on a Farm?
□ Yes
□ No
4-H Project(s) You are Taking ________________________
Unit* ___________________
* Not all projects
________________________
Unit* ___________________
have a unit.
________________________
Unit* ___________________
Please list the project title i.e. Food & You—Dairy and Sew You Want To Sew (rather than Foods and Sewing)
Protection of Personal Information
Can photos taken of your child at 4-H events be used in 4-H promotions?
□ Yes
□ No
Can materials (i.e. project items, posters, written materials, etc.) produced by your child at 4-H events be used in
4-H promotions?
□ Yes □ No
The Prince Edward Island 4-H Council and the Prince Edward Island 4-H Trust protect your personal information by adhering
to all legislative requirements with respect to privacy. We use your personal information to provide services, to keep you
informed about 4-H activities, for statistical and research purposes, to satisfy government and regulatory obligations and we
may contact you from time to time regarding new Prince Edward Island 4-H Council, Prince Edward Island 4-H Trust and
Canadian 4-H Council initiatives.
Member Expectations
Minimum expectations for members include, but are not restricted to the following:
Complete a minimum of one project
•
Complete a communications activity (a speech or demonstration)
•
Participate in the club’s community project
•
Participate in the club’s agriculture awareness project
•
Participate in the club’s meetings and activities
•
We have read and understand the commitment needed to be a member of 4-H in Prince Edward Island.
______________________________________________
_________________________________________________
Signature of Member
Signature of Parent/Guardian
_________________________________________________
□
Membership Dues … Paid
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business