King County 4-H

Enrollments for 2017/2018

FORM DUE TO THE 4-H OFFICE BY DECEMBER 15, 2017

CLUB NAME_____________________________________________________

ENROLLMENTS	NO	AMOUNT/

Members (must be between the ages of 5 and 18 as of October 1, 2017)	X $30.00	Online --------------- Cash or check ___________

WAIVER REQUESTS

Members

Total ________	$____________

Payment may be made by credit card, cash or check. Clubs may submit cash or one club check made out to King County 4-H Association. Credit card payments are made through 4honline by individuals.

List members for whom enrollment fees are being paid by any method. Enrollment is not complete until fees received.

List youth who are requesting a full or partial waiver

Submit to King County 4-H Association 1000 Oakesdale SW Suite 140 Renton, WA 98057

New enrollments throughout the remainder of the 4-H year should be turned into the 4-H office within two weeks of the new member joining your club.