Consents and Releases

2025-2026 Program Year

Select the name of the consent to jump straight to read the consent’s text.

4-H Assumption of Risk, Release of Liability
4-H Youth Code of Conduct
Adult Valuable Partnership Agreement
Media Release
Medical Release
Survey and Evaluation Permissions
Terms of Payment

4-H Assumption of Risk, Release of Liability

Participation in meaningful youth development programs as a volunteer or member has a positive impact on youth by helping build leadership skills, social/emotional development, and resilience in every facet of their lives. In order to take advantage of these benefits, I and/or my child wish(es) to take part in the WSU 4-H Youth Development Program (Program) associated with Washington State University (WSU) as a youth member and/or volunteer.

I understand and agree that there are risks associated with the Program, including risks that the Program and WSU cannot predict or foresee. I understand and agree that my/my child’s affiliation with the Program may involve participation in a wide variety of activities such as, but not limited to: club meetings, shows, clinics, working with animals, physical education activities, shooting or archery, water-sports, food preparation, woodworking, crafts, and travel. Risks associated with the Program and its activities include, but are not limited to: temporary or permanent muscle soreness, sprains, strains, cuts, abrasions, bruises, ligament and/or cartilage damage, orthopedic damage, head, neck, or spinal injuries, loss of use of arms and/or legs, eye damage, disfigurement, burns, drowning or death. I also recognize that there are both foreseeable and unforeseeable risks of injury or death that may occur as a result of participating in or traveling to or from, Program activities that cannot be specifically listed. Further, I recognize that the actions of other participants in the activity may cause harm or loss to my child, self, or property.

In consideration for and as a condition of being allowed/allowing my child to participate in this voluntary activity, I voluntarily agree to take full responsibility for any and all risks that exist, including the risk of death or injury to my child or self or loss or damage to my property. I understand that there may be risks that the Program and WSU cannot predict or foresee, and I also assume full responsibility for those risks. I understand that the Program and WSU cannot ensure, and is not responsible to ensure, my/my child’s safety during my/my child’s activities with the Program or travel associated therewith.

I, my heirs and assigns, hereby release, the state of Washington, the Regents of WSU, WSU, any subdivision or unit of WSU, the Program, their officers, employees/volunteers, and agents, from any and all liability, claims, costs, expenses, injuries and/or losses to person or property, which I and/or my child may sustain as a result of, or in connection with, the Program.

If any part or portion of this Assumption of Risk, Release of Liability is determined to be invalid or unenforceable, the remaining parts or portions shall be enforceable. This release and all matters related to my/my child’s activities involving the Program and WSU shall be governed by and interpreted in accordance with Washington law. I have carefully read this document, understand its contents, and am fully informed about the Program and circumstances. I am aware that this document is a contract with the Program and WSU and the Program sponsors. I enter this contract freely and voluntarily.

4-H Youth Code of Conduct

As a 4-H youth participant/member you have the responsibility of representing all 4-H members to the public. Therefore, you are expected to conduct yourself in a manner that respects individual rights, safety, and property of others, and reflects favorably on your state, county/tribal program, and club, as well as yourself. You are expected to observe the following guidelines as a participant/member of 4-H.

The possession and use of alcoholic beverages, marijuana, and/or drugs other than prescribed medication is prohibited. The use of tobacco products (including vapor products) by youth members is prohibited.
Obscene and discriminatory language, roughhousing, and insubordination will not be tolerated.
Members and leaders must demonstrate respect for each other and the public.
Members are to refrain from public displays of affection or sexual activities at all 4-H functions.
Provide an environment that is free of any form of harassment toward other 4-H participants/members, volunteers, or staff.
Damage to, or destruction of, property belonging to others is prohibited.
Animal abuse of any kind is prohibited.
Display of unsportsmanlike conduct is prohibited.
Be an example of how to accept what life has to offer – good and bad – and how to live with the outcome of exhibiting your project.
Wear neat, clean, and appropriate attire; including shoes, boots, or appropriate footwear at all times.
Report any infractions to the superintendent/club leader/event coordinator.

Penalties for infractions(s) may include any or all of the following:

Placing the member on probation for involvement in further 4-H events and/or termination of 4-H membership.
Assessing the member the cost of damages and repairs in the event of damage or destruction of property.
Releasing the member to the nearest law enforcement agency and/or the proper authorities.
Withholding premiums and/or sending the member home from 4-H activities or events.

All penalties for infractions will be determined by the local Extension 4-H Office. The local 4-H Extension staff/faculty will notify parents/guardians if penalties are necessary.

For youth & parent/guardians: We understand this agreement is to ensure the safety of the 4-H youth member and ensure conduct and behavior that will result in each participant receiving the full benefit of enjoyment and educational experience from this 4-H affiliation/event. It is not intended to place undue restrictions upon participants.

For youth members: I have read the Code of Conduct and agree to abide by its rules. I understand that infractions of this code will result in any or all of the penalties listed above.

For parents/guardians: I have read the code of conduct and understand that I am responsible for my child’s behavior. I give permission to the staff in charge to administer the code.

I understand that the local WSU Extension 4-H program may have policies that are more restrictive than the state policies, but not less restrictive. In the event that the 4-H program has additional agreements required for enrollment, a hard copy form will be provided for signature.

Adult Valuable Partnership Agreement

WSU Extension appreciates your commitment to share your knowledge and talents with 4-H youth and hopes this experience will be fulfilling during the time you serve as a 4-H volunteer. Your satisfaction and progress in this position are important, and therefore subject to periodic reviews. Thank you for teaming with WSU Extension to expand educational opportunities for all youth and adults. Please read the following expectations of participation and behavior, and indicate your willingness to cooperate by signing at the end of this form.

The Washington State University Extension 4-H Youth Development Program agrees to:

Provide a volunteer position description that lists specific duties.
Respect volunteers as trusted partners in youth development.
Share the philosophy, mission, and goals of the 4-H Youth Development Program.
Utilize, promote, and provide training in experiential education.
Provide information on county, state, and federal policies that govern the 4-H Youth Development Program.
Provide training and materials to facilitate the inclusion and participation of volunteers and youth from all backgrounds.
Provide assistance, support, encouragement, supervision, and periodic evaluation.
Identify approved curriculum and materials for projects and group organization.
Provide ongoing training at the county level and information about volunteer opportunities beyond the county.
Keep volunteers informed of events, programs, and opportunities for youth at the county, state, and national levels.
Recognize volunteers for their contributions to the 4-H Youth Development Program.
Resolve 4-H volunteer personnel issues.

As a 4-H Volunteer, I agree to:

Perform the duties in my position description in a responsible and timely manner.
Conduct myself in a courteous and respectful manner, exhibit good sportsmanship, and be a positive role model for all youth.
Work cooperatively with WSU Extension staff, volunteers, parents, and members.
Refrain from public displays of affection or sexual activities at all 4-H functions.
Provide an environment that is free of any form of harassment towards other 4-H participants/members, volunteers, or staff.
Respect, adhere to ensure and enforce the rules, policies, and guidelines established for the 4-H Youth Development Program.
Participate in and support 4-H Leaders’ Councils and other advisory groups.
Support and promote the 4-H Youth Development Program through 4-H clubs, schools, after-school programs, and other appropriate settings.
Support and promote 4-H Youth Development opportunities and inform youth of county, state, and national programs.
Promote the spirit of inclusion and welcome participation of volunteers and youth from all backgrounds.
Follow the volunteer “Expectations of Behavior” that I have read & understand.

Washington State University Extension 4-H Youth Development Volunteer Expectations of Behavior

The primary purpose of these Expectations of Behavior is to ensure the safety and well-being of all 4-H participants (i.e., members, their parents & families, staff, & volunteers).

These expectations will guide volunteer behavior during involvement in the Washington State University Extension 4-H Youth Development Program. Just as it is a privilege for Washington State University to work with individuals who volunteer their time and energies to 4-H, a volunteer’s involvement in 4-H is a privilege and a responsibility, not a right.

As a 4-H Volunteer I will:

Treat others in a courteous, respectful manner, and serve as a positive role model for youth.
Accept supervision and work cooperatively with county 4-H staff while involved in the program.
Abide by policies and guidelines of WSU Extension state and county 4-H programs.
Make all reasonable efforts to assure that 4-H youth programs are accessible to youth without regard to race, color, gender, national origin, religion, disability, or sexual orientation.
Uphold an individual’s right to dignity, self-development, and self-direction,
NOT abuse any 4-H participant by physical or verbal means, and will report such abuse if observed.
Refer to WSU Publication C1001E – Child Abuse: Information for WSU Faculty, Staff, and Volunteers – for child abuse information reporting procedures.
Keep county 4-H staff informed of any incidents that may violate 4-H policies or personal rights.
Treat animals humanely, and teach youth to properly care for animals.
Operate machinery, vehicles, and other equipment in a safe and responsible manner.
Handle fundraising & finances in an ethical manner according to C1059E, 4-H Leader’s Guide to Handling Funds in the 4-H Youth Development Program.
NOT consume alcohol, use marijuana, tobacco (including vapor products), or illegal substances while responsible for youth in 4-H activities, nor consume anything that will in any way impact my ability to work safely with youth.
NOT require 4-H participants to purchase materials, equipment, animals, or services from any specific places of business.

I have read, understand, and agree to the expectations of participation and behavior as outlined in this agreement. I understand that either WSU Extension or I may terminate this appointment without prior notice. I understand and agree that any action on my part that contradicts any portion of this agreement is grounds for the immediate suspension and/or termination of my volunteer status with the Washington State University Extension 4-H Youth Development Program.

Media Release

I understand that, unless noted below, WSU Extension and Washington State 4-H may use photos, video, or audio recordings made of me or my enrolled child at 4-H events to promote the 4-H Youth Development Program without compensation. I understand that WSU Extension or Washington State 4-H may reveal my or my child’s name in descriptive text or commentary.

Medical Release

In an emergency requiring medical attention or a situation reasonably believed to be an emergency by Washington State University (WSU) authorized agents including Certified 4-H Volunteers or event staff, I authorize WSU and its authorized agents to obtain emergency medical care for me and/or my minor child. I will be responsible for any expenses incurred in so doing including, but not limited to, care by health care professionals, hospital care, and ambulance or other services. In addition, the health care provider has permission to obtain a copy of my health record from providers who treat me and/or my minor child and these providers may talk with the program’s staff about my/my child’s health status. If I am signing this on behalf of my minor child, I certify that I am my child’s legal guardian.

Survey and Evaluation Permissions

As a participant in the 4-H Program, you or your child may be asked to help with the evaluation of the program to tell us how well the program is working. You or your child may be asked to complete a written survey about what you/your child learned from participating in the program.

Participating in the evaluation is not required. If you or your child decide not to participate, it will not affect participation in this or future WSU Extension programs. The survey responses will be anonymous, and participant responses will not be identified in any way.

If you do not want to participate in the evaluation of the 4-H Program or you have questions about any evaluation, please contact your local WSU Extension Office.

Terms of Payment

Washington State 4-H Enrollment Fees are non-refundable. By submitting your 4-H enrollment through 4-H Online you are agreeing to the fees outlined on your invoice.

Local Programming fees and event fees are subject to local and event-specific refund policies. Please check with your local 4-H Extension office or event coordinator for their refund policy.