Enrollment Forms

• CloverBuds Enrollment Form - Contact your 4-H Agent for your parish enrollment form.
• 4-H Youth Member Enrollment Form - Contact your 4-H Agent for your parish enrollment form.

Medical and Health Related Forms

• Louisiana 4-H Medical Form (to be used by both Youth & Adults)
• Louisiana 4-H Certification of Medical/Health Form being current and correct (to be used after the Medical/Health Form has been completed and submitted - this form affirms all information on already submitted form is still correct and current. In the case of ANY information changing, a new Medical/Health Form must be resubmitted).
• Louisiana 4-H Statement of Exemption from Immunizations (if submitted, must be accompanied by an official letter from health care provider)

Code of Conduct Forms

• Louisiana 4-H YOUTH Code of Conduct Form
• Louisiana 4-H ADULT Code of Conduct Form

Hold Harmless Agreement

• Louisiana 4-H Hold Harmless Form (this document is part of the youth and adult enrollment forms and only required if the form was not completed during the enrollment process).

4-H Records (Record Books) Forms

• 4-H Portfolio is used for record-keeping which is an important part of every 4-H educational project. Many awards, educational trips and college scholarships are given to club members on the basis of their records and project work. Records show your 4-H club work progress. This form is designed to help you keep your records and other supporting materials in an orderly manner.
• The 4-H Project Record Sheet helps members track, record and reflect on their project work. It is used to document project work conducted from 4-H project guides.

4-H Scholarship Forms/Applications

The Louisiana 4-H Youth Development Program is proud to provide scholarship opportunities for high school seniors actively enrolled in the 4-H program. Each 4-H member needs to work directly with their parish 4-H agent for the local scholarship deadline.

• 2022 Scholarship Application will be posted in the fall of 2021.

Louisiana 4-H Leadership Board Packet

Youth who are in high school and actively involved in the parish 4-H leadership programs have the opportunity to apply to serve on a state leadership board. The information packet below provides details about the requirements and the application process. The application is online and can be completed once the 4-H member reads the packet and collects all necessary information.

• 2022-2023 Leadership Board Packet will be post in the Spring of 2022.

Americans with Disabilities Act Forms

Instructions for completing and submitting form:

• Complete the ADA Special Accommodations Form providing as much information as possible in order to assist with the needs of the participant.
• Once complete, either email the form to both Denise Fontenot, Human Resource Manager, at DeFontenot@ agcenter.lsu.edu and Hilton Waits, Parish Risk Management, at HWaits@agcenter.lsu.edu or mail form to Hilton Waits, 1105 West Port Street, Abbeville, LA 70510-5831.
• Form must be completed at least one month prior to event!

Other Forms

• Louisiana 4-H Media Release Form
• Louisiana 4-H Group Enrollment Form (Dynamics System) - will be discontinued after 21-22 year!
• Louisiana 4-H Group Enrollment Form (4Honline System)