Butte County
University of California
Butte County

Forms

Welcome! Listed for your convenience are the forms for our 4-H program. Please feel free to choose those you may need to complete.

NOTE:  If you have trouble printing any of the forms, please contact the office. 


Enrollment

Online Enrollment Instructions

Online Guide for Youth and Volunteers You must have Adobe Acrobat to open this file.
On Line Guide for Club Managers You must have Adobe Acrobat to open this file.

Enrollment website: https://california.4honline.com/Login.aspx

Paper Enrollment Forms

 Youth Enrollment Form w_Health History  Youth Paper Enrollment Forms
 Adult Enrollment Form w_Health History  Adult Paper Enrollment Forms

 Waiver of Liability  Waiver of Liability

 Volunteer Confidential Self-Disclosure Form  Adult Volunteer Confidential Self Disclosure

 Enrollment-Member Code of Conduct 2016-2017  Member Code of Conduct
 Enrollment-Parent Code of Conduct 2016-2017  Parent Code Of Conduct
 Enrollment-Adult Code of Conduct 2016-2017  Adult Code of Conduct

 Youth Health History Form  Member Treatment Authorization and Health History Form
 Adult Health History Form  Adult Volunteer Treatment Authorization and Health History Form


Enrollment Fees

The 2017-2018 Butte County 4-H enrollment fee is $55.00 for youth and $30.00 for adults.  The vast majority of the fee goes to the California 4-H State Program to cover accident/incident insurance.  The usage of the fee at the local level is 10% of these fees are used for the printing of educational materials for Community Clubs and County projects and Butte County Council. 40% of the fees are also used to purchase educational curriculum for use by Butte County 4-H. 50% of the fees are used to reimburse volunteers for use of private vehicles transporting members to various county, regional and state events.

If this fee creates and undue financial burden, Members may withhold payment at the Community Club level and send a letter requesting fees be waived to the Butte County 4-H office.  The follow form must also be filled out and sent to the Office: Request for Fee Waiver Form.

Request for Fee Waiver Form


Record Books

ALSO! Check out our Record Book Corner pages!  They also have helpful information about Record Books.  Find them here: Record Book Corner homepage

Below are the necessary forms to complete record books.  You must use the most recent forms.  Use of old forms will result in disqualification in competition. 

Online Record Book (ORB)

2016-2017 4-H Record Book Manual for Members For 2016-2017 Junior, Intermediate and Senior Members only

2016-20017 4-H Record Book Manual for Adults 2016-2017 Adult Record Book Guide


Personal Development Report Forms
To be used in your 4-H Record Book

Record Book Forms Record Book Forms 2016-2017
Contains information to help complete a 4-H'ers Record Book


Record_Book_Check_Sheet_Help_Document_08_30_16
Required_County_Record_Book_Check_Sheet_9_6_16
Contains all forms and instructions for regular 4-H members


Record Book Workshop 1 22 15

Information on how to fill out the Record Book PDR


Primary Members

You may encourage your primary members to complete a Primary Member Record Book with assistance from their adult volunteer, parents/guardians, or older members. Cloverbud's are not required to do a Record Book.  Upon turning 9 years of age, a former primary member's years in 4-H, years in all projects, and records of participation and activities for record books all reset. Items listed in any primary PDR do not carry over to future regular member PDRs.

Primary Members Record Book Manual & Forms Word Document


Community Club Leader

End of Year Documents 2016-2017

End of Year Document Checklist Letter

 

Form 6.2 - Annual Inventory Report

Form 6.3 - Annual Financial Report

Form 8.4 - Club Budget 2016-2017

Form 8.4 - Club Budget 2017-2018

Form 8.5 - Year End Peer Review

Form 8.6 - Year End Peer Review Checklist

Form 8.7 - Fundraising Approval

 

Form 4-H outreach methods documentation (Word)

Program Planning Guide

Club Profile and inforpage rvsd 2017-18


Club Resources

Cross Clubbing/Cross County Form

Cross Club Contract Revised Cross Club Form Word 
Cross Club Contract Revised Cross Club Form PDF

Cross County Form Cross County Form Word
Cross County Form Cross County Form PDF

Butte County 4H Club Officers & Committees Format

4-H Club Officers & Committees Format
Officer Form

Parliamentary Procedure

ParliProfFlow

Projects

Project_Leader_Agreement_Form_with_Fields12.18.13
Project Leader Agreement Form Sample

 

Project Proficiency Program

Project Proficiency Program Guidebook

Presentation Proficiency Application

Proficiency Certification Form


Project Proficiencies

  Swine Horse     
  Sheep Beef    
  Rabbit Dog Obedience Proficiency Program    
  Poultry      
  Goat (Dairy Meat Fiber)      

  

Fairs and Livestock Information 

Fair Requirements:

For both Silver Dollar and Butte County Fairs

16-17 Fair Requirements Council Passed 9 22 16 Please make 4 copies-one goes to Project Leader, one goes to Community club Leader, one goes to the 4-H Office and one is kept by member/parent.


County Events:

Approved by Council to count towards Fair Requirements

County Events Listing 2016-2017 approved 9 22 16
Activity Contract 2012Approved11 15 12

Animal Science Fair Book

Animal Science Fairbook (2009)

Horse Forms

Horse Identificaton Form

Livestock Disease Information:

 Swine Influenza

For more on this, please check the following websites:

Avian Influenza (posted 5/28/13)

Two recent outbreaks of Avian Influenza (AI) strains have been reported, one in Mexico (H7N3) and another in China (H7N9). The H7N3 virus, a highly pathogenic strain of AI (HPAI), is restricted to poultry; the H7N9 virus, a low pathogenic strain of AI (LPAI), has crossed over from poultry and infected humans, mainly within family clusters. Heightened bio-security measures are recommended. More information is available at:

California Department of Food and Agriculture (CDFA):

Extension Disaster Education Network (EDEN):

Surface Disinfectants
Biosecurtiy at the Fair

 


4-H Presentations 

4-H Presentation Manual

Presentation Manual Visit this link to view the new 2015 Presentation Manual.  This is an updated manual.


First Year Members Presentation Form

First Year Member Presentation-Club Level Word

First Year Member Presentation-Club Level PDF


Applications

All-Star, Scholarship, Emerald Star, National 4-H Week Display, 4-H Member/Parent of the Month, ect.

Butte County 4-H All Stars

All-Star Application 2017-2018 Word
All-Star Application 2017-2018  PDF

Butte County 4-H Scholarships

2016-2017 Scholarship Application Word
2016-2017 Scholarship Application PDF

 

Butte County 4-H Emerald Star Application

Emerald_Star_app passed9.28.12 2012FINAL

 

National 4-H Week Application 

National 4-H Week 2016 Display Application

 

Butte County 4H Member of the Month Applications

4H Member of the Month Application

 

Butte County 4H Parent of the Month Applications

Butte County 4-H Parent of the Month Application

 

Other Forms

Butte County 4-H Complaint Form

Butte_County_4H_Complaint_Form 2 20 2014


"Make it Safe, Keep It Safe" 4-H Volunteer Food Safety Training 

The makeit safe,keep it safe letter to CCLs 12.2.13


Misc Forms
If you don't see the form you are looking for, please call the office.


4-H Awards Order Form Revised

4-H Uniform Order Form Revised


Form 8 7 Fundraising Approval 2015
Fundraising Guilde lines and Form 2015
4-H Reimbursement Form Revised 05 17 16

ADA Accommodation Request Form

 ADA Request Form PDF

 

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