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2020-2021 4-H Enrollment Online Payment Form - Central Sierra

 

Fill in the information below to pay for your 4-H Enrollment with a credit card, on a secure online system.

Please note:

If you would like to pay by check instead Please make payable to UC Regents and mail to:

UC 4-H YDP, Central Sierra
Attn: Nancy Starr
311 Fair Lane
Placerville, CA  95667 

Payor Information (Please do not use Auto-Fill):

 

4-H Membership Information

Check a payment box and select the number of youth and/or adults you are paying for.

Quantity:  
Quantity:  

Required Reading - Please check that your name appears below.

On the next screen you will begin the process for entering your credit card information.

If you are having trouble with the credit card processing, please see this Credit Card Processing Help Guide.

For verification that you are human, please enter the following code in the box below:
BGZQNE

(if the code is not entered correctly, the survey will not be submitted)