Sacramento 4-H Program Fee Waiver Request - 2023-2024
Provisions will be made by the Sacramento County 4-H Leaders Council to off-set 4-H Program Fees for eligible youth who are unable to pay them. The parent/guardian of an eligible youth for which a Sacramento County 4-H Program Fee Waiver is requested, must complete this form.

Please click here to verify eligibility.

If your club does not support partial program fees, they will offer club program fee scholarships.

If your youth needs additional program fee scholarship support, please complete this survey to verify eligibility.

After you have completed the Program Fee Waiver Request, you will be notified by email of the approval.
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Family Name (used in ZSuite enrollment system)  *
First Name of Youth  *
Last Name of Youth  *
First Name of Parent/Guardian  *
Last Name of Parent/Guardian  *
Email Address *
Program *
Please check the box of the Program Fee Scholarship you are requesting  *
If you are requesting a partial Program Fee Scholarship, please enter the amount here: 
To determine eligibility for a Sacramento County 4-H Program Fee Scholarship, please indicate if: 
Monthly household cash income is at or below 185% of the Federal Poverty guidelines. If your child is eligible for/enrolled in free or reduced price school breakfast or lunch you meet this criteria. 
 *
UC reserves the right to verify the above information by further reviewing the household financial status with the parent/guardian. 
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