Registrations | Illinois Extension

We encourage all youth interested in becoming an officer in their 4-H club to attend to learn more about officer positions and leadership roles. For those already elected as an officer, it is important that you attend to learn your officer role and help your club and 4-H leader run meetings efficiently and smoothly. We have many fun, hands-on activities and games planned to help youth develop and learn leadership skills, which are important not just in 4-H, but also in life.

*This event is for 4-H members in Christian, Jersey, Macoupin, and Montgomery counties*

Saturday, October 19 at 10 AM
Held at Lincoln Land Community College in Litchfield, IL

9:30 AM - 10:00 AM: Registration
10:00 AM - 12:00 PM: Officer Training

Registration deadline – October 14

**Please enter the name of the member/participant below and use one registration per member attending. Submit another entry if you need to register multiple participants from your family.**

Contact Information

First Name

Last Name

Street Address

Street Address 2

City

State

ZIP

Daytime Phone

Evening Phone

E-mail Address

Do you already have a copy of the 4-H Officer Handbook?

Yes

Have you participated in Officer Training before?

Yes, I have participated 1-2 times!

Yes, I have participated 3+ times!

No, this is my first time!

In what county are you a 4-H member?

Christian

Jersey

Macoupin

Montogmery

4-H Age Age as of September 1, 2024

Please enter your 4-H Club name.

What officer role do you want to learn more about? Please pick from the following list.

President & Vice President

Secretary

Treasurer

Reporter/Historian

Recreation Chair

Other

I grant the University of Illinois Extension and 4-H irrevocable permission to record and/or disclose my child's identity, image, and voice arising out of documenting 4-H youth programs, and to use, reproduce, and distribute such in whole or in part in video and/or sound recordings, films, photographs, transparencies, webpages, social media, local news media or any other media for any purpose on behalf of the University of Illinois and Extension without compensation to me and without any right for me to inspect or approve of the finished product.

Yes.

No. Please call 217-845-9604.

Does participant need reasonable accommodation for this program? If yes, please list and explain below. This can include disabilities, known allergies, knowledge that might be helpful to ensure a positive and successful experience.

Civil Rights Compliance - Participant Info

As part of our commitment to providing equal opportunities in our programming, University of Illinois Extension is required to collect and report overall statistics about the race, ethnicity, and gender of program participants. Your responses are voluntary and appreciated.

Gender

Ethnicity

Race

CJMM 4-H Officer Training

4-H Leadership and Officer Training

Contact Information

Civil Rights Compliance - Participant Info