Cloverbud: ages 6-8 years old prior to January 1st, 2026. 
Youth Participants: ages 9-21 prior to January 1st, 2026.

I consent to the collection of personal health information as contained in this form.
By not consenting to the collection of personal health information, the participant understands that 4-H Ontario staff and volunteers will not be provided with the information needed to respond in the event of a health and safety emergency.

4-H Ontario Media Release 

While participating in 4-H activities, photos and videos of participants will be taken. These photos are typically used to record memories and promote 4-H. Please indicate below your consent to the use and reproduction by 4-H Ontario (representing the Ontario 4-H Council and Ontario 4-H Foundation and including local 4-H associations) of any and all photographs, video recordings and audio recordings taken of myself or my child for the use on 4-H websites, in print and other media for the purposes of promotion, illustration, advertising or publication and without compensation. 

All such photographs, video recordings, audio recordings and all recorded media, prints and created media from the content shall constitute the property of 4-H. In addition, the undersigned hereby consents to authorize the publication of the name of the participant. 

Important Reminder: Photos, videos and media may appear in electronic form on the Internet or in other publications outside of 4-H Ontario’s control. Volunteers, parents, youth and others in attendance at 4-H events may take photos and videos (media) and post them to their social media profiles. 4-H Ontario has the right to assume any person featured in the media has consented for the media to be shared online and 4-H Ontario can reshare the media to the organization’s social media channels. 4-H Ontario reminds 4-H associations that if they are hosting events/activities where not all participants have consented to the media release, to ask that those in attendance do not share photos/videos/media of the event/activities on social media. If you have any concerns, please contact communications@4-hontario.ca 

4-H Code of Conduct

4-H Inclusion Statement

Contagious Illness Acknowledgement
For participants 18 years of age or older, as well as parents/guardians:

I, the undersigned hereby acknowledge the contagious nature of certain illnesses (known and unknown) and acknowledge that there is no participant accident or liability insurance coverage for infectious diseases and assume the risk of potential exposure or infection while participating in 4-H activities.

Authorizing Signatures
By signing below, the participant and parent/guardian (if youth is under 18 years of age) hereby acknowledge that they have thoroughly reviewed the documents  above and agree to adhere to the guidelines and terms outlined within them.