Images of tattoos.

INKED: The Science and Global History of Tattoos

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Required fields are indicated with an asterisk (*)

Family Contact Information

If you supply an e-mail address, a receipt for your registration will automatically be sent to that account. An e-mail address is required to pay using a credit card.
If a state other than Michigan, please select Not Applicable at the bottom of the list.
I will be attending the program with the youth listed below *
Are you an adult that will be broadcasting this to a large audience? *
Examples may be a librarian sharing with a group of youth or a daycare provider sharing with youth.

Family Demographics

MSU Extension is interested to know more about who is attending programs to help identify potential gaps in audience reach. The following questions are optional to answer but we would appreciate any information you would be willing to give to help us understand more about our audiences served.
Military Status: *

Youth Participant

If your child has their own email address and you would like weekly program zoom connection information sent directly to them, please list that email here.
Enter a whole number
If you selected no, are you interested in learning more about 4-H? *
*

Parent/Guardian Authorization

I authorize Michigan State University Extension/4-H to record my image and/or the image of my child and/or voice for use by Michigan State University Extension or its assignees in research, education, and promotional programs. I understand and agree that these audio, video, film, and/or print images may be edited, duplicated, distributed, reproduced, broadcasted, and/or reformatted in any form and manner without payment of fees in perpetuity.

As a participant in the Michigan State University Extension/ 4-H program, your child may be asked to help with the evaluation of the program. Your child may be asked to complete a short survey about what he/she learned or did as a result of the program. Surveys could be given before the program begins and/or after the program has ended. Surveys typically take no more than 10 minutes to complete. All surveys are confidential. Youth are not required to participate in a survey. If you or your child does not wish to participate, it will not affect involvement in any programs of Michigan State University. If you do not want your child to participate in program evaluations or have questions about the evaluation, contact your local 4-H coordinator at the MSU Extension Office. By signing below I acknowledge that my child may be asked to participate in a short program evaluation. I understand that program evaluations are completely voluntary.

For the full media/medical/code of conduct authorization, please visit https://www.canr.msu.edu/resources/youth-code-of-conduct-authorization-form.

Virtual Program Participant Conduct Expectations

Since this is a virtual program:
  • Please use a neutral background (e.g. blank wall, digital Zoom filter, limited exposure of private spaces, etc.)
  • Check your email for login and other important information.
  • Participants may not record interactions with other participants through online instruction platforms.
  • Participants may not screen shot or record other participants’ images, information, or participation contributions during the program.
  • Participants may not share inappropriate content through files, images, videos, chat, audio, or other features of the digital instruction platform.
  • Anyone receiving threatening or inappropriate chat messages should immediately report it to a trusted adult.
  • In the interest of safety, do not share links, passwords, or other program login information with anyone outside of the program.
  • Show respect for, and cooperate with, fellow participants, volunteers and staff.
  • Abstain from harassment or bullying of another participant, volunteer or staff member (either in face to face interactions, through social media or other communication venues), particularly when the behavior is disrespectful or regards a person’s gender, race, age, sexual orientation, religion, national origin, disability or appearance.
Failure to comply with these expectations may lead to appropriate consequences including, but not limited to, dismissal from the program.
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Contact Information

For information please contact Holly Mueller at julianho@msu.edu.