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Michigan 4-H Overnight Housing Permission Form

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January 1, 2022

This form is to be used by parents and/or guardians to grant permission for a youth participant to stay overnight at a Michigan 4-H activity under the following lodging conditions.

Criteria for Michigan 4-H overnight housing experiences

Youth will be provided a separate bed, mattress or sleeping bag. Youth may not share a bed.

Youth ages 18 – 20 are considered program participants in the Michigan 4-H program (4-H age is determined as of January 1, which makes these youth 17-, 18- or 19-year old 4-H members). As they are considered youth program participants, Michigan 4-H allows these individuals to house with younger 4-H members, per approval of the younger member’s parent or legal guardian. In addition, youth participants aged 18 to 20 must complete a criminal history check and a reference check.

Adult participants age 21 and older will be housed with other adult participants. Adults will be assigned to stay in rooms with restrooms that are separate from youth participants’ housing and restroom assignments. All adult participants are volunteers that have successfully completed the MSU Extension Volunteer Selection Process or are MSU Extension staff members.

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Michigan State University Extension programs and materials are open to all without regard to race, color, national origin, gender, gender identity, religion, age, height, weight, disability, political beliefs, sexual orientation, marital status, family status or veteran status. Issued in furtherance of MSU Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture. Quentin Tyler, Director, MSU Extension, East Lansing, MI 48824. This information is for educational purposes only. Reference to commercial products or trade names does not imply endorsement by MSU Extension or bias against those not mentioned.

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