(Please READ, COMPLETE, and KEEP in your book)
I, ______________________________________________ (print your name), recognize that the laboratory is a safe place to work and learn only if I conduct myself in a responsible manner.† I agree to assume responsibility for my own safety and for the safety of my classmates.† I agree to follow the laboratory expectations and agree to follow the teacherís directions to the best of my ability.† Specifically:
* I will learn and follow the Behavior Expectations.
* I will learn and follow the Laboratory Expectations.
* I will handle laboratory equipment properly and safely.
* I will familiarize myself with the techniques in each activity.
* I will learn the location and proper use of the safety equipment.
* I will report any accident, no matter how small, to the teacher immediately.
* I will follow the teacherís instructions during class and follow the clean-up procedures.
* I will perform home activities safely and with the knowledge and permission of my legal guardian.
Student (signature): ________________________________________†††† Date: _______________
Parent / Guardian: __________________________________________††† Date: _______________
LAB WARNING NOTICE
Sample Warning Notice: (Do NOT complete.)