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Laboratory Safety Agreement
This form is required before students are allowed to complete any lab work either at school or at home.
* Indicates required question
Email
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Your email
Video: General Lab Safety: click on red arrow button to watch.
What period do you have Ms. Carlson?
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2nd period
3rd period
4th period
5th period (a &b)
7th period
Last name (student)
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Your answer
First name (student)
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Your answer
Student Acknowledgment
I have read the Safety Contract and agree to abide by all the safety rules any time I am working on a laboratory assignment either at home or at school.
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Yes, I agree to abide by all of the safety rules set forth in Ms. Carlson's safety contract when working on any laboratory assignment either at home or at school.
Parent Acknowledgment
Just to ensure that you have read and agree with laboratory safety expectations.
Parent Name (first and last please)
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Your answer
I have read the Safety Contract associated with this course and I understand my child is responsible for following guideline set forth by Ms. Carlson.
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I have read the Safety Contract and understand the expectations in any science classroom.
Does your child meet any of the following criterion please check all that apply.
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Allergic to latex
Allergic to peanuts
Color blind
Wears contacts
My child has no heath issues that would affect them in the science classroom.
Other (see below)
Please explain any safety concerns specific to your child. (If color blind which colors. ) Any other allergies or health issues?
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Your answer
Email where I can best contact your parent
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Your answer
Phone number where I can best contact your parent.
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Your answer
Time that is most convenient for parent to talk
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Your answer
Thank you!!!
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