Lab Safety Contract 2023-24

What class period are you in?

• A1
• A2
• A4
• A5
• B6

Did you read part 1 and part 2 of the Flinn Safety Contract

• Yes
• No

Do you wear contact lenses?

• Yes
• No

Are you color blind?

• Yes
• No

Do you have allergies?

• Yes
• No

If you have allergies, please list.

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OFF

Student Name (last, first)--by typing your name you are officially signing this document stating that you are aware of the information presented. You are agreeing to everything presented in the agreement portion of the safety contract.

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OFF

Parent Name (last, first)--by typing your name you are officially signing this document stating that you, the parent, are aware of the information presented. You are agreeing to everything presented in the agreement portion of the safety contract.

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OFF

parent email

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OFF

parent phone number

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OFF