I have read the above set of student safety rules, and have also heard each part of them discussed in detail by the laboratory instructor. I also have read and heard discussed the specific cautions regarding the wearing of SOFT CONTACT LENSES in the laboratory.

I understand that learning and applying these rules not only are important parts of learning proficiency at laboratory techniques, but also are essential in maintaining a safe working environment for myself and my fellow students. I will follow these rules as well as other directions concerning safe practice and proper laboratory technique that I receive from the laboratory instructor and/or professional laboratory personnel. I will insist that my
classmates do likewise.

CLASS              SECTION               YEAR                  SEMESTER

NAME OF LABORATORY INSTRUCTOR

STUDENT’ S SIGNATURE                                                               DATE
PLEASE PRINT NAME

To be signed in duplicate; one copy to be kept by the student; the other by instructor.
Every student must have a signed copy of the above student safety rules on file with the instructor in order to take part in laboratory activities.