I am enrolled in:

(Course name ) _____________________________________________________

(Course number) ____________________________________________________

My instructor's name is: ______________________________________________

I, , have carefully read and understand the biology science laboratory safety procedures of Camden County College. I agree to adhere to these guidelines, and realize that it is my responsibility to do so, for my own safety and the safety of all others.

Print name: _______________________________________________________

Date _____________________________________________________________

Signature:

__________________________________________________________________

Laboratory Safety Procedures must be distributed during the first day of class to each student.

The Laboratory Safety Agreement must be signed and returned to the instructor before the start of the first lab.

It is the instructor's responsibility to make sure that each student in the class has signed the laboratory safety agreement. The instructor is responsible for turning in the signed form for each student in each class to the biology office.