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Science Procedures and Safety Acknowledgement Form 3
Science Procedures and Safety Acknowledgement Form 3
Acknowledgement Form
Note to parents/guardians: Please review the following safety acknowledgment with your
student and sign in the spaces indicated. If you or your student have any questions, please contact your
child’s teacher or school administrators. This form is for all Novi students (both in-person and virtual).
Agreement: I have read and understand this form. I acknowledge that it is important that I
follow the above safety procedures to help make a safe learning environment.
Lena Karshis
_________________________________________________________________________
(Printed Student Name) (Student Signature) (Date)
I have read and reviewed the science safety and procedure rules with my child.
Matthew Karshis
_________________________________________________________________________
(Printed Parent/Guardian Name) (Parent/Guardian Signature) (Date)