Science Procedures and Safety

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).

What students need to do to behave responsibly:

• Always follow safety operating procedures and instructions given by the teacher.
• Follow these procedures whether in a science classroom, a home, or outdoors.
• Always wait for the teacher’s directions before touching any materials.
• Tell the teacher or caregiver if they see materials or behaviors that might not be safe.
• Report accidents, spills, or broken equipment to the teacher/caregiver immediately.
• Read and follow all warning labels on substances being used.
• Be sure their teacher is aware of any allergies they may have.

What students need to do for their safety:

• Never taste, eat, or drink anything in science class.
• Avoid touching their eyes, ears, face, or mouth when working with chemicals,
plants, or animals.
• Never mishandle or mistreat animals.
• Make sure any chemical used has a label on the container.
• Keep lids on bottles and other containers when not in use.
• Dispose of all chemical waste and materials only as directed by the teacher.
• Never smell or inhale anything unless the teacher tells them to do so.

What students need to do to manage their materials:

• Use science equipment in the way they have been instructed.
• Keep track of all science items in their possession (school or home).
• Return all non-consumable science equipment to the teacher/school packaged in the
manner they received it.

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)