Ben Franklin Junior High School Technology Education Department

2000 Polk Street Phone: 715-345-5625

Stevens Point, WI 54481 Website: http://www.wisp.k12.wi.us

Safety Glasses Requirement, Proper Behavior and

Picture Release Signature Sheet
Each student is required to wear eye protection anytime work is being done in the classroom or
shop area. Safety glasses are a must and can be purchased in the Technology Education rooms
for $2.50 or purchased at any local store in town (examples: Menards, Fleet Fann, Franks
Hardware, Lowe's etc). It is the responsibility of the student to provide acceptable safety
glasses/goggles and wear them whenever required.

Appropriate behavior is especially important in technology education classes because of

possible student injury or damage of equipment. Any conduct of mine which endangers the
health, safety, comfort or prope1ty of others, impedes the opportunity of me and others to learn
is unlawful, disrespectful, and violates classroom rules will not be tolerated. Examples of
unacceptable behavior are: fighting, physical of verbal harassment, running, vandalism,
throwing or propelling objects, class disruption, stealing and disrespectful behavior. The
consequences for exhibiting inappropriate behavior may be removal from class.

_________ (students name) has my permission to use power machinery and

hand tools in Technology Education classes at Ben franklin Junior High School.

Students Signature Date Signed

Parents Signature Date Signed

During the course of the year, vve like to show others what ,ve are doing in Technology
Education. We do this by taking digital pictures of students engaged in hands on activities. We
use these pictures for presentations for Back to School night, Demos, class presentations, etc.
By signing on the line below, you give permission for us as a Technology Education department
to use those pictures for school purposes (these pictures WILL NOT be used for internet use!).

Parents Signature Date Signed