Contact Lens Release Form by shuifanglj

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									Laboratory Release Form

STATEMENT TO BE SIGNED BY STUDENT:

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.

								
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