Chemical/Supply Release Form
Student _______________________ Course ____________________
I requested the following chemicals/supplies for my child's science project:
|Cost:||Chemical /Supply Name:||Amount:||Hazard:|
$______ Total Cost
I have been informed of the proper handling procedures and special hazardous qualities of each of the above chemicals and supplies. I will supervise my child in their use and disposal. I will NOT hold the school authorities LIABLE in the event of injury caused by any of the above chemicals. I also agree to pick up the requested chemicals at school and transport them home in my personal vehicle.
Date_____________________ Signature (Parent/Guardian)___________________________________________________________