New Jersey Chemistry Olympics

Safety Contract & Photo Release Form

Print this page

Safety is of prime concern whenever working with chemicals and other hazards in a laboratory. Prior to having students conduct scientific research and/or experiments involving chemicals it is of particular importance that teachers review with them all safety concerns and  possible outcomes of these experiments.  MSDS sheets for all chemicals must be reviewed with students prior to any handling of these substances.  Laboratory safety rules as well as the the Minimum Safety Guidelines set forth by the American Chemical Society must be reviewed and discussed with students in detail prior to signing this form.

We the undersigned have reviewed all safety guidelines with our teacher/coach,  including those listed above, and promise to conduct ourselves in a safe manner during the New Jersey Chemistry Olympics.

Furthermore, we the undersigned hereby irrevocably grant to New Jersey Institute of Technology the absolute right and permission to copyright and/or publish or take or use our name, voice or photographic portraits or pictures, or in which we may be included in whole or in part, or in composite form in conjunction with our name and other identifying information, or reproductions thereof in color or otherwise, made through any media for art, print, web, advertising, film, telecast or any other lawful purpose whatsoever.  We also grant New Jersey Institute of Technology the same right and permission to use written or verbal statements or testimonials made by us.

Print name of student Signature of student Print name of student Signature of student
       
       
       
       
       
       
School: Coach: Coach's signature:

This form must be received by NJIT no later than April 14, 2004.  Please mail the form to the following address:

Ms. Gayle Katz, NJ Chemistry Olympics
New Jersey Institute of Technology
Room 151 Tiernan Hall
161 Warren Street
Newark, NJ 07102-1982

Return to Main Page

Last Updated October 12, 2008

Hosted by www.Geocities.ws

1