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Dissection Lab Session Policies

Parents/Legal guardians must sign off on this form before child(ren) participate in a dissection lab.

Please read the following IMPORTANT Little Beakers' policies regarding lab rules, lab fee refunds and makeups.

 

Classroom

Parents, grandparents, caretakers or guardians are not permitted in the classroom.  Any exceptions will be made at Little Beakers management's sole discretion.
Any student who engages in disruptive or unsafe behavior, as deemed by Little Beakers staff, will be reported to the student's parent, guardian or caregiver.
Little Beakers reserves the right to, and at its sole discretion may, exclude a student from a class and/or any future classes due to disruptive or unsafe behavior.  Lab fees will not be refunded.
For a given lab session / specimen, Little Beakers Management at its sole discretion may have participants work individually or in teams.

Refunds

The lab fee is non-refundable.
A missed dissection lab session may be rescheduled to a future dissection lab session at the Sandy, UT location, subject to availability and Little Beakers management's approval.

 

I have read and understand the policies regarding the participation of my child(ren) in classes conducted at Little Beakers, contained herein, and agree to be so bound.

First Parent / Guardian Name

First Name*

Last Name*
First Parent / Guardian Age Acknowledgment*
First Parent / Guardian Date of Birth*
I certify that I am 18 years of age or older
First Parent / Guardian Signature*
Second Parent / Guardian Name

First Name*

Last Name*
Second Parent / Guardian Date of Birth*
Third Parent / Guardian Name

First Name*

Last Name*
Third Parent / Guardian Date of Birth*
Fourth Parent / Guardian Name

First Name*

Last Name*
Fourth Parent / Guardian Date of Birth*
Fifth Parent / Guardian Name

First Name*

Last Name*
Fifth Parent / Guardian Date of Birth*
Sixth Parent / Guardian Name

First Name*

Last Name*
Sixth Parent / Guardian Date of Birth*
Seventh Parent / Guardian Name

First Name*

Last Name*
Seventh Parent / Guardian Date of Birth*
Eighth Parent / Guardian Name

First Name*

Last Name*
Eighth Parent / Guardian Date of Birth*
Ninth Parent / Guardian Name

First Name*

Last Name*
Ninth Parent / Guardian Date of Birth*
Tenth Parent / Guardian Name

First Name*

Last Name*
Tenth Parent / Guardian Date of Birth*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 I understand and acknowledge that by electronically signing this Agreement, I am agreeing to be bound by its terms and conditions. MY ELECTRONIC SIGNATURE INDICATES THAT I HAVE READ THE ENTIRE AGREEMENT, UNDERSTAND THAT IT AFFECTS MY LEGAL RIGHTS, AND UNDERSTAND THAT IT WAIVES MY RIGHT TO SUE COMPANY. By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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