Hazwaste Extra Credit Assignment

You have the opportunity to earn a free homework pass for either volunteering at
Hazwaste Central or for bringing some household hazardous waste to their facility.
Note: For those that have a perfect homework score, the homework pass can also be
used to boost your participation score.

Offer expires on 11/6/09 (ie. the end of the 1st marking period).

Please check off one of the boxes below:

□ I volunteered at Hazwaste Central on _____________________________.

(Date)

□ I disposed of household hazardous waste at Hazwaste Central

on________________________.
(Date)

_____________________________ __________________________
Student Name (Print) Parent Signature