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Appendix A por follows ee oF P Guardian Permissi Liability F Thave read the Letter to Students and Families relating to the Pride Project and understand that the satisfactory completion of the research paper, 10 project hours, product, and presentation are required to graduate and receive a diploma from Pine Lake Preparatory. I also understand that the student and his / her parents are responsible for any damage or injury to the student or others during the student's self-selected Pride Project hours. Parent/Guardian Name(s) (please print) J\YY\_SP_A anc j Ru cen Parent/Guardian Home Phone(s): 04 =()- TY SZ Work Phone(s): 204-44 7-Ol@ D (Mother) "Zoe(- TA -coQQ® _ (Father) Parent/Guardian Email(s): ol laBhRnwe 4s : Parent/Guardian Signature = — Date_/ (2° Signature Optional) ate 22/1 f ‘Student Signature 1 Date (Me Appendix Mentor Consent Form The role of the Mentor is to serve as an expert in the field chosen by the student. By signing tis form, the mentor agrees to: allocate time (a minimum of ten hours) to work with the student; provide ins training, expectations, and demands of the field; ensure that the student is actively involved durin and not simply observing. If desired, the mentor mai development of a tangible product that connects to the real-world requirements of the career. Student Name War oun Ru cler Project Topic “We \ 7 Mentor Name Keat day Place of Employment “Rows h- Fenw ay Racing : Work Address DO lac. acecd NC 26027 Pron msi _Sday@) rush Fenway on Preferred Phone 704 402-5490) Occupation / Title / Expertise Related to Topic ‘abicke Dy onesie /etegec of Silo services| 20 years lag wchicle testing € Sinultina Ph.D.in Years of experience intopic area “BO For the protection of myself and the student, I agree that we will not meet alone. I agree roles/duties of the project mentor to the best of my ability. | also confirm that I am not related to the ht into the shadowing provide suggestions, advice, and support rfgarding the oA ech. Engineer ia uphold the Student. Mentor Signature Date (Batt2iie Parent Signature vae 2lo [We Student Signature Date_/Z, “hte

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