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Appendix A Please sign and ret following 0 1s Senior Enslish Academic Partner. Parent/Guardian/Student Permission and Liability Form 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 ot injury to the student or others during the student's self-selected Pride Project hours. Parent/Guardian Name(s) (please prin) Becky Goddard , JelF Croddecd —— Parent/Guardian Home Phone(s): “104-234-555: ‘Work Phone(s): “204 - 234 - \ (Mother) “704 -234- (Father) Parent/Guardian Email(s): becky .goddarda Opi We _Ored or Jefe g Od @ yates. css ££ | Parent/Guardian Signature Ave Lud Joa hak Date 9/A3// (2"® Signature Optional) Date Student Signature Leal geddand Date_9-25-/

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