Appendix A
Please sign and return the following page to vour child's Senior English Academic Partne:,
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 or injury to the student or others during the student's self-selected Pride Project
hours.
Parent/Guardian Name(s) (please prin —- ALAS WS Hers
Parent/Guardian Home Phone(s): altos 4104
Work Phone(s): (Mother) (Father)
Parent/Guardian Email(s): aAllnsnve 2 0l-¢
Parent/Guardian Signature IYO Date Z -S-l i),
(2° Signature Optional) Date
Student Signature 4 aparor. Masters Date 2-S-\A