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I Please indicate wheth

h k"
. .
er or not you wish to allow your child to participate in this proJect by
c ec mg one of the statements below.

L I grant permission for my child, to participate in the reading activities planned by

- I do not grant permission for my child, to participate in the reading activities planned by

Signatut ~ of Parent/Guardia\\

,- ot Child
-Printed Name l l-
Date
P- c2ol.

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