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Appendis A - eee Parent/Guardian/s mission and Liability Form T have read the Letter fo Students and Families relating tothe Pride Project and understand thatthe 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. PaeatlGuartiaa Name(s) lease pin). Nl@tinda _Emioce 4 Paront\Guardian Home Phone(s): i a ro Phone(s): “1CU-TWte-G 74 (Mother)_1OU-3 35 8 BBE (Father) ParenvGuardian Email(s: CalindaemMierey © wahen. cao Crckrer Cock 0850. Dua Parent(Guardian Signature V/s OCS» Date S)27} 1 2° signature Optional Date Student Signature

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