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-/