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Caldera Forms & WP Esign - Admissions Application Demo


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Dear Parent or Guardian, Thank you for your interest in Leading Edge Academy! We look forward to partnering with you in the education of your child. Enrolling your child is an easy three step process. Complete the online Enrollment Form available on the school website, www.leadingedge.edu, or pick up an Enrollment Packet from any Leading Edge Academy school office.

STUDENTS NAME STUDENTS GRADE BIRTHDAY GENDER
  [esigcaldera formid="CF58ab81000a928" field_id="fld_5333094" ]  [esigcaldera formid="CF58ab81000a928" field_id="fld_9390983" ] [esigcaldera formid="CF58ab81000a928" field_id="fld_2600805" ]

 [esigcaldera formid="CF58ab81000a928" field_id="fld_8206241" ]

PARENT/GUARDIANS NAME PARENT/GUARDIANS EMAIL PRIMARY PHONE
[esigcaldera formid="CF58ab81000a928" field_id="fld_7125809" ]  [esigcaldera formid="CF58ab81000a928" field_id="fld_6876351" ]  [esigcaldera formid="CF58ab81000a928" field_id="fld_9134259" ]
STREET ADDRESS
 [esigcaldera formid="CF58ab81000a928" field_id="fld_7677187" ]  

I, ( [esigcaldera formid="CF58ab81000a928" field_id="fld_7125809" ]) the undersigned parent/guardian give my consent for the above named child to be released to the persons I have designated and /or to be taken by Emergency Personnel to the nearest medical facility in case of emergency. I understand that Leading Edge Academy does not provide accident medical/dental coverage for students due to injuries/illnesses occurring at school. In case of injury or sudden illness, I, the undersigned parent/guardian, give authority to any hospital or medical personnel to render immediate aid as might be required at the time for his/her health and safety. It is understood by me that any incurred expenses of this service are my responsibility.

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Document name: Caldera Forms & WP Esign - Admissions Application Demo
lock iconUnique Document ID: acbd489d0e04a7acdf9be989beb90e52d67f51f8
Timestamp Audit
February 20, 2017 4:03 pm PDTCaldera Forms & WP Esign - Admissions Application Demo Uploaded by Sue Griffin - curious@wpesign.com IP 68.106.9.15