Contact Forms 7 + WP Esign Admissions Demo Mudassar Sardar

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Document ID: 77030524092a546254aa558eb6007685198c53da

Generated on: January 26, 2022


Signed On: https://www.secure.approveme.com/

Contact Forms 7 + WP ESign Admissions Demo - Mudassar


Sardar

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


Kindergarten
Max Griffin 10/10/2010 Male

PARENT/GUARDIANS NAME PARENT/GUARDIANS EMAIL PRIMARY PHONE


Mudassar Sardar sardarsons03@gmail.com +923000434969

STREET ADDRESS
House#72 Ali Park

I, (Mudassar Sardar) 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.

Signed By Mudassar Sardar


Signed On: January 26, 2022

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Audit Trail Serial# 90ddaa4e70ac7d5f9c47688869b7eb87
Signature Certificate
Document name: Contact Forms 7 + WP ESign Admissions Demo -
Build. Track. Sign Contracts.
Mudassar Sardar
Unique Document ID: 77030524092A546254AA558EB6007685198C53DA

Mudassar Sardar
Party ID: 2bbe822f-6108-4398-acd8-d676c53362aa Digital Signature:
IP Address: 39.37.162.217
Security Level: E-mail

Multi-Factor
Digital Fingerprint 1c5e225d18e733d3bd934db41b8751e
Checksum 4

Timestamp Audit

2022-01-26 17:31:45 PST Contact Forms 7 + WP ESign Admissions Demo -


Mudassar Sardar Uploaded by Sue Griffin -
curious@wpesign.com IP 98.165.31.45

2022-01-26 17:35:43 PST Document signed by Mudassar Sardar -


sardarsons03@gmail.com IP 39.37.162.217

2022-01-26 17:35:43 PST The document has been signed by all parties and is now
closed.

This audit trail report provides a detailed record of the


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online activity and events recorded for this contract.

https://www.secure.approveme.com/ Audit Trail Serial#90ddaa4e70ac7d5f9c47688869b7eb87

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