Create Your Signature

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

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Listed Signers

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Other Signers (The signers below will be invited to sign once the above signers have signed.)

	ILEA Regional Academy Staff
	Director or designee

ILEA

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Please provide accurate information below to ensure the delivery of the signed copies of the document.

Listed Signers

Other Signers (The signers below will be invited to sign once the above signers have signed.)

ILEA Regional Academy Staff

Director or designee