{"id":291,"date":"2019-07-02T00:34:21","date_gmt":"2019-07-02T00:34:21","guid":{"rendered":"https:\/\/islanddance.ca\/?page_id=291"},"modified":"2022-03-24T22:36:04","modified_gmt":"2022-03-24T22:36:04","slug":"register-online","status":"publish","type":"page","link":"https:\/\/islanddance.ca\/register-online\/","title":{"rendered":"Register-Online"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"291\" class=\"elementor elementor-291\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6de67fb1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6de67fb1\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4f473983\" data-id=\"4f473983\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-210b3773 elementor-widget elementor-widget-spacer\" data-id=\"210b3773\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-413cc936 elementor-widget elementor-widget-heading\" data-id=\"413cc936\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Class REGISTRATION<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-482cb75f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"482cb75f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a2bb01b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a2bb01b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2a64fce\" data-id=\"2a64fce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e9cb13a elementor-widget elementor-widget-shortcode\" data-id=\"e9cb13a\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.7\" data-cf-form-id=\"CF5d1c539628c85\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/islanddance.ca\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5d1c539628c85 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5d1c539628c85_1\" data-form-id=\"CF5d1c539628c85\" aria-label=\"Register\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5d1c539628c85-tmpl\" data-cfajax=\"CF5d1c539628c85\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/islanddance.ca\/cf-api\/CF5d1c539628c85\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5d1c539628c85\" name=\"_cf_verify\" value=\"dbba75b43a\"  data-nonce-time=\"1714353477\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/291\" \/><div id=\"cf2-CF5d1c539628c85_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5d1c539628c85\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5d1c539628c85\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"291\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Company<\/label><input type=\"text\" name=\"company\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5d1c539628c85_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-6  first_col\"><div class=\"\"><h3>Student Name<\/h3>\n<\/div><div data-field-wrapper=\"fld_1237063\" class=\"form-group\" id=\"fld_1237063_1-wrap\">\r\n\t<label id=\"fld_1237063Label\" for=\"fld_1237063_1\" class=\"control-label\">First Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1237063\" class=\" form-control\" id=\"fld_1237063_1\" name=\"fld_1237063\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1237063Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4701781\" class=\"form-group\" id=\"fld_4701781_1-wrap\">\r\n\t<label id=\"fld_4701781Label\" for=\"fld_4701781_1\" class=\"control-label\">Last Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4701781\" class=\" form-control\" id=\"fld_4701781_1\" name=\"fld_4701781\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4701781Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4914389\" class=\"form-group\" id=\"fld_4914389_1-wrap\">\r\n\t<label id=\"fld_4914389Label\" for=\"fld_4914389_1\" class=\"control-label\">Student Age <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_4914389\" value=\"\" data-field=\"fld_4914389\" class=\"form-control\" id=\"fld_4914389_1\"  required=\"required\"  aria-labelledby=\"fld_4914389Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"3\"  data-calc-value=\"3\" >\n\t\t\t\t\t\t3\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"4\"  data-calc-value=\"4\" >\n\t\t\t\t\t\t4\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"5\"  data-calc-value=\"5\" >\n\t\t\t\t\t\t5\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"6\"  data-calc-value=\"6\" >\n\t\t\t\t\t\t6\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"7\"  data-calc-value=\"7\" >\n\t\t\t\t\t\t7\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"8\"  data-calc-value=\"8\" >\n\t\t\t\t\t\t8\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"9\"  data-calc-value=\"9\" >\n\t\t\t\t\t\t9\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"10\"  data-calc-value=\"10\" >\n\t\t\t\t\t\t10\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"11\"  data-calc-value=\"11\" >\n\t\t\t\t\t\t11\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"12\"  data-calc-value=\"12\" >\n\t\t\t\t\t\t12\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"13\"  data-calc-value=\"13\" >\n\t\t\t\t\t\t13\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"14\"  data-calc-value=\"14\" >\n\t\t\t\t\t\t14\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"15\"  data-calc-value=\"15\" >\n\t\t\t\t\t\t15\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"16\"  data-calc-value=\"16\" >\n\t\t\t\t\t\t16\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"17\"  data-calc-value=\"17\" >\n\t\t\t\t\t\t17\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"18\"  data-calc-value=\"18\" >\n\t\t\t\t\t\t18\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n\n<div data-field-wrapper=\"fld_3169384\" class=\"form-group\" id=\"fld_3169384_1-wrap\">\r\n\t<label id=\"fld_3169384Label\" for=\"fld_3169384_1\" class=\"control-label\">Date of birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_3169384\" value=\"\" id=\"fld_3169384_1\" data-field=\"fld_3169384\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" required=\"1\" data-date-start-view=\"year\"   aria-labelledby=\"fld_3169384Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_6712883\" class=\"form-group\" id=\"fld_6712883_1-wrap\">\r\n\t<label id=\"fld_6712883Label\" for=\"fld_6712883_1\" class=\"control-label\">Allergies\/Medical Conditions<\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea name=\"fld_6712883\" value=\"\" data-field=\"fld_6712883\" class=\"form-control\" id=\"fld_6712883_1\" rows=\"4\"    aria-labelledby=\"fld_6712883Label\" ><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div class=\"\"><h3>Parent \/ Guardian<\/h3>\n<\/div><div data-field-wrapper=\"fld_3718370\" class=\"form-group\" id=\"fld_3718370_1-wrap\">\r\n\t<label id=\"fld_3718370Label\" for=\"fld_3718370_1\" class=\"control-label\">Parent \/ Guardian Name #1 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3718370\" class=\" form-control\" id=\"fld_3718370_1\" name=\"fld_3718370\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3718370Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3547552\" class=\"form-group\" id=\"fld_3547552_1-wrap\">\r\n\t<label id=\"fld_3547552Label\" for=\"fld_3547552_1\" class=\"control-label\">Email <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_3547552\" class=\" form-control\" id=\"fld_3547552_1\" name=\"fld_3547552\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_3547552Label\" aria-describedby=\"fld_3547552Caption\" >\t\t<span id=\"fld_3547552Caption\" class=\"help-block\">(for class notices, etc. \u2013 please use one you check frequently)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_4873317\" class=\"form-group\" id=\"fld_4873317_1-wrap\">\r\n\t<label id=\"fld_4873317Label\" for=\"fld_4873317_1\" class=\"control-label\">Phone Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"  required type=\"phone\" data-field=\"fld_4873317\" class=\" form-control\" id=\"fld_4873317_1\" name=\"fld_4873317\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_4873317Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_5594820\" class=\"form-group\" id=\"fld_5594820_1-wrap\">\r\n\t<label id=\"fld_5594820Label\" for=\"fld_5594820_1\" class=\"control-label\">Parent \/ Guardian Name #2 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_5594820\" class=\" form-control\" id=\"fld_5594820_1\" name=\"fld_5594820\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_5594820Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9121621\" class=\"form-group\" id=\"fld_9121621_1-wrap\">\r\n\t<label id=\"fld_9121621Label\" for=\"fld_9121621_1\" class=\"control-label\">Email (2nd Guardian) <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_9121621\" class=\" form-control\" id=\"fld_9121621_1\" name=\"fld_9121621\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_9121621Label\" aria-describedby=\"fld_9121621Caption\" >\t\t<span id=\"fld_9121621Caption\" class=\"help-block\">(for class notices, etc. \u2013 please use one you check frequently)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1320193\" class=\"form-group\" id=\"fld_1320193_1-wrap\">\r\n\t<label id=\"fld_1320193Label\" for=\"fld_1320193_1\" class=\"control-label\">Phone Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  data-inputmask=\"'mask': '(999)999-9999'\"  required type=\"phone\" data-field=\"fld_1320193\" class=\" form-control\" id=\"fld_1320193_1\" name=\"fld_1320193\" value=\"\" data-type=\"phone\" aria-required=\"true\"   aria-labelledby=\"fld_1320193Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-2\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>Mailing Address<\/h3>\n<\/div><div data-field-wrapper=\"fld_6119625\" class=\"form-group\" id=\"fld_6119625_1-wrap\">\r\n\t<label id=\"fld_6119625Label\" for=\"fld_6119625_1\" class=\"control-label\">Address Line 1 <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6119625\" class=\" form-control\" id=\"fld_6119625_1\" name=\"fld_6119625\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6119625Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7872713\" class=\"form-group\" id=\"fld_7872713_1-wrap\">\r\n\t<label id=\"fld_7872713Label\" for=\"fld_7872713_1\" class=\"control-label\">Address Line 2<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7872713\" class=\" form-control\" id=\"fld_7872713_1\" name=\"fld_7872713\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7872713Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7089419\" class=\"form-group\" id=\"fld_7089419_1-wrap\">\r\n\t<label id=\"fld_7089419Label\" for=\"fld_7089419_1\" class=\"control-label\">City <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7089419\" class=\" form-control\" id=\"fld_7089419_1\" name=\"fld_7089419\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7089419Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_7360851\" class=\"form-group\" id=\"fld_7360851_1-wrap\">\r\n\t<label id=\"fld_7360851Label\" for=\"fld_7360851_1\" class=\"control-label\">Province <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t<select  id=\"fld_7360851_1\" data-field=\"fld_7360851\" class=\"form-control\" name=\"fld_7360851\" required=\"required\">\n\t\t\t<option value=\"\"> - Select Province\/State - <\/option>\n\t\t\t<option value=\"AB\">Alberta<\/option>\n\t\t\t<option value=\"BC\">British Columbia<\/option>\n\t\t\t<option value=\"MB\">Manitoba<\/option>\n\t\t\t<option value=\"NB\">New Brunswick<\/option>\n\t\t\t<option value=\"NL\">Newfoundland and Labrador<\/option>\n\t\t\t<option value=\"NS\">Nova Scotia<\/option>\n\t\t\t<option value=\"NT\">Northwest Territories<\/option>\n\t\t\t<option value=\"NU\">Nunavut<\/option>\n\t\t\t<option value=\"ON\">Ontario<\/option>\n\t\t\t<option value=\"PE\">Prince Edward Island<\/option>\n\t\t\t<option value=\"QC\">Quebec<\/option>\n\t\t\t<option value=\"SK\">Saskatchewan<\/option>\n\t\t\t<option value=\"YT\">Yukon<\/option>\n\t\t\t<option> ==================== <\/option>\n\t\t\t<option value=\"AL\">Alabama<\/option>\n\t\t\t<option value=\"AK\">Alaska<\/option>\n\t\t\t<option value=\"AZ\">Arizona<\/option>\n\t\t\t<option value=\"AR\">Arkansas<\/option>\n\t\t\t<option value=\"CA\">California<\/option>\n\t\t\t<option value=\"CO\">Colorado<\/option>\n\t\t\t<option value=\"CT\">Connecticut<\/option>\n\t\t\t<option value=\"DE\">Delaware<\/option>\n\t\t\t<option value=\"DC\">District Of Columbia<\/option>\n\t\t\t<option value=\"FL\">Florida<\/option>\n\t\t\t<option value=\"GA\">Georgia<\/option>\n\t\t\t<option value=\"HI\">Hawaii<\/option>\n\t\t\t<option value=\"ID\">Idaho<\/option>\n\t\t\t<option value=\"IL\">Illinois<\/option>\n\t\t\t<option value=\"IN\">Indiana<\/option>\n\t\t\t<option value=\"IA\">Iowa<\/option>\n\t\t\t<option value=\"KS\">Kansas<\/option>\n\t\t\t<option value=\"KY\">Kentucky<\/option>\n\t\t\t<option value=\"LA\">Louisiana<\/option>\n\t\t\t<option value=\"ME\">Maine<\/option>\n\t\t\t<option value=\"MD\">Maryland<\/option>\n\t\t\t<option value=\"MA\">Massachusetts<\/option>\n\t\t\t<option value=\"MI\">Michigan<\/option>\n\t\t\t<option value=\"MN\">Minnesota<\/option>\n\t\t\t<option value=\"MS\">Mississippi<\/option>\n\t\t\t<option value=\"MO\">Missouri<\/option>\n\t\t\t<option value=\"MT\">Montana<\/option>\n\t\t\t<option value=\"NE\">Nebraska<\/option>\n\t\t\t<option value=\"NV\">Nevada<\/option>\n\t\t\t<option value=\"NH\">New Hampshire<\/option>\n\t\t\t<option value=\"NJ\">New Jersey<\/option>\n\t\t\t<option value=\"NM\">New Mexico<\/option>\n\t\t\t<option value=\"NY\">New York<\/option>\n\t\t\t<option value=\"NC\">North Carolina<\/option>\n\t\t\t<option value=\"ND\">North Dakota<\/option>\n\t\t\t<option value=\"OH\">Ohio<\/option>\n\t\t\t<option value=\"OK\">Oklahoma<\/option>\n\t\t\t<option value=\"OR\">Oregon<\/option>\n\t\t\t<option value=\"PA\">Pennsylvania<\/option>\n\t\t\t<option value=\"RI\">Rhode Island<\/option>\n\t\t\t<option value=\"SC\">South Carolina<\/option>\n\t\t\t<option value=\"SD\">South Dakota<\/option>\n\t\t\t<option value=\"TN\">Tennessee<\/option>\n\t\t\t<option value=\"TX\">Texas<\/option>\n\t\t\t<option value=\"UT\">Utah<\/option>\n\t\t\t<option value=\"VT\">Vermont<\/option>\n\t\t\t<option value=\"VA\">Virginia<\/option>\n\t\t\t<option value=\"WA\">Washington<\/option>\n\t\t\t<option value=\"WV\">West Virginia<\/option>\n\t\t\t<option value=\"WI\">Wisconsin<\/option>\n\t\t\t<option value=\"WY\">Wyoming<\/option>\n\t\t<\/select>\n\t\t\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_2879347\" class=\"form-group\" id=\"fld_2879347_1-wrap\">\r\n\t<label id=\"fld_2879347Label\" for=\"fld_2879347_1\" class=\"control-label\">Postal Code <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_2879347\" class=\" form-control\" id=\"fld_2879347_1\" name=\"fld_2879347\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_2879347Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-3\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h3>Class(es) Enrolled<\/h3>\n<p><span>Complete for each class of enrollment<\/span><\/p>\n<\/div><\/div><\/div><div id=\"CF5d1c539628c85_1-row-4\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_7980713\" class=\"form-group regrow\" id=\"fld_7980713_1-wrap\">\r\n\t<label id=\"fld_7980713Label\" for=\"fld_7980713_1\" class=\"control-label\">Class <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_7980713\" class=\" form-control\" id=\"fld_7980713_1\" name=\"fld_7980713\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_7980713Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_620405\" class=\"form-group regrow\" id=\"fld_620405_1-wrap\">\r\n\t<label id=\"fld_620405Label\" for=\"fld_620405_1\" class=\"control-label\">Day <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_620405\" value=\"\" data-field=\"fld_620405\" class=\"form-control\" id=\"fld_620405_1\"  required=\"required\"  aria-labelledby=\"fld_620405Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9352882\" class=\"form-group regrow\" id=\"fld_9352882_1-wrap\">\r\n\t<label id=\"fld_9352882Label\" for=\"fld_9352882_1\" class=\"control-label\">Time <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_9352882\" class=\" form-control\" id=\"fld_9352882_1\" name=\"fld_9352882\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_9352882Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_8592631\" class=\"form-group regrow\" id=\"fld_8592631_1-wrap\">\r\n\t<label id=\"fld_8592631Label\" for=\"fld_8592631_1\" class=\"control-label\">Hours <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"number\" data-field=\"fld_8592631\" class=\" form-control\" id=\"fld_8592631_1\" name=\"fld_8592631\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\" aria-required=\"true\"   aria-labelledby=\"fld_8592631Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-5\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_7474894\" class=\"form-group regrowalt\" id=\"fld_7474894_1-wrap\">\r\n\t<label id=\"fld_7474894Label\" for=\"fld_7474894_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7474894\" class=\" form-control\" id=\"fld_7474894_1\" name=\"fld_7474894\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7474894Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_2171512\" class=\"form-group regrowalt\" id=\"fld_2171512_1-wrap\">\r\n\t<label id=\"fld_2171512Label\" for=\"fld_2171512_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_2171512\" value=\"\" data-field=\"fld_2171512\" class=\"form-control\" id=\"fld_2171512_1\"    aria-labelledby=\"fld_2171512Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_7175193\" class=\"form-group regrowalt\" id=\"fld_7175193_1-wrap\">\r\n\t<label id=\"fld_7175193Label\" for=\"fld_7175193_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7175193\" class=\" form-control\" id=\"fld_7175193_1\" name=\"fld_7175193\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7175193Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_9719708\" class=\"form-group regrowalt\" id=\"fld_9719708_1-wrap\">\r\n\t<label id=\"fld_9719708Label\" for=\"fld_9719708_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_9719708\" class=\" form-control\" id=\"fld_9719708_1\" name=\"fld_9719708\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_9719708Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-6\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6990337\" class=\"form-group regrow\" id=\"fld_6990337_1-wrap\">\r\n\t<label id=\"fld_6990337Label\" for=\"fld_6990337_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6990337\" class=\" form-control\" id=\"fld_6990337_1\" name=\"fld_6990337\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6990337Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_3064926\" class=\"form-group regrow\" id=\"fld_3064926_1-wrap\">\r\n\t<label id=\"fld_3064926Label\" for=\"fld_3064926_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_3064926\" value=\"\" data-field=\"fld_3064926\" class=\"form-control\" id=\"fld_3064926_1\"    aria-labelledby=\"fld_3064926Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_4954157\" class=\"form-group regrow\" id=\"fld_4954157_1-wrap\">\r\n\t<label id=\"fld_4954157Label\" for=\"fld_4954157_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4954157\" class=\" form-control\" id=\"fld_4954157_1\" name=\"fld_4954157\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4954157Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_7715457\" class=\"form-group regrow\" id=\"fld_7715457_1-wrap\">\r\n\t<label id=\"fld_7715457Label\" for=\"fld_7715457_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_7715457\" class=\" form-control\" id=\"fld_7715457_1\" name=\"fld_7715457\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_7715457Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-7\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6123524\" class=\"form-group regrowalt\" id=\"fld_6123524_1-wrap\">\r\n\t<label id=\"fld_6123524Label\" for=\"fld_6123524_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6123524\" class=\" form-control\" id=\"fld_6123524_1\" name=\"fld_6123524\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6123524Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_6285447\" class=\"form-group regrowalt\" id=\"fld_6285447_1-wrap\">\r\n\t<label id=\"fld_6285447Label\" for=\"fld_6285447_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_6285447\" value=\"\" data-field=\"fld_6285447\" class=\"form-control\" id=\"fld_6285447_1\"    aria-labelledby=\"fld_6285447Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_4651529\" class=\"form-group regrowalt\" id=\"fld_4651529_1-wrap\">\r\n\t<label id=\"fld_4651529Label\" for=\"fld_4651529_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_4651529\" class=\" form-control\" id=\"fld_4651529_1\" name=\"fld_4651529\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_4651529Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_4637991\" class=\"form-group regrowalt\" id=\"fld_4637991_1-wrap\">\r\n\t<label id=\"fld_4637991Label\" for=\"fld_4637991_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_4637991\" class=\" form-control\" id=\"fld_4637991_1\" name=\"fld_4637991\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_4637991Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-8\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_2221033\" class=\"form-group regrow\" id=\"fld_2221033_1-wrap\">\r\n\t<label id=\"fld_2221033Label\" for=\"fld_2221033_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2221033\" class=\" form-control\" id=\"fld_2221033_1\" name=\"fld_2221033\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2221033Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9400036\" class=\"form-group regrow\" id=\"fld_9400036_1-wrap\">\r\n\t<label id=\"fld_9400036Label\" for=\"fld_9400036_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_9400036\" value=\"\" data-field=\"fld_9400036\" class=\"form-control\" id=\"fld_9400036_1\"    aria-labelledby=\"fld_9400036Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_6569423\" class=\"form-group regrow\" id=\"fld_6569423_1-wrap\">\r\n\t<label id=\"fld_6569423Label\" for=\"fld_6569423_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6569423\" class=\" form-control\" id=\"fld_6569423_1\" name=\"fld_6569423\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6569423Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_6874253\" class=\"form-group regrow\" id=\"fld_6874253_1-wrap\">\r\n\t<label id=\"fld_6874253Label\" for=\"fld_6874253_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_6874253\" class=\" form-control\" id=\"fld_6874253_1\" name=\"fld_6874253\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_6874253Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-9\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6487983\" class=\"form-group regrowalt\" id=\"fld_6487983_1-wrap\">\r\n\t<label id=\"fld_6487983Label\" for=\"fld_6487983_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6487983\" class=\" form-control\" id=\"fld_6487983_1\" name=\"fld_6487983\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6487983Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9351634\" class=\"form-group regrowalt\" id=\"fld_9351634_1-wrap\">\r\n\t<label id=\"fld_9351634Label\" for=\"fld_9351634_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_9351634\" value=\"\" data-field=\"fld_9351634\" class=\"form-control\" id=\"fld_9351634_1\"    aria-labelledby=\"fld_9351634Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_6583602\" class=\"form-group regrowalt\" id=\"fld_6583602_1-wrap\">\r\n\t<label id=\"fld_6583602Label\" for=\"fld_6583602_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6583602\" class=\" form-control\" id=\"fld_6583602_1\" name=\"fld_6583602\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6583602Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_9897273\" class=\"form-group regrowalt\" id=\"fld_9897273_1-wrap\">\r\n\t<label id=\"fld_9897273Label\" for=\"fld_9897273_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_9897273\" class=\" form-control\" id=\"fld_9897273_1\" name=\"fld_9897273\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_9897273Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-10\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6373751\" class=\"form-group regrow\" id=\"fld_6373751_1-wrap\">\r\n\t<label id=\"fld_6373751Label\" for=\"fld_6373751_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6373751\" class=\" form-control\" id=\"fld_6373751_1\" name=\"fld_6373751\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6373751Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1849971\" class=\"form-group regrow\" id=\"fld_1849971_1-wrap\">\r\n\t<label id=\"fld_1849971Label\" for=\"fld_1849971_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_1849971\" value=\"\" data-field=\"fld_1849971\" class=\"form-control\" id=\"fld_1849971_1\"    aria-labelledby=\"fld_1849971Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_9067380\" class=\"form-group regrow\" id=\"fld_9067380_1-wrap\">\r\n\t<label id=\"fld_9067380Label\" for=\"fld_9067380_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9067380\" class=\" form-control\" id=\"fld_9067380_1\" name=\"fld_9067380\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9067380Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_4305069\" class=\"form-group regrow\" id=\"fld_4305069_1-wrap\">\r\n\t<label id=\"fld_4305069Label\" for=\"fld_4305069_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_4305069\" class=\" form-control\" id=\"fld_4305069_1\" name=\"fld_4305069\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_4305069Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-11\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_6599330\" class=\"form-group regrowalt\" id=\"fld_6599330_1-wrap\">\r\n\t<label id=\"fld_6599330Label\" for=\"fld_6599330_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6599330\" class=\" form-control\" id=\"fld_6599330_1\" name=\"fld_6599330\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6599330Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1332169\" class=\"form-group regrowalt\" id=\"fld_1332169_1-wrap\">\r\n\t<label id=\"fld_1332169Label\" for=\"fld_1332169_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_1332169\" value=\"\" data-field=\"fld_1332169\" class=\"form-control\" id=\"fld_1332169_1\"    aria-labelledby=\"fld_1332169Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_420178\" class=\"form-group regrowalt\" id=\"fld_420178_1-wrap\">\r\n\t<label id=\"fld_420178Label\" for=\"fld_420178_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_420178\" class=\" form-control\" id=\"fld_420178_1\" name=\"fld_420178\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_420178Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_4018751\" class=\"form-group regrowalt\" id=\"fld_4018751_1-wrap\">\r\n\t<label id=\"fld_4018751Label\" for=\"fld_4018751_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_4018751\" class=\" form-control\" id=\"fld_4018751_1\" name=\"fld_4018751\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_4018751Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-12\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_8864313\" class=\"form-group regrow\" id=\"fld_8864313_1-wrap\">\r\n\t<label id=\"fld_8864313Label\" for=\"fld_8864313_1\" class=\"control-label\">Class<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_8864313\" class=\" form-control\" id=\"fld_8864313_1\" name=\"fld_8864313\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_8864313Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_537886\" class=\"form-group regrow\" id=\"fld_537886_1-wrap\">\r\n\t<label id=\"fld_537886Label\" for=\"fld_537886_1\" class=\"control-label\">Day<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_537886\" value=\"\" data-field=\"fld_537886\" class=\"form-control\" id=\"fld_537886_1\"    aria-labelledby=\"fld_537886Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Sunday\"  data-calc-value=\"Sunday\" >\n\t\t\t\t\t\tSunday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monday\"  data-calc-value=\"Monday\" >\n\t\t\t\t\t\tMonday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuesday\"  data-calc-value=\"Tuesday\" >\n\t\t\t\t\t\tTuesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wednesday\"  data-calc-value=\"Wednesday\" >\n\t\t\t\t\t\tWednesday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thursday\"  data-calc-value=\"Thursday\" >\n\t\t\t\t\t\tThursday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Friday\"  data-calc-value=\"Friday\" >\n\t\t\t\t\t\tFriday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saturday\"  data-calc-value=\"Saturday\" >\n\t\t\t\t\t\tSaturday\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_6532882\" class=\"form-group regrow\" id=\"fld_6532882_1-wrap\">\r\n\t<label id=\"fld_6532882Label\" for=\"fld_6532882_1\" class=\"control-label\">Time<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6532882\" class=\" form-control\" id=\"fld_6532882_1\" name=\"fld_6532882\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6532882Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_7497487\" class=\"form-group regrow\" id=\"fld_7497487_1-wrap\">\r\n\t<label id=\"fld_7497487Label\" for=\"fld_7497487_1\" class=\"control-label\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"number\" data-field=\"fld_7497487\" class=\" form-control\" id=\"fld_7497487_1\" name=\"fld_7497487\" value=\"\" data-type=\"number\" step=\".01\" data-parsley-type=\"number\"   aria-labelledby=\"fld_7497487Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-13\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_1946378\" class=\"form-group\" id=\"fld_1946378_1-wrap\">\r\n\t<label id=\"fld_1946378Label\" for=\"fld_1946378_1\" class=\"control-label screen-reader-text sr-only\">Hours<\/label>\r\n\t<div class=\"\">\r\n\t\t<h3 aria-labelledby=\"fld_1946378Label\" class=\"total-line\">Total Hours Per Week: \t\t\t<span id=\"fld_1946378_1\" data-calc-display=\"fld_1946378_1-value\"><\/span><\/h3>\n\t\t\t\t<input type=\"hidden\" type=\"hidden\" name=\"fld_1946378\" value=\"0\" data-field=\"fld_1946378_1\" data-calc-field=\"fld_1946378\" data-type=\"calculation\" id=\"fld_1946378_1-value\"  >\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-14\"  class=\"row \"><div  class=\"col-sm-4  first_col\"><div data-field-wrapper=\"fld_7317988\" class=\"form-group\" id=\"fld_7317988_1-wrap\">\r\n\t<label id=\"fld_7317988Label\" for=\"fld_7317988_1\" class=\"control-label\">Subtotal of Fees<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_7317988\" class=\" form-control\" id=\"fld_7317988_1\" name=\"fld_7317988\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_7317988Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4 \"><div data-field-wrapper=\"fld_9937424\" class=\"form-group\" id=\"fld_9937424_1-wrap\">\r\n\t<label id=\"fld_9937424Label\" for=\"fld_9937424_1\" class=\"control-label\">Less Family Discount<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9937424\" class=\" form-control\" id=\"fld_9937424_1\" name=\"fld_9937424\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9937424Label\" aria-describedby=\"fld_9937424Caption\" >\t\t<span id=\"fld_9937424Caption\" class=\"help-block\">(if applicable)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-4  last_col\"><div data-field-wrapper=\"fld_2253467\" class=\"form-group\" id=\"fld_2253467_1-wrap\">\r\n\t<label id=\"fld_2253467Label\" for=\"fld_2253467_1\" class=\"control-label\">Monthly Payment<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_2253467\" class=\" form-control\" id=\"fld_2253467_1\" name=\"fld_2253467\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_2253467Label\" aria-describedby=\"fld_2253467Caption\" >\t\t<span id=\"fld_2253467Caption\" class=\"help-block\">(if applicable)<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-15\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_8572352\" class=\"form-group\" id=\"fld_8572352_1-wrap\">\r\n<label id=\"fld_8572352Label\" for=\"fld_8572352_1\" class=\"control-label\">Preferred Payment Method <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n<div class=\"\">\r\n\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Post-Dated Cheques\" for=\"fld_8572352_1_opt622944\"><input type=\"radio\" id=\"fld_8572352_1_opt622944\" data-field=\"fld_8572352\" class=\"fld_8572352_1 option-required\" name=\"fld_8572352\" value=\"Post-Dated Cheques\"   required=\"required\" data-radio-field=\"fld_8572352_1\" data-type=\"radio\" data-calc-value=\"Post-Dated Cheques\" \/>\n\t\t\tPost-Dated Cheques\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"Cash\" for=\"fld_8572352_1_opt1545395\"><input type=\"radio\" id=\"fld_8572352_1_opt1545395\" data-field=\"fld_8572352\" class=\"fld_8572352_1 option-required\" name=\"fld_8572352\" value=\"Cash\"   required=\"required\" data-radio-field=\"fld_8572352_1\" data-type=\"radio\" data-calc-value=\"Cash\" \/>\n\t\t\tCash\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t<label data-label=\"E-Transfer\" for=\"fld_8572352_1_opt2779413\"><input type=\"radio\" id=\"fld_8572352_1_opt2779413\" data-field=\"fld_8572352\" class=\"fld_8572352_1 option-required\" name=\"fld_8572352\" value=\"E-Transfer\"   required=\"required\" data-radio-field=\"fld_8572352_1\" data-type=\"radio\" data-calc-value=\"E-Transfer\" \/>\n\t\t\tE-Transfer\t\t<\/label>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5d1c539628c85_1-row-16\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_2187636_1\" class=\"\" style=\"width: 100%\" \/><div class=\"\"><h3>Consent Agreement<\/h3>\n<\/div><div class=\"\"><p><small>Island Dance Academy will not assume responsibility for any injury resulting from misuse of equipment or failure to comply with the instructions of our staff. I hereby certify that my child is in good physical condition and is able to participate fully in this program. All current and up to date physical conditions are outlined above.  <\/p>\n<p>By checking this consent box I the parent or guardian of, release Island Dance Academy and its teachers from liability in case of accident or injury that may occur while attending classes at Island Dance Academy on or off site. I have also read and understand the School policies.<\/p>\n<p>Refund Policy And Withdrawals<br \/>\nThere are NO REFUNDS. Your payment and registration are an agreement between yourself and Island Dance Academy for a stated period.<br \/>\nYou are advised that you are responsible for the full payment of a term for which you are registered. Invoicing will continue until IDA is notified by email, that the student will not be returning.<\/small><\/p>\n<\/div><div data-field-wrapper=\"fld_9271205\" class=\"form-group\" id=\"fld_9271205_1-wrap\">\r\n\t<label id=\"fld_9271205Label\" for=\"fld_9271205_1\" class=\"control-label screen-reader-text sr-only\">consentagree<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_9271205_1_opt1104717\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_9271205_1\" data-parsley-multiple=\"fld_9271205_1\"                                type=\"checkbox\"\n                                data-label=\"I Agree\"\n                                data-field=\"fld_9271205\"\n                                id=\"fld_9271205_1_opt1104717\"\n                                class=\"fld_9271205_1 option-required\"\n                                name=\"fld_9271205[opt1104717]\"\n                                value=\"I Agree\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_9271205_1\"\n                                                                data-calc-value=\"I Agree\"\n                            >\n                    I Agree                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_2668148_1\" data-field-id=\"fld_2668148_1\"><div data-field-wrapper=\"fld_2668148\" class=\"form-group\" id=\"fld_2668148_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_2668148\" id=\"fld_2668148_1\" value=\"Send Registration\" data-field=\"fld_2668148\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_2668148\" id=\"fld_2668148_1_btn\" value=\"\" data-field=\"fld_2668148\"  \/>\n<\/span><hr id=\"fld_6480581_1\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5d1c539628c85_1-row-17\"  class=\"row  last_row\"><div  class=\"col-sm-6  first_col\"><div class=\"\"><p><small>PLEASE BE ADVISED that classes may be documented by photo and video. These may be used for publicity purposes. If you do not want your child\u2019s image to be used, please check here:<\/small><\/p>\n<\/div><\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_3963828\" class=\"form-group\" id=\"fld_3963828_1-wrap\">\r\n\t<label id=\"fld_3963828Label\" for=\"fld_3963828_1\" class=\"control-label screen-reader-text sr-only\">photoconsent<\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_3963828_1_opt1104717\"\n                >\n                            <input\n                                                                type=\"checkbox\"\n                                data-label=\"I do not want my child&#039;s image to be used\"\n                                data-field=\"fld_3963828\"\n                                id=\"fld_3963828_1_opt1104717\"\n                                class=\"fld_3963828_1\"\n                                name=\"fld_3963828[opt1104717]\"\n                                value=\"I do not want my child&#039;s image to be used\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_3963828_1\"\n                                                                data-calc-value=\"I do not want my child&#039;s image to be used\"\n                            >\n                    I do not want my child's image to be used                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><\/form>\r\n<\/div>\r\n<script type=\"text\/javascript\">\r\nif( typeof caldera_conditionals === \"undefined\" ){ var caldera_conditionals = {}; }caldera_conditionals.CF5d1c539628c85_1 = {\"fld_2668148_1\":{\"type\":\"disable\",\"group\":{\"rw6210900716013355\":{\"cl6515056384315791\":{\"parent\":\"rw6210900716013355\",\"field\":\"fld_9271205\",\"compare\":\"isnot\",\"value\":\"I Agree\",\"label\":\"I Agree\"}}}}};\r\n<\/script>\r\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Class REGISTRATION<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/pages\/291"}],"collection":[{"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/comments?post=291"}],"version-history":[{"count":3,"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/pages\/291\/revisions"}],"predecessor-version":[{"id":789,"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/pages\/291\/revisions\/789"}],"wp:attachment":[{"href":"https:\/\/islanddance.ca\/wp-json\/wp\/v2\/media?parent=291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}