{"id":153,"date":"2025-04-17T14:43:20","date_gmt":"2025-04-17T14:43:20","guid":{"rendered":"https:\/\/www.secureuser.net\/gctministries\/?page_id=153"},"modified":"2026-03-19T12:21:30","modified_gmt":"2026-03-19T17:21:30","slug":"campporter_register","status":"publish","type":"page","link":"https:\/\/www.secureuser.net\/gctministries\/campporter_register\/","title":{"rendered":"campporter_register"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"153\" class=\"elementor elementor-153\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1460618f elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1460618f\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-184994fe\" data-id=\"184994fe\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e1cd279 elementor-widget elementor-widget-html\" data-id=\"e1cd279\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n<div class=\"container\">\n  <div class=\"message\">REGISTRATION DETAILS:<\/div>\n  <div class=\"details\">\n      \n      <div class=\"subnote\"><strong>**ALL OF THESE BELOW ARE REQUIRED PER CHILD**.<\/strong><\/div>\n      \n    <div class=\"highlight\">Registration is $100 <\/br><span class=\"non-bold\">per child<\/span><\/div>\n    <div id=\"space\"><\/div>\n    <div class=\"highlight\">One-Time Activity Fee is $75 <\/br><span class=\"non-bold\">per child<\/span><\/div>\n     <div id=\"space\"><\/div>\n    <div class=\"highlight\">Weekly Tuition is $100\/week <\/br><span class=\"non-bold\">per child<\/span><\/div>\n  <\/div>\n<\/div>\n<style>\n .container {\n    text-align: center;\n  }\n  \n   .subnote {\n    font-size: 14px;\n    color: #666;\n    margin-top: -20px;\n    margin-bottom: 20px;\n  }\n\n  .message {\n    font-size: 37px;\n    line-height: 40px;\n    font-weight: bold;\n    color: #333;\n    border-bottom: 1px solid #ccc;\n    display: inline-block;\n    padding-bottom: 0px;\n    margin-bottom: 0px;\n  }\n\n  .details {\n    margin-top: 30px;\n    font-size: 20px;\n    color: #444;\n    line-height: 2;\n  }\n  #space {\n      \n  height: 25px;\n  }\n\n  .highlight {\n    font-size: 24px;\n    line-height: 30px;\n    font-weight: bold;\n    color: #000;\n   \n  }\n\n  .non-bold {\n    font-weight: normal;\n  }<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f8f0d1d elementor-widget elementor-widget-button\" data-id=\"6f8f0d1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"http:\/\/campporter.com\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">BACK HOME<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-556cac22 elementor-widget elementor-widget-wpforms\" data-id=\"556cac22\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-border-style: solid;\n--wpforms-field-border-size: 1px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-border-color-spare: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-field-menu-color: #ffffff;\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-border-style: none;\n--wpforms-button-border-size: 1px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-border-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-background-image: none;\n--wpforms-background-position: center center;\n--wpforms-background-repeat: no-repeat;\n--wpforms-background-size: cover;\n--wpforms-background-width: 100px;\n--wpforms-background-height: 100px;\n--wpforms-background-color: rgba( 0, 0, 0, 0 );\n--wpforms-background-url: none;\n--wpforms-container-padding: 0px;\n--wpforms-container-border-style: none;\n--wpforms-container-border-width: 1px;\n--wpforms-container-border-color: #000000;\n--wpforms-container-border-radius: 3px;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\n\t\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-elementor-widget-556cac22\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-556cac22 {\n\t\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-square wpforms-render-modern\" id=\"wpforms-204\"><form id=\"wpforms-form-204\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"204\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/gctministries\/wp-json\/wp\/v2\/pages\/153\" data-token=\"e0bd139edb8d3e837799ec09a7c5359c\" data-token-time=\"1777507606\"><div class=\"wpforms-head-container\"><div class=\"wpforms-title\">CAMP PORTER SUMMER REGISTRATION<\/div><\/div><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-204-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_1\">PARENT OR GUARDIAN&#039;S FULL NAME <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-204-field_1-error\" required><\/div><div id=\"wpforms-204-field_2-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_2\">HOME PHONE <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-204-field_2\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][2]\" aria-label=\"HOME PHONE\" aria-errormessage=\"wpforms-204-field_2-error\" required><\/div><div id=\"wpforms-204-field_108-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"108\"><fieldset><legend class=\"wpforms-field-label\">EMAIL OF PARENT OR GUARDIAN <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-204-field_108\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][108][primary]\" spellcheck=\"false\" aria-errormessage=\"wpforms-204-field_108-error\" required><label for=\"wpforms-204-field_108\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-204-field_108-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-204-field_108\" name=\"wpforms[fields][108][secondary]\" spellcheck=\"false\" aria-errormessage=\"wpforms-204-field_108-secondary-error\" required><label for=\"wpforms-204-field_108-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_3-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-204-field_3\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][3][address1]\" aria-errormessage=\"wpforms-204-field_3-error\" required><label for=\"wpforms-204-field_3\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-204-field_3-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][3][address2]\" aria-errormessage=\"wpforms-204-field_3-address2-error\" ><label for=\"wpforms-204-field_3-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-204-field_3-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][3][city]\" aria-errormessage=\"wpforms-204-field_3-city-error\" required><label for=\"wpforms-204-field_3-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_3-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][3][state]\" aria-errormessage=\"wpforms-204-field_3-state-error\" required><label for=\"wpforms-204-field_3-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-204-field_3-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][3][postal]\" aria-errormessage=\"wpforms-204-field_3-postal-error\" required><label for=\"wpforms-204-field_3-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-204-field_3-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][3][country]\" aria-errormessage=\"wpforms-204-field_3-country-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-204-field_3-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_4\">CHILD&#039;S NAME <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-204-field_4-error\" required><\/div><div id=\"wpforms-204-field_51-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"51\"><fieldset><legend class=\"wpforms-field-label\">Confirm Registration for this child by checking box below: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_51\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-204-field_51_1\" class=\"wpforms-payment-price\" data-amount=\"100.00\" name=\"wpforms[fields][51][]\" value=\"1\" aria-errormessage=\"wpforms-204-field_51_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_51_1\">Confirm - <span class=\"wpforms-currency-symbol\">&#036;100.00<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_118-container\" class=\"wpforms-field wpforms-field-payment-checkbox\" data-field-id=\"118\"><fieldset><legend class=\"wpforms-field-label\">Confirm One-Time Activity Fee for this child by checking box below: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_118\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-204-field_118_1\" class=\"wpforms-payment-price\" data-amount=\"75.00\" name=\"wpforms[fields][118][]\" value=\"1\" aria-errormessage=\"wpforms-204-field_118_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_118_1\">Confirm - <span class=\"wpforms-currency-symbol\">&#036;75.00<\/span><\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_5-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_5\">CHILD&#039;S BIRTH DATE <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-204-field_5\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-large\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][5][date]\" aria-errormessage=\"wpforms-204-field_5-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-204-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_6\">AGE <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_6\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-204-field_6-error\" required><\/div><div id=\"wpforms-204-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_7\">GRADE <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_7\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-204-field_7-error\" required><\/div><div id=\"wpforms-204-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_8\">SCHOOL <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_8\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-204-field_8-error\" required><\/div><div id=\"wpforms-204-field_9-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Does your child have any allergies (seasonal, food, etc.)? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_9\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_9_1\" name=\"wpforms[fields][9]\" value=\"Yes\" aria-errormessage=\"wpforms-204-field_9_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_9_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_9_2\" name=\"wpforms[fields][9]\" value=\"No\" aria-errormessage=\"wpforms-204-field_9_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_9_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_94-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"94\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_94\">Does your child have any medical issues? (Explain Below)<\/label><input type=\"text\" id=\"wpforms-204-field_94\" class=\"wpforms-field-medium\" name=\"wpforms[fields][94]\" aria-errormessage=\"wpforms-204-field_94-error\" ><\/div><div id=\"wpforms-204-field_95-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"95\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_95\">List preferred Hospital or Medical facility for this child in case of medical emergency:<\/label><input type=\"text\" id=\"wpforms-204-field_95\" class=\"wpforms-field-medium\" name=\"wpforms[fields][95]\" aria-errormessage=\"wpforms-204-field_95-error\" ><\/div><div id=\"wpforms-204-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_10\">If answered &quot;Yes&quot; above, please list allergy here<\/label><input type=\"text\" id=\"wpforms-204-field_10\" class=\"wpforms-field-large\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-204-field_10-error\" ><\/div><div id=\"wpforms-204-field_11-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_11\">Other information needed to ensure the proper care of your child:<\/label><textarea id=\"wpforms-204-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-204-field_11-error\" ><\/textarea><\/div><div id=\"wpforms-204-field_22-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"22\"><div id=\"wpforms-204-field_22\" aria-errormessage=\"wpforms-204-field_22-error\"><hr \/><\/div><\/div><div id=\"wpforms-204-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_13\">MOTHER&#039;S NAME <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_13\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][13]\" aria-errormessage=\"wpforms-204-field_13-error\" required><\/div><div id=\"wpforms-204-field_66-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_66\">FATHER&#039;S NAME<\/label><input type=\"text\" id=\"wpforms-204-field_66\" class=\"wpforms-field-large\" name=\"wpforms[fields][66]\" aria-errormessage=\"wpforms-204-field_66-error\" ><\/div><div id=\"wpforms-204-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_14\">MAIDEN NAME (SECURITY PURPOSES) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_14\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-204-field_14-error\" required><\/div><div id=\"wpforms-204-field_15-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-204-field_15\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][15][address1]\" aria-errormessage=\"wpforms-204-field_15-error\" required><label for=\"wpforms-204-field_15\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-204-field_15-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][15][address2]\" aria-errormessage=\"wpforms-204-field_15-address2-error\" ><label for=\"wpforms-204-field_15-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-204-field_15-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][15][city]\" aria-errormessage=\"wpforms-204-field_15-city-error\" required><label for=\"wpforms-204-field_15-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_15-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][15][state]\" aria-errormessage=\"wpforms-204-field_15-state-error\" required><label for=\"wpforms-204-field_15-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-204-field_15-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][15][postal]\" aria-errormessage=\"wpforms-204-field_15-postal-error\" required><label for=\"wpforms-204-field_15-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-204-field_15-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][15][country]\" aria-errormessage=\"wpforms-204-field_15-country-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-204-field_15-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">MEMBER OF GCT? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\" aria-errormessage=\"wpforms-204-field_16_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_16_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\" aria-errormessage=\"wpforms-204-field_16_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_16_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_17-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_17\">HOME PHONE <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-204-field_17\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][17]\" aria-label=\"HOME PHONE\" aria-errormessage=\"wpforms-204-field_17-error\" required><\/div><div id=\"wpforms-204-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_18\">WHERE EMPLOYED <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_18\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][18]\" aria-errormessage=\"wpforms-204-field_18-error\" required><\/div><div id=\"wpforms-204-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_19\">BUSINESS ADDRESS<\/label><input type=\"text\" id=\"wpforms-204-field_19\" class=\"wpforms-field-large\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-204-field_19-error\" ><\/div><div id=\"wpforms-204-field_20-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_20\">BUSINESS PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_20\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][20]\" aria-label=\"BUSINESS PHONE\" aria-errormessage=\"wpforms-204-field_20-error\" ><\/div><div id=\"wpforms-204-field_21-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_21\">BUSINESS EMAIL ADDRESS <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-204-field_21\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][21]\" spellcheck=\"false\" aria-errormessage=\"wpforms-204-field_21-error\" required><\/div><div id=\"wpforms-204-field_24-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"24\"><div id=\"wpforms-204-field_24\" aria-errormessage=\"wpforms-204-field_24-error\"><hr \/><\/div><\/div><div id=\"wpforms-204-field_23-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_23\">FATHER&#039;S NAME <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_23\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][23]\" aria-errormessage=\"wpforms-204-field_23-error\" required><\/div><div id=\"wpforms-204-field_25-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Address<\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-204-field_25\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][25][address1]\" aria-errormessage=\"wpforms-204-field_25-error\" ><label for=\"wpforms-204-field_25\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-204-field_25-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][25][address2]\" aria-errormessage=\"wpforms-204-field_25-address2-error\" ><label for=\"wpforms-204-field_25-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-204-field_25-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][25][city]\" aria-errormessage=\"wpforms-204-field_25-city-error\" ><label for=\"wpforms-204-field_25-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_25-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][25][state]\" aria-errormessage=\"wpforms-204-field_25-state-error\" ><label for=\"wpforms-204-field_25-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-204-field_25-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][25][postal]\" aria-errormessage=\"wpforms-204-field_25-postal-error\" ><label for=\"wpforms-204-field_25-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-204-field_25-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][25][country]\" aria-errormessage=\"wpforms-204-field_25-country-error\" ><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-204-field_25-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_26-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"26\"><fieldset><legend class=\"wpforms-field-label\">MEMBER OF GCT?<\/legend><ul id=\"wpforms-204-field_26\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_26_1\" name=\"wpforms[fields][26]\" value=\"Yes\" aria-errormessage=\"wpforms-204-field_26_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_26_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_26_2\" name=\"wpforms[fields][26]\" value=\"No\" aria-errormessage=\"wpforms-204-field_26_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_26_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_27-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_27\">HOME PHONE <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-204-field_27\" class=\"wpforms-field-large wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][27]\" aria-label=\"HOME PHONE\" aria-errormessage=\"wpforms-204-field_27-error\" required><\/div><div id=\"wpforms-204-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_28\">WHERE EMPLOYED<\/label><input type=\"text\" id=\"wpforms-204-field_28\" class=\"wpforms-field-large\" name=\"wpforms[fields][28]\" aria-errormessage=\"wpforms-204-field_28-error\" ><\/div><div id=\"wpforms-204-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_29\">BUSINESS ADDRESS<\/label><input type=\"text\" id=\"wpforms-204-field_29\" class=\"wpforms-field-large\" name=\"wpforms[fields][29]\" aria-errormessage=\"wpforms-204-field_29-error\" ><\/div><div id=\"wpforms-204-field_30-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_30\">BUSINESS PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_30\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][30]\" aria-label=\"BUSINESS PHONE\" aria-errormessage=\"wpforms-204-field_30-error\" ><\/div><div id=\"wpforms-204-field_31-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_31\">BUSINESS EMAIL ADDRESS<\/label><input type=\"email\" id=\"wpforms-204-field_31\" class=\"wpforms-field-large\" name=\"wpforms[fields][31]\" spellcheck=\"false\" aria-errormessage=\"wpforms-204-field_31-error\" ><\/div><div id=\"wpforms-204-field_32-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"32\"><div id=\"wpforms-204-field_32\" aria-errormessage=\"wpforms-204-field_32-error\"><div style=\"color: #4d1673; text-align: center; font-size: 18px; font-weight: 600;\">\r\n<hr \/>\r\nARE PARENTS DIVORCED OR SEPERATED?\r\n<\/div><\/div><\/div><div id=\"wpforms-204-field_33-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"33\"><fieldset><legend class=\"wpforms-field-label\">CHILD RESIDES WITH: <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_33_1\" name=\"wpforms[fields][33]\" value=\"FATHER\" aria-errormessage=\"wpforms-204-field_33_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_33_1\">FATHER<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_33_2\" name=\"wpforms[fields][33]\" value=\"MOTHER\" aria-errormessage=\"wpforms-204-field_33_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_33_2\">MOTHER<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_33_3\" name=\"wpforms[fields][33]\" value=\"BOTH\" aria-errormessage=\"wpforms-204-field_33_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_33_3\">BOTH<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_33_4\" name=\"wpforms[fields][33]\" value=\"OTHER\" aria-errormessage=\"wpforms-204-field_33_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_33_4\">OTHER<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_34-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"34\"><fieldset><legend class=\"wpforms-field-label\">ARE PARENTS DIVORCED OR SEPERATED?<\/legend><ul id=\"wpforms-204-field_34\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_34_1\" name=\"wpforms[fields][34]\" value=\"DIVORCED\" aria-errormessage=\"wpforms-204-field_34_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_34_1\">DIVORCED<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_34_2\" name=\"wpforms[fields][34]\" value=\"SEPERATED\" aria-errormessage=\"wpforms-204-field_34_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_34_2\">SEPERATED<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_35-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_35\">WHICH PARENT HAS CUSTODY OF CHILD? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_35\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][35]\" aria-errormessage=\"wpforms-204-field_35-error\" required><\/div><div id=\"wpforms-204-field_59-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"59\"><h3 id=\"wpforms-204-field_59\" aria-errormessage=\"wpforms-204-field_59-error\">ADDITIONAL CHILDREN<\/h3><\/div><div id=\"wpforms-204-field_60-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"60\"><fieldset><legend class=\"wpforms-field-label\">ARE YOU REGISTERING ANY ADDITIONAL CHILDREN? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_60\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_60_1\" name=\"wpforms[fields][60]\" value=\"Yes\" aria-errormessage=\"wpforms-204-field_60_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_60_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_60_2\" name=\"wpforms[fields][60]\" value=\"No\" aria-errormessage=\"wpforms-204-field_60_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_60_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_62-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"62\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_62\">HOW MANY ADDITIONAL CHILDREN ARE YOU REGISTERING? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_62\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][62]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>CHOOSE HOW MANY ADDITIONAL CHILDREN<\/option><option value=\"1\" data-amount=\"90.00\" >1 - &#036;90.00<\/option><option value=\"2\" data-amount=\"180.00\" >2 - &#036;180.00<\/option><option value=\"3\" data-amount=\"270.00\" >3 - &#036;270.00<\/option><option value=\"4\" data-amount=\"360.00\" >4 - &#036;360.00<\/option><\/select><\/div><div id=\"wpforms-204-field_63-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"63\"><div id=\"wpforms-204-field_63\" aria-errormessage=\"wpforms-204-field_63-error\">There is a 10% discount per additional child. For each additional child there will also be required a $75 one-time Activity Fee per child.<\/div><\/div><div id=\"wpforms-204-field_112-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"112\"><div id=\"wpforms-204-field_112\" aria-errormessage=\"wpforms-204-field_112-error\"><\/div><\/div><div id=\"wpforms-204-field_68-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"68\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-25-25-25-25\"><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-204-field_64-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"64\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Child&#039;s Name (2nd Child) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_64\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][64][first]\" aria-errormessage=\"wpforms-204-field_64-error\" required><label for=\"wpforms-204-field_64\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_64-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][64][last]\" aria-errormessage=\"wpforms-204-field_64-last-error\" required><label for=\"wpforms-204-field_64-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_69-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"69\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_69\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_69\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][69]\" aria-errormessage=\"wpforms-204-field_69-error\" required><\/div><div id=\"wpforms-204-field_67-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"67\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_67\">Child&#039;s Birthdate <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-204-field_67\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][67][date]\" aria-errormessage=\"wpforms-204-field_67-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-204-field_70-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"70\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_70\">Grade  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_70\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][70]\" aria-errormessage=\"wpforms-204-field_70-error\" required><\/div><div id=\"wpforms-204-field_71-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"71\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_71\">School <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_71\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][71]\" aria-errormessage=\"wpforms-204-field_71-error\" required><\/div><div id=\"wpforms-204-field_72-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"72\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_72\">Food Allergy?<\/label><input type=\"text\" id=\"wpforms-204-field_72\" class=\"wpforms-field-medium\" name=\"wpforms[fields][72]\" aria-errormessage=\"wpforms-204-field_72-error\" aria-describedby=\"wpforms-204-field_72-description\" ><div id=\"wpforms-204-field_72-description\" class=\"wpforms-field-description\">Indicate the allergy(s) that this child has, if there are any.<\/div><\/div><div id=\"wpforms-204-field_96-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"96\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_96\">Does your child have any medical issues? (Explain Below)<\/label><input type=\"text\" id=\"wpforms-204-field_96\" class=\"wpforms-field-medium\" name=\"wpforms[fields][96]\" aria-errormessage=\"wpforms-204-field_96-error\" ><\/div><div id=\"wpforms-204-field_97-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"97\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_97\">Preferred Medical Facility in case of emergency for this child:<\/label><input type=\"text\" id=\"wpforms-204-field_97\" class=\"wpforms-field-medium\" name=\"wpforms[fields][97]\" aria-errormessage=\"wpforms-204-field_97-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-204-field_75-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"75\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Child&#039;s Name (3rd Child) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_75\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][75][first]\" aria-errormessage=\"wpforms-204-field_75-error\" required><label for=\"wpforms-204-field_75\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_75-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][75][last]\" aria-errormessage=\"wpforms-204-field_75-last-error\" required><label for=\"wpforms-204-field_75-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_77-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"77\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_77\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_77\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][77]\" aria-errormessage=\"wpforms-204-field_77-error\" required><\/div><div id=\"wpforms-204-field_76-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_76\">Child&#039;s Birthdate <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-204-field_76\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][76][date]\" aria-errormessage=\"wpforms-204-field_76-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-204-field_78-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"78\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_78\">Grade <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_78\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][78]\" aria-errormessage=\"wpforms-204-field_78-error\" required><\/div><div id=\"wpforms-204-field_79-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_79\">School <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_79\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][79]\" aria-errormessage=\"wpforms-204-field_79-error\" required><\/div><div id=\"wpforms-204-field_80-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"80\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_80\">Child Allergy?<\/label><input type=\"text\" id=\"wpforms-204-field_80\" class=\"wpforms-field-medium\" name=\"wpforms[fields][80]\" aria-errormessage=\"wpforms-204-field_80-error\" aria-describedby=\"wpforms-204-field_80-description\" ><div id=\"wpforms-204-field_80-description\" class=\"wpforms-field-description\">Indicate the allergy(s) that this child has, if there are any.<\/div><\/div><div id=\"wpforms-204-field_98-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"98\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_98\">Does your child have any medical issues? (Explain Below)<\/label><input type=\"text\" id=\"wpforms-204-field_98\" class=\"wpforms-field-medium\" name=\"wpforms[fields][98]\" aria-errormessage=\"wpforms-204-field_98-error\" ><\/div><div id=\"wpforms-204-field_104-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"104\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_104\">Preferred Medical Facility in case of emergency for this child:<\/label><input type=\"text\" id=\"wpforms-204-field_104\" class=\"wpforms-field-medium\" name=\"wpforms[fields][104]\" aria-errormessage=\"wpforms-204-field_104-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-204-field_81-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"81\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Child&#039;s Name (4th Child) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_81\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][81][first]\" aria-errormessage=\"wpforms-204-field_81-error\" required><label for=\"wpforms-204-field_81\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_81-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][81][last]\" aria-errormessage=\"wpforms-204-field_81-last-error\" required><label for=\"wpforms-204-field_81-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_82-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"82\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_82\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_82\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][82]\" aria-errormessage=\"wpforms-204-field_82-error\" required><\/div><div id=\"wpforms-204-field_83-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"83\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_83\">Child&#039;s Birthdate <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-204-field_83\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][83][date]\" aria-errormessage=\"wpforms-204-field_83-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-204-field_84-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"84\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_84\">Grade <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_84\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][84]\" aria-errormessage=\"wpforms-204-field_84-error\" required><\/div><div id=\"wpforms-204-field_85-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"85\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_85\">School <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_85\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][85]\" aria-errormessage=\"wpforms-204-field_85-error\" required><\/div><div id=\"wpforms-204-field_86-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"86\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_86\">Child Allergy?<\/label><input type=\"text\" id=\"wpforms-204-field_86\" class=\"wpforms-field-medium\" name=\"wpforms[fields][86]\" aria-errormessage=\"wpforms-204-field_86-error\" aria-describedby=\"wpforms-204-field_86-description\" ><div id=\"wpforms-204-field_86-description\" class=\"wpforms-field-description\">Indicate the allergy(s) that this child has, if there are any.<\/div><\/div><div id=\"wpforms-204-field_99-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"99\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_99\">Does your child have any medical issues? (Explain Below)<\/label><input type=\"text\" id=\"wpforms-204-field_99\" class=\"wpforms-field-medium\" name=\"wpforms[fields][99]\" aria-errormessage=\"wpforms-204-field_99-error\" ><\/div><div id=\"wpforms-204-field_105-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"105\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_105\">Preferred Medical Facility in case of emergency for this child:<\/label><input type=\"text\" id=\"wpforms-204-field_105\" class=\"wpforms-field-medium\" name=\"wpforms[fields][105]\" aria-errormessage=\"wpforms-204-field_105-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\" ><div id=\"wpforms-204-field_87-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"87\" style=\"display:none;\"><fieldset><legend class=\"wpforms-field-label\">Child&#039;s Name (5th Child) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_87\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][87][first]\" aria-errormessage=\"wpforms-204-field_87-error\" required><label for=\"wpforms-204-field_87\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-204-field_87-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][87][last]\" aria-errormessage=\"wpforms-204-field_87-last-error\" required><label for=\"wpforms-204-field_87-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-204-field_88-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"88\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_88\">Age <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_88\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][88]\" aria-errormessage=\"wpforms-204-field_88-error\" required><\/div><div id=\"wpforms-204-field_89-container\" class=\"wpforms-field wpforms-field-date-time wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"89\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_89\">Child&#039;s Birthdate <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-204-field_89\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][89][date]\" aria-errormessage=\"wpforms-204-field_89-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-204-field_90-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"90\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_90\">Grade <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_90\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][90]\" aria-errormessage=\"wpforms-204-field_90-error\" required><\/div><div id=\"wpforms-204-field_91-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"91\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_91\">School <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-204-field_91\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][91]\" aria-errormessage=\"wpforms-204-field_91-error\" required><\/div><div id=\"wpforms-204-field_92-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"92\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_92\">Child Allergy?<\/label><input type=\"text\" id=\"wpforms-204-field_92\" class=\"wpforms-field-medium\" name=\"wpforms[fields][92]\" aria-errormessage=\"wpforms-204-field_92-error\" aria-describedby=\"wpforms-204-field_92-description\" ><div id=\"wpforms-204-field_92-description\" class=\"wpforms-field-description\">Indicate the allergy(s) that this child has, if there are any.<\/div><\/div><div id=\"wpforms-204-field_100-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"100\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_100\">Does your child have any medical issues? (Explain Below)<\/label><input type=\"text\" id=\"wpforms-204-field_100\" class=\"wpforms-field-medium\" name=\"wpforms[fields][100]\" aria-errormessage=\"wpforms-204-field_100-error\" ><\/div><div id=\"wpforms-204-field_106-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"106\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_106\">Preferred Medical Facility in case of emergency for this child:<\/label><input type=\"text\" id=\"wpforms-204-field_106\" class=\"wpforms-field-medium\" name=\"wpforms[fields][106]\" aria-errormessage=\"wpforms-204-field_106-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-204-field_136-container\" class=\"wpforms-field wpforms-field-divider wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"136\" style=\"display:none;\"><h3 id=\"wpforms-204-field_136\" aria-errormessage=\"wpforms-204-field_136-error\">Activity Fees<\/h3><\/div><div id=\"wpforms-204-field_113-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"113\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_113\">Confirm Activity Fee for 1 Additional Child. <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_113\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][113]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>CONFIRM<\/option><option value=\"1\" data-amount=\"75.00\" >Confirm 1 Additional Child - &#036;75.00<\/option><\/select><\/div><div id=\"wpforms-204-field_114-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"114\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_114\">Confirm Activity Fee for 2 Additional Children <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_114\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][114]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>CONFIRM<\/option><option value=\"1\" data-amount=\"150.00\" >Confirm 2 Additional Children - &#036;150.00<\/option><\/select><\/div><div id=\"wpforms-204-field_115-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"115\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_115\">Confirm Activity Fee for 3 Additional Children <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_115\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][115]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>CONFIRM<\/option><option value=\"1\" data-amount=\"225.00\" >Confirm 3 Additional Children - &#036;225.00<\/option><\/select><\/div><div id=\"wpforms-204-field_116-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"116\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_116\">Confirm Activity Fee for 4 Additional Children <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_116\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][116]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>CONFIRM<\/option><option value=\"1\" data-amount=\"300.00\" >Confirm 4 Additional Children - &#036;300.00<\/option><\/select><\/div><div id=\"wpforms-204-field_36-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"36\"><div id=\"wpforms-204-field_36\" aria-errormessage=\"wpforms-204-field_36-error\"><div style=\"color: #4d1673; text-align: center; font-size: 18px; font-weight: 600;\">\r\n<hr \/> \r\nNAMES(S) OF PERSON(S) OTHER THAN PARENT(S) AUTHORIZED TO ACT FOR PARENT IN CASE OF EMERGENCY:\r\n<hr \/>\r\n<\/div><\/div><\/div><div id=\"wpforms-204-field_57-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"57\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-204-field_37-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_37\">NAME<\/label><input type=\"text\" id=\"wpforms-204-field_37\" class=\"wpforms-field-large\" name=\"wpforms[fields][37]\" aria-errormessage=\"wpforms-204-field_37-error\" ><\/div><div id=\"wpforms-204-field_39-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_39\">HOME PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_39\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][39]\" aria-label=\"HOME PHONE\" aria-errormessage=\"wpforms-204-field_39-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-204-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_38\">RELATIONSHIP<\/label><input type=\"text\" id=\"wpforms-204-field_38\" class=\"wpforms-field-large\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-204-field_38-error\" ><\/div><div id=\"wpforms-204-field_40-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_40\">WORK PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_40\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][40]\" aria-label=\"WORK PHONE\" aria-errormessage=\"wpforms-204-field_40-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-204-field_53-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"53\"><div id=\"wpforms-204-field_53\" aria-errormessage=\"wpforms-204-field_53-error\"><hr style=\"color: red;\"\/><\/div><\/div><div id=\"wpforms-204-field_55-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"55\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-204-field_41-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_41\">NAME<\/label><input type=\"text\" id=\"wpforms-204-field_41\" class=\"wpforms-field-large\" name=\"wpforms[fields][41]\" aria-errormessage=\"wpforms-204-field_41-error\" ><\/div><div id=\"wpforms-204-field_43-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_43\">HOME PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_43\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][43]\" aria-label=\"HOME PHONE\" aria-errormessage=\"wpforms-204-field_43-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-204-field_42-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_42\">RELATIONSHIP<\/label><input type=\"text\" id=\"wpforms-204-field_42\" class=\"wpforms-field-large\" name=\"wpforms[fields][42]\" aria-errormessage=\"wpforms-204-field_42-error\" ><\/div><div id=\"wpforms-204-field_44-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_44\">WORK PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_44\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][44]\" aria-label=\"WORK PHONE\" aria-errormessage=\"wpforms-204-field_44-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-204-field_54-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"54\"><div id=\"wpforms-204-field_54\" aria-errormessage=\"wpforms-204-field_54-error\"><hr \/><\/div><\/div><div id=\"wpforms-204-field_56-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"56\"><div class=\"wpforms-field-layout-columns wpforms-field-layout-preset-50-50\"><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-204-field_45-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_45\">NAME<\/label><input type=\"text\" id=\"wpforms-204-field_45\" class=\"wpforms-field-large\" name=\"wpforms[fields][45]\" aria-errormessage=\"wpforms-204-field_45-error\" ><\/div><div id=\"wpforms-204-field_47-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_47\">HOME PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_47\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][47]\" aria-label=\"HOME PHONE\" aria-errormessage=\"wpforms-204-field_47-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\" ><div id=\"wpforms-204-field_46-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"46\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_46\">RELATIONSHIP<\/label><input type=\"text\" id=\"wpforms-204-field_46\" class=\"wpforms-field-large\" name=\"wpforms[fields][46]\" aria-errormessage=\"wpforms-204-field_46-error\" ><\/div><div id=\"wpforms-204-field_48-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_48\">WORK PHONE<\/label><input type=\"tel\" id=\"wpforms-204-field_48\" class=\"wpforms-field-large wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][48]\" aria-label=\"WORK PHONE\" aria-errormessage=\"wpforms-204-field_48-error\" ><\/div><\/div><\/div><\/div><div id=\"wpforms-204-field_135-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"135\"><h3 id=\"wpforms-204-field_135\" aria-errormessage=\"wpforms-204-field_135-error\" aria-describedby=\"wpforms-204-field_135-description\">T-Shirts<\/h3><div id=\"wpforms-204-field_135-description\" class=\"wpforms-field-description\">Select T-Shirts Required Below<\/div><\/div><div id=\"wpforms-204-field_134-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-id=\"134\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_134\">Do you require Tshirts? <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_134\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][134]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Choose Answer<\/option><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-204-field_148-container\" class=\"wpforms-field wpforms-field-number-slider wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"148\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_148\">How many tshirts?<\/label>\n<input\n\ttype=\"range\"\n\tid=\"wpforms-204-field_148\" class=\"wpforms-field-medium\" name=\"wpforms[fields][148]\" value=\"0\" aria-errormessage=\"wpforms-204-field_148-error\"\t\tmin=\"0\"\n\tmax=\"10\"\n\tstep=\"1\">\n\n<div class=\"wpforms-field-number-slider-hint\"\n\tdata-hint=\"Selected Value: {value}\">\n\tSelected Value: <b>0<\/b><\/div>\n<\/div><div id=\"wpforms-204-field_149-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"149\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_149\">Tshirt 1 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_149\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][149]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Choose Size<\/option><option value=\"1\" data-amount=\"10.00\" >Child Small - &#036;10.00<\/option><option value=\"2\" data-amount=\"10.00\" >Child Medium - &#036;10.00<\/option><option value=\"3\" data-amount=\"10.00\" >Child Large - &#036;10.00<\/option><option value=\"4\" data-amount=\"10.00\" >Adult Small - &#036;10.00<\/option><option value=\"5\" data-amount=\"10.00\" >Adult Medium - &#036;10.00<\/option><\/select><\/div><div id=\"wpforms-204-field_150-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"150\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_150\">Tshirt 2 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_150\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][150]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Choose Size<\/option><option value=\"1\" data-amount=\"10.00\" >Child Small - &#036;10.00<\/option><option value=\"2\" data-amount=\"10.00\" >Child Medium - &#036;10.00<\/option><option value=\"3\" data-amount=\"10.00\" >Child Large - &#036;10.00<\/option><option value=\"4\" data-amount=\"10.00\" >Adult Small - &#036;10.00<\/option><option value=\"5\" data-amount=\"10.00\" >Adult Medium - &#036;10.00<\/option><\/select><\/div><div id=\"wpforms-204-field_151-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"151\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_151\">Tshirt 3 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_151\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][151]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Choose Size<\/option><option value=\"1\" data-amount=\"10.00\" >Child Small - &#036;10.00<\/option><option value=\"2\" data-amount=\"10.00\" >Child Medium - &#036;10.00<\/option><option value=\"3\" data-amount=\"10.00\" >Child Large - &#036;10.00<\/option><option value=\"4\" data-amount=\"10.00\" >Adult Small - &#036;10.00<\/option><option value=\"5\" data-amount=\"10.00\" >Adult Medium - &#036;10.00<\/option><\/select><\/div><div id=\"wpforms-204-field_152-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"152\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_152\">Tshirt 4 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_152\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][152]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Choose Size<\/option><option value=\"1\" data-amount=\"10.00\" >Child Small - &#036;10.00<\/option><option value=\"2\" data-amount=\"10.00\" >Child Medium - &#036;10.00<\/option><option value=\"3\" data-amount=\"10.00\" >Child Large - &#036;10.00<\/option><option value=\"4\" data-amount=\"10.00\" >Adult Small - &#036;10.00<\/option><option value=\"5\" data-amount=\"10.00\" >Adult Medium - &#036;10.00<\/option><\/select><\/div><div id=\"wpforms-204-field_153-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-field wpforms-conditional-show wpforms-field-select-style-classic\" data-field-id=\"153\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-204-field_153\">Tshirt 5 <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-204-field_153\" class=\"wpforms-payment-price wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][153]\" required=\"required\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'>Choose Size<\/option><option value=\"1\" data-amount=\"10.00\" >Child Small - &#036;10.00<\/option><option value=\"2\" data-amount=\"10.00\" >Child Medium - &#036;10.00<\/option><option value=\"3\" data-amount=\"10.00\" >Child Large - &#036;10.00<\/option><option value=\"4\" data-amount=\"10.00\" >Adult Small - &#036;10.00<\/option><option value=\"5\" data-amount=\"10.00\" >Adult Medium - &#036;10.00<\/option><\/select><\/div><div id=\"wpforms-204-field_49-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"49\"><div id=\"wpforms-204-field_49\" aria-errormessage=\"wpforms-204-field_49-error\"><\/div><\/div><div id=\"wpforms-204-field_111-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"111\"><fieldset><legend class=\"wpforms-field-label\">Terms and Conditions <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_111\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-204-field_111_1\" name=\"wpforms[fields][111][]\" value=\"I understand that those supervising camp activities will exercise a reasonable degree of care. Therefore, I release the director, staff, Bishop Brandon B. Porter, Greater Community Temple, Greater Community Learning Academy and the camp from all liability, and waive any claim against them for any harm or injury which may be sustained by my child while attending Camp Porter. Furthermore, I assume total responsibility for my child\u2019s conduct during his\/her attendance at Camp Porter or related trips and activities.\" aria-errormessage=\"wpforms-204-field_111_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_111_1\">I understand that those supervising camp activities will exercise a reasonable degree of care. Therefore, I release the director, staff, Bishop Brandon B. Porter, Greater Community Temple, Greater Community Learning Academy and the camp from all liability, and waive any claim against them for any harm or injury which may be sustained by my child while attending Camp Porter. Furthermore, I assume total responsibility for my child\u2019s conduct during his\/her attendance at Camp Porter or related trips and activities.<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_107-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"107\"><fieldset><legend class=\"wpforms-field-label\">\u201cI hereby consent to release for possible publication of my child\u2019s name and\/or photos and video images taken by any authorized Camp Porter representative or employee. This may include television, newspaper, magazine, and\/or social media websites.&quot; <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-204-field_107\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_107_1\" name=\"wpforms[fields][107]\" value=\"Yes, I authorize\" aria-errormessage=\"wpforms-204-field_107_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_107_1\">Yes, I authorize<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-204-field_107_2\" name=\"wpforms[fields][107]\" value=\"No, I do not authorize\" aria-errormessage=\"wpforms-204-field_107_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-204-field_107_2\">No, I do not authorize<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-204-field_93-container\" class=\"wpforms-field wpforms-field-square\" data-field-id=\"93\"><label class=\"wpforms-field-label\">Square <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-square-number\"><div id=\"wpforms-204-field_93\" class=\"wpforms-field-square-cardnumber wpforms-field-required\" aria-errormessage=\"wpforms-204-field_93-error\" data-required=\"required\"><!-- Square credit card will be inserted here. --><\/div><input\n\t\t\t\t\t\ttype=\"text\"\n\t\t\t\t\t\tclass=\"wpforms-square-credit-card-hidden-input\"\n\t\t\t\t\t\tname=\"wpforms[square-credit-card-hidden-input-204]\"\n\t\t\t\t\t\tid=\"wpforms-square-credit-card-hidden-input-204\"\n\t\t\t\t\t\tstyle=\"display: none;\" disabled><label  class=\"wpforms-field-sublabel after\">Card<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-square-name\"><input type=\"text\" id=\"wpforms-204-field_93-cardname\" class=\"wpforms-field-square-cardname wpforms-field-required\" name=\"wpforms[fields][93][cardname]\" aria-errormessage=\"wpforms-204-field_93-cardname-error\" required><label  class=\"wpforms-field-sublabel after\">Name on Card<\/label><\/div><\/div><\/div><div id=\"wpforms-204-field_110-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-id=\"110\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-204-field_110\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][110]\" value=\"0\"><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"204\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/pages\/153\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-204\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/www.secureuser.net\/gctministries\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\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<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>REGISTRATION DETAILS: **ALL OF THESE BELOW ARE REQUIRED PER CHILD**. Registration is $100 per child One-Time Activity Fee is $75 per child Weekly Tuition is&hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-153","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/pages\/153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/comments?post=153"}],"version-history":[{"count":31,"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/pages\/153\/revisions"}],"predecessor-version":[{"id":302,"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/pages\/153\/revisions\/302"}],"wp:attachment":[{"href":"https:\/\/www.secureuser.net\/gctministries\/wp-json\/wp\/v2\/media?parent=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}