{"id":861,"date":"2024-07-29T07:47:45","date_gmt":"2024-07-29T07:47:45","guid":{"rendered":"https:\/\/demo.iccbrossardmosque.com\/?page_id=861"},"modified":"2024-10-02T03:11:52","modified_gmt":"2024-10-02T03:11:52","slug":"membership-form-2","status":"publish","type":"page","link":"https:\/\/www.cdsbalimaya.org\/en\/membership-form-2\/","title":{"rendered":"Registration form for CDS Balimaya activities 2"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"861\" class=\"elementor elementor-861\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0b8e595 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"0b8e595\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8b35e3a\" data-id=\"8b35e3a\" data-element_type=\"column\" data-e-type=\"column\">\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-192a873 elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"192a873\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:300}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">CDS-Balimaya Homework Help Registration Form<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e72ee3f envato-kit-174-form-btn-style elementor-button-align-start elementor-invisible elementor-widget elementor-widget-form\" data-id=\"e72ee3f\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400,&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\" aria-label=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"861\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"e72ee3f\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Registration form for CDS Balimaya activities 2\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"861\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-fname elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fname\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tFirst Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[fname]\" id=\"form-field-fname\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"First Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-lname elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-lname\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tLast Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[lname]\" id=\"form-field-lname\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"FIRST Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-age elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-age\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAge\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[age]\" id=\"form-field-age\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"Age\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-course elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-course\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tCourse Section\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Mathematics\" id=\"form-field-course-0\" name=\"form_fields[course][]\"> <label for=\"form-field-course-0\">Mathematics<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"French\" id=\"form-field-course-1\" name=\"form_fields[course][]\"> <label for=\"form-field-course-1\">French<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-teaching elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-teaching\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tTeaching section and level *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Primary \" id=\"form-field-teaching-0\" name=\"form_fields[teaching][]\"> <label for=\"form-field-teaching-0\">Primary <\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Secondary\" id=\"form-field-teaching-1\" name=\"form_fields[teaching][]\"> <label for=\"form-field-teaching-1\">Secondary<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-school elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-school\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tSchool LEVEL\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[school]\" id=\"form-field-school\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"School Level ( Enter Your Primary And Secondary)\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-hphone elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-hphone\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tHome Phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[hphone]\" id=\"form-field-hphone\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"Home Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-cphone elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cphone\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tCell Phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[cphone]\" id=\"form-field-cphone\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"Cell Phone\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-email elementor-col-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[email]\" id=\"form-field-email\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"Email\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-guar elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-guar\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tName of the student's guarantor *\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[guar]\" id=\"form-field-guar\" class=\"elementor-field elementor-size-lg  elementor-field-textual\" placeholder=\"Name of the student&#039;s guarantor *\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha elementor-field-group elementor-column elementor-field-group-field_147c3fc elementor-col-100\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_147c3fc\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LeNU-IoAAAAAAKBDlbkZbL1_V5J68Jku2Y5wkFi\" data-type=\"v2_checkbox\" data-theme=\"light\" data-size=\"normal\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-lg elementor-animation-bob\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-long-arrow-right\" aria-hidden=\"true\"><\/i>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">submitt Your Registration<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\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>CDS-Balimaya Homework Help Registration Form<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-861","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/pages\/861"}],"collection":[{"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/comments?post=861"}],"version-history":[{"count":52,"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/pages\/861\/revisions"}],"predecessor-version":[{"id":4591,"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/pages\/861\/revisions\/4591"}],"wp:attachment":[{"href":"https:\/\/www.cdsbalimaya.org\/en\/wp-json\/wp\/v2\/media?parent=861"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}