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	Camp Register Form - Chabad House Jewish Community Center
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              Camp Gan Israel is a camp dedicated to enriching the lives of children from diverse Jewish backgrounds and affiliations through a stimulating camping experience.  CGI is part of the largest and fastest growing network of day camps, enjoying a reputation as a pioneer in Jewish camping, with innovative ideas and creative activities, to both provide enjoyment and inspire children to try new and exciting things!
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                <option value="25"> 25 </option>
                <option value="26"> 26 </option>
                <option value="27"> 27 </option>
                <option value="28"> 28 </option>
                <option value="29"> 29 </option>
                <option value="30"> 30 </option>
                <option value="31"> 31 </option>
              </select>
              <label class="form-sub-label" for="input_27_day" id="sublabel_day"> Day </label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q27_birthDate27[year]" id="input_27_year">
                <option>  </option>
                <option value="2017"> 2017 </option>
                <option value="2016"> 2016 </option>
                <option value="2015"> 2015 </option>
                <option value="2014"> 2014 </option>
                <option value="2013"> 2013 </option>
                <option value="2012"> 2012 </option>
                <option value="2011"> 2011 </option>
                <option value="2010"> 2010 </option>
                <option value="2009"> 2009 </option>
                <option value="2008"> 2008 </option>
                <option value="2007"> 2007 </option>
                <option value="2006"> 2006 </option>
                <option value="2005"> 2005 </option>
                <option value="2004"> 2004 </option>
                <option value="2003"> 2003 </option>
                <option value="2002"> 2002 </option>
                <option value="2001"> 2001 </option>
                <option value="2000"> 2000 </option>
                <option value="1999"> 1999 </option>
                <option value="1998"> 1998 </option>
                <option value="1997"> 1997 </option>
                <option value="1996"> 1996 </option>
                <option value="1995"> 1995 </option>
                <option value="1994"> 1994 </option>
                <option value="1993"> 1993 </option>
                <option value="1992"> 1992 </option>
                <option value="1991"> 1991 </option>
                <option value="1990"> 1990 </option>
                <option value="1989"> 1989 </option>
                <option value="1988"> 1988 </option>
                <option value="1987"> 1987 </option>
                <option value="1986"> 1986 </option>
                <option value="1985"> 1985 </option>
                <option value="1984"> 1984 </option>
                <option value="1983"> 1983 </option>
                <option value="1982"> 1982 </option>
                <option value="1981"> 1981 </option>
                <option value="1980"> 1980 </option>
                <option value="1979"> 1979 </option>
                <option value="1978"> 1978 </option>
                <option value="1977"> 1977 </option>
                <option value="1976"> 1976 </option>
                <option value="1975"> 1975 </option>
                <option value="1974"> 1974 </option>
                <option value="1973"> 1973 </option>
                <option value="1972"> 1972 </option>
                <option value="1971"> 1971 </option>
                <option value="1970"> 1970 </option>
                <option value="1969"> 1969 </option>
                <option value="1968"> 1968 </option>
                <option value="1967"> 1967 </option>
                <option value="1966"> 1966 </option>
                <option value="1965"> 1965 </option>
                <option value="1964"> 1964 </option>
                <option value="1963"> 1963 </option>
                <option value="1962"> 1962 </option>
                <option value="1961"> 1961 </option>
                <option value="1960"> 1960 </option>
                <option value="1959"> 1959 </option>
                <option value="1958"> 1958 </option>
                <option value="1957"> 1957 </option>
                <option value="1956"> 1956 </option>
                <option value="1955"> 1955 </option>
                <option value="1954"> 1954 </option>
                <option value="1953"> 1953 </option>
                <option value="1952"> 1952 </option>
                <option value="1951"> 1951 </option>
                <option value="1950"> 1950 </option>
                <option value="1949"> 1949 </option>
                <option value="1948"> 1948 </option>
                <option value="1947"> 1947 </option>
                <option value="1946"> 1946 </option>
                <option value="1945"> 1945 </option>
                <option value="1944"> 1944 </option>
                <option value="1943"> 1943 </option>
                <option value="1942"> 1942 </option>
                <option value="1941"> 1941 </option>
                <option value="1940"> 1940 </option>
                <option value="1939"> 1939 </option>
                <option value="1938"> 1938 </option>
                <option value="1937"> 1937 </option>
                <option value="1936"> 1936 </option>
                <option value="1935"> 1935 </option>
                <option value="1934"> 1934 </option>
                <option value="1933"> 1933 </option>
                <option value="1932"> 1932 </option>
                <option value="1931"> 1931 </option>
                <option value="1930"> 1930 </option>
                <option value="1929"> 1929 </option>
                <option value="1928"> 1928 </option>
                <option value="1927"> 1927 </option>
                <option value="1926"> 1926 </option>
                <option value="1925"> 1925 </option>
                <option value="1924"> 1924 </option>
                <option value="1923"> 1923 </option>
                <option value="1922"> 1922 </option>
                <option value="1921"> 1921 </option>
                <option value="1920"> 1920 </option>
              </select>
              <label class="form-sub-label" for="input_27_year" id="sublabel_year"> Year </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_19">
        <div class="form-label-left" id="label_19">
          <label for="input_19">
            Gender<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_19">  </label>
        </div>
        <div id="cid_19" class="form-input">
          <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_19_0" name="q19_gender" value="Male" />
              <label id="label_input_19_0" for="input_19_0"><span>Male</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_19_1" name="q19_gender" value="Female" />
              <label id="label_input_19_1" for="input_19_1"><span>Female</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_54">
        <div class="form-label-left" id="label_54">
          <label for="input_54">
            Sessions ($250 per session)<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_54">  </label>
        </div>
        <div id="cid_54" class="form-input">
          <div class="form-multiple-column"><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox validate[required]" id="input_54_0" name="q54_sessions200[]" value="Week 1" />
              <label id="label_input_54_0" for="input_54_0"><span>Week 1</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox validate[required]" id="input_54_1" name="q54_sessions200[]" value="Week 2" />
              <label id="label_input_54_1" for="input_54_1"><span>Week 2</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_15">
        <div class="form-label-left" id="label_15">
          <label for="input_15"> Child 2 </label>
          <label class="label-message" for="input_15">  </label>
        </div>
        <div id="cid_15" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q15_child2[first]" id="first_15" />
            <label class="form-sub-label" for="first_15" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q15_child2[middle]" id="middle_15" />
            <label class="form-sub-label" for="middle_15" id="sublabel_middle"> Middle Name </label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q15_child2[last]" id="last_15" />
            <label class="form-sub-label" for="last_15" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_28">
        <div class="form-label-left" id="label_28">
          <label for="input_28"> Birth Date </label>
          <label class="label-message" for="input_28">  </label>
        </div>
        <div id="cid_28" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><select class="form-dropdown" name="q28_birthDate28[month]" id="input_28_month">
                <option>  </option>
                <option value="1"> 1 - January </option>
                <option value="2"> 2 - February </option>
                <option value="3"> 3 - March </option>
                <option value="4"> 4 - April </option>
                <option value="5"> 5 - May </option>
                <option value="6"> 6 - June </option>
                <option value="7"> 7 - July </option>
                <option value="8"> 8 - August </option>
                <option value="9"> 9 - September </option>
                <option value="10"> 10 - October </option>
                <option value="11"> 11 - November </option>
                <option value="12"> 12 - December </option>
              </select>
              <label class="form-sub-label" for="input_28_month" id="sublabel_month"> Month </label></span><span class="form-sub-label-container"><select class="form-dropdown" name="q28_birthDate28[day]" id="input_28_day">
                <option>  </option>
                <option value="1"> 1 </option>
                <option value="2"> 2 </option>
                <option value="3"> 3 </option>
                <option value="4"> 4 </option>
                <option value="5"> 5 </option>
                <option value="6"> 6 </option>
                <option value="7"> 7 </option>
                <option value="8"> 8 </option>
                <option value="9"> 9 </option>
                <option value="10"> 10 </option>
                <option value="11"> 11 </option>
                <option value="12"> 12 </option>
                <option value="13"> 13 </option>
                <option value="14"> 14 </option>
                <option value="15"> 15 </option>
                <option value="16"> 16 </option>
                <option value="17"> 17 </option>
                <option value="18"> 18 </option>
                <option value="19"> 19 </option>
                <option value="20"> 20 </option>
                <option value="21"> 21 </option>
                <option value="22"> 22 </option>
                <option value="23"> 23 </option>
                <option value="24"> 24 </option>
                <option value="25"> 25 </option>
                <option value="26"> 26 </option>
                <option value="27"> 27 </option>
                <option value="28"> 28 </option>
                <option value="29"> 29 </option>
                <option value="30"> 30 </option>
                <option value="31"> 31 </option>
              </select>
              <label class="form-sub-label" for="input_28_day" id="sublabel_day"> Day </label></span><span class="form-sub-label-container"><select class="form-dropdown" name="q28_birthDate28[year]" id="input_28_year">
                <option>  </option>
                <option value="2017"> 2017 </option>
                <option value="2016"> 2016 </option>
                <option value="2015"> 2015 </option>
                <option value="2014"> 2014 </option>
                <option value="2013"> 2013 </option>
                <option value="2012"> 2012 </option>
                <option value="2011"> 2011 </option>
                <option value="2010"> 2010 </option>
                <option value="2009"> 2009 </option>
                <option value="2008"> 2008 </option>
                <option value="2007"> 2007 </option>
                <option value="2006"> 2006 </option>
                <option value="2005"> 2005 </option>
                <option value="2004"> 2004 </option>
                <option value="2003"> 2003 </option>
                <option value="2002"> 2002 </option>
                <option value="2001"> 2001 </option>
                <option value="2000"> 2000 </option>
                <option value="1999"> 1999 </option>
                <option value="1998"> 1998 </option>
                <option value="1997"> 1997 </option>
                <option value="1996"> 1996 </option>
                <option value="1995"> 1995 </option>
                <option value="1994"> 1994 </option>
                <option value="1993"> 1993 </option>
                <option value="1992"> 1992 </option>
                <option value="1991"> 1991 </option>
                <option value="1990"> 1990 </option>
                <option value="1989"> 1989 </option>
                <option value="1988"> 1988 </option>
                <option value="1987"> 1987 </option>
                <option value="1986"> 1986 </option>
                <option value="1985"> 1985 </option>
                <option value="1984"> 1984 </option>
                <option value="1983"> 1983 </option>
                <option value="1982"> 1982 </option>
                <option value="1981"> 1981 </option>
                <option value="1980"> 1980 </option>
                <option value="1979"> 1979 </option>
                <option value="1978"> 1978 </option>
                <option value="1977"> 1977 </option>
                <option value="1976"> 1976 </option>
                <option value="1975"> 1975 </option>
                <option value="1974"> 1974 </option>
                <option value="1973"> 1973 </option>
                <option value="1972"> 1972 </option>
                <option value="1971"> 1971 </option>
                <option value="1970"> 1970 </option>
                <option value="1969"> 1969 </option>
                <option value="1968"> 1968 </option>
                <option value="1967"> 1967 </option>
                <option value="1966"> 1966 </option>
                <option value="1965"> 1965 </option>
                <option value="1964"> 1964 </option>
                <option value="1963"> 1963 </option>
                <option value="1962"> 1962 </option>
                <option value="1961"> 1961 </option>
                <option value="1960"> 1960 </option>
                <option value="1959"> 1959 </option>
                <option value="1958"> 1958 </option>
                <option value="1957"> 1957 </option>
                <option value="1956"> 1956 </option>
                <option value="1955"> 1955 </option>
                <option value="1954"> 1954 </option>
                <option value="1953"> 1953 </option>
                <option value="1952"> 1952 </option>
                <option value="1951"> 1951 </option>
                <option value="1950"> 1950 </option>
                <option value="1949"> 1949 </option>
                <option value="1948"> 1948 </option>
                <option value="1947"> 1947 </option>
                <option value="1946"> 1946 </option>
                <option value="1945"> 1945 </option>
                <option value="1944"> 1944 </option>
                <option value="1943"> 1943 </option>
                <option value="1942"> 1942 </option>
                <option value="1941"> 1941 </option>
                <option value="1940"> 1940 </option>
                <option value="1939"> 1939 </option>
                <option value="1938"> 1938 </option>
                <option value="1937"> 1937 </option>
                <option value="1936"> 1936 </option>
                <option value="1935"> 1935 </option>
                <option value="1934"> 1934 </option>
                <option value="1933"> 1933 </option>
                <option value="1932"> 1932 </option>
                <option value="1931"> 1931 </option>
                <option value="1930"> 1930 </option>
                <option value="1929"> 1929 </option>
                <option value="1928"> 1928 </option>
                <option value="1927"> 1927 </option>
                <option value="1926"> 1926 </option>
                <option value="1925"> 1925 </option>
                <option value="1924"> 1924 </option>
                <option value="1923"> 1923 </option>
                <option value="1922"> 1922 </option>
                <option value="1921"> 1921 </option>
                <option value="1920"> 1920 </option>
              </select>
              <label class="form-sub-label" for="input_28_year" id="sublabel_year"> Year </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_20">
        <div class="form-label-left" id="label_20">
          <label for="input_20"> Gender </label>
          <label class="label-message" for="input_20">  </label>
        </div>
        <div id="cid_20" class="form-input">
          <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_20_0" name="q20_gender20" value="Male" />
              <label id="label_input_20_0" for="input_20_0"><span>Male</span>
              </label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_20_1" name="q20_gender20" value="Female" />
              <label id="label_input_20_1" for="input_20_1"><span>Female</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_61">
        <div class="form-label-left" id="label_61">
          <label for="input_61"> Sessions ($250 per session) </label>
          <label class="label-message" for="input_61">  </label>
        </div>
        <div id="cid_61" class="form-input">
          <div class="form-multiple-column"><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox" id="input_61_0" name="q61_sessions61[]" value="Week 1" />
              <label id="label_input_61_0" for="input_61_0"><span>Week 1</span>
              </label></span><span class="clearfix"></span><span class="form-checkbox-item"><input type="checkbox" class="form-checkbox" id="input_61_1" name="q61_sessions61[]" value="Week 2" />
              <label id="label_input_61_1" for="input_61_1"><span>Week 2</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_60">
        <div id="cid_60" class="form-input-wide">
          <div id="text_60" class="form-html">
            <p>
              If you have additional children please re-submit this form.
            </p>
          </div>
        </div>
      </li>
      <li id="cid_25" class="form-input-wide">
        <div class="form-header-group">
          <h2 id="header_25" class="form-header">
            2. Parent information
          </h2>
        </div>
      </li>
      <li class="form-line" id="id_26">
        <div class="form-label-left" id="label_26">
          <label for="input_26">
            Phone Number<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_26">  </label>
        </div>
        <div id="cid_26" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q26_phoneNumber26[area]" id="input_26_area" size="3" />
              <label class="form-sub-label" for="input_26_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q26_phoneNumber26[phone]" id="input_26_phone" size="8" />
              <label class="form-sub-label" for="input_26_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_24">
        <div class="form-label-left" id="label_24">
          <label for="input_24">
            Address<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_24">  </label>
        </div>
        <div id="cid_24" class="form-input">
          <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0">
            <tbody><tr>
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q24_address24[addr_line1]" id="input_24_addr_line1" size="46" />
                  <label class="form-sub-label" for="input_24_addr_line1" id="sublabel_24_addr_line1"> Street Address </label></span>
              </td>
            </tr>
            <tr>
              <td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q24_address24[addr_line2]" id="input_24_addr_line2" size="46" />
                  <label class="form-sub-label" for="input_24_addr_line2" id="sublabel_24_addr_line2"> Street Address Line 2 </label></span>
              </td>
            </tr>
            <tr>
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q24_address24[city]" id="input_24_city" size="21" />
                  <label class="form-sub-label" for="input_24_city" id="sublabel_24_city"> City </label></span>
              </td>
              <td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q24_address24[state]" id="input_24_state" size="22" />
                  <label class="form-sub-label" for="input_24_state" id="sublabel_24_state"> State / Province </label></span>
              </td>
            </tr>
            <tr>
              <td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q24_address24[postal]" id="input_24_postal" size="10" />
                  <label class="form-sub-label" for="input_24_postal" id="sublabel_24_postal"> Postal / Zip Code </label></span>
              </td>
              <td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q24_address24[country]" id="input_24_country">
                    <option value="" selected="selected"> Please Select </option>
                    <option value="United States"> United States </option>
                    <option value="Afghanistan"> Afghanistan </option>
                    <option value="Albania"> Albania </option>
                    <option value="Algeria"> Algeria </option>
                    <option value="American Samoa"> American Samoa </option>
                    <option value="Andorra"> Andorra </option>
                    <option value="Angola"> Angola </option>
                    <option value="Anguilla"> Anguilla </option>
                    <option value="Antigua and Barbuda"> Antigua and Barbuda </option>
                    <option value="Argentina"> Argentina </option>
                    <option value="Armenia"> Armenia </option>
                    <option value="Aruba"> Aruba </option>
                    <option value="Australia"> Australia </option>
                    <option value="Austria"> Austria </option>
                    <option value="Azerbaijan"> Azerbaijan </option>
                    <option value="The Bahamas"> The Bahamas </option>
                    <option value="Bahrain"> Bahrain </option>
                    <option value="Bangladesh"> Bangladesh </option>
                    <option value="Barbados"> Barbados </option>
                    <option value="Belarus"> Belarus </option>
                    <option value="Belgium"> Belgium </option>
                    <option value="Belize"> Belize </option>
                    <option value="Benin"> Benin </option>
                    <option value="Bermuda"> Bermuda </option>
                    <option value="Bhutan"> Bhutan </option>
                    <option value="Bolivia"> Bolivia </option>
                    <option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
                    <option value="Botswana"> Botswana </option>
                    <option value="Brazil"> Brazil </option>
                    <option value="Brunei"> Brunei </option>
                    <option value="Bulgaria"> Bulgaria </option>
                    <option value="Burkina Faso"> Burkina Faso </option>
                    <option value="Burundi"> Burundi </option>
                    <option value="Cambodia"> Cambodia </option>
                    <option value="Cameroon"> Cameroon </option>
                    <option value="Canada"> Canada </option>
                    <option value="Cape Verde"> Cape Verde </option>
                    <option value="Cayman Islands"> Cayman Islands </option>
                    <option value="Central African Republic"> Central African Republic </option>
                    <option value="Chad"> Chad </option>
                    <option value="Chile"> Chile </option>
                    <option value="People's Republic of China"> People's Republic of China </option>
                    <option value="Republic of China"> Republic of China </option>
                    <option value="Christmas Island"> Christmas Island </option>
                    <option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
                    <option value="Colombia"> Colombia </option>
                    <option value="Comoros"> Comoros </option>
                    <option value="Congo"> Congo </option>
                    <option value="Cook Islands"> Cook Islands </option>
                    <option value="Costa Rica"> Costa Rica </option>
                    <option value="Cote d'Ivoire"> Cote d'Ivoire </option>
                    <option value="Croatia"> Croatia </option>
                    <option value="Cuba"> Cuba </option>
                    <option value="Cyprus"> Cyprus </option>
                    <option value="Czech Republic"> Czech Republic </option>
                    <option value="Denmark"> Denmark </option>
                    <option value="Djibouti"> Djibouti </option>
                    <option value="Dominica"> Dominica </option>
                    <option value="Dominican Republic"> Dominican Republic </option>
                    <option value="Ecuador"> Ecuador </option>
                    <option value="Egypt"> Egypt </option>
                    <option value="El Salvador"> El Salvador </option>
                    <option value="Equatorial Guinea"> Equatorial Guinea </option>
                    <option value="Eritrea"> Eritrea </option>
                    <option value="Estonia"> Estonia </option>
                    <option value="Ethiopia"> Ethiopia </option>
                    <option value="Falkland Islands"> Falkland Islands </option>
                    <option value="Faroe Islands"> Faroe Islands </option>
                    <option value="Fiji"> Fiji </option>
                    <option value="Finland"> Finland </option>
                    <option value="France"> France </option>
                    <option value="French Polynesia"> French Polynesia </option>
                    <option value="Gabon"> Gabon </option>
                    <option value="The Gambia"> The Gambia </option>
                    <option value="Georgia"> Georgia </option>
                    <option value="Germany"> Germany </option>
                    <option value="Ghana"> Ghana </option>
                    <option value="Gibraltar"> Gibraltar </option>
                    <option value="Greece"> Greece </option>
                    <option value="Greenland"> Greenland </option>
                    <option value="Grenada"> Grenada </option>
                    <option value="Guadeloupe"> Guadeloupe </option>
                    <option value="Guam"> Guam </option>
                    <option value="Guatemala"> Guatemala </option>
                    <option value="Guernsey"> Guernsey </option>
                    <option value="Guinea"> Guinea </option>
                    <option value="Guinea-Bissau"> Guinea-Bissau </option>
                    <option value="Guyana"> Guyana </option>
                    <option value="Haiti"> Haiti </option>
                    <option value="Honduras"> Honduras </option>
                    <option value="Hong Kong"> Hong Kong </option>
                    <option value="Hungary"> Hungary </option>
                    <option value="Iceland"> Iceland </option>
                    <option value="India"> India </option>
                    <option value="Indonesia"> Indonesia </option>
                    <option value="Iran"> Iran </option>
                    <option value="Iraq"> Iraq </option>
                    <option value="Ireland"> Ireland </option>
                    <option value="Israel"> Israel </option>
                    <option value="Italy"> Italy </option>
                    <option value="Jamaica"> Jamaica </option>
                    <option value="Japan"> Japan </option>
                    <option value="Jersey"> Jersey </option>
                    <option value="Jordan"> Jordan </option>
                    <option value="Kazakhstan"> Kazakhstan </option>
                    <option value="Kenya"> Kenya </option>
                    <option value="Kiribati"> Kiribati </option>
                    <option value="North Korea"> North Korea </option>
                    <option value="South Korea"> South Korea </option>
                    <option value="Kosovo"> Kosovo </option>
                    <option value="Kuwait"> Kuwait </option>
                    <option value="Kyrgyzstan"> Kyrgyzstan </option>
                    <option value="Laos"> Laos </option>
                    <option value="Latvia"> Latvia </option>
                    <option value="Lebanon"> Lebanon </option>
                    <option value="Lesotho"> Lesotho </option>
                    <option value="Liberia"> Liberia </option>
                    <option value="Libya"> Libya </option>
                    <option value="Liechtenstein"> Liechtenstein </option>
                    <option value="Lithuania"> Lithuania </option>
                    <option value="Luxembourg"> Luxembourg </option>
                    <option value="Macau"> Macau </option>
                    <option value="Macedonia"> Macedonia </option>
                    <option value="Madagascar"> Madagascar </option>
                    <option value="Malawi"> Malawi </option>
                    <option value="Malaysia"> Malaysia </option>
                    <option value="Maldives"> Maldives </option>
                    <option value="Mali"> Mali </option>
                    <option value="Malta"> Malta </option>
                    <option value="Marshall Islands"> Marshall Islands </option>
                    <option value="Martinique"> Martinique </option>
                    <option value="Mauritania"> Mauritania </option>
                    <option value="Mauritius"> Mauritius </option>
                    <option value="Mayotte"> Mayotte </option>
                    <option value="Mexico"> Mexico </option>
                    <option value="Micronesia"> Micronesia </option>
                    <option value="Moldova"> Moldova </option>
                    <option value="Monaco"> Monaco </option>
                    <option value="Mongolia"> Mongolia </option>
                    <option value="Montenegro"> Montenegro </option>
                    <option value="Montserrat"> Montserrat </option>
                    <option value="Morocco"> Morocco </option>
                    <option value="Mozambique"> Mozambique </option>
                    <option value="Myanmar"> Myanmar </option>
                    <option value="Nagorno-Karabakh"> Nagorno-Karabakh </option>
                    <option value="Namibia"> Namibia </option>
                    <option value="Nauru"> Nauru </option>
                    <option value="Nepal"> Nepal </option>
                    <option value="Netherlands"> Netherlands </option>
                    <option value="Netherlands Antilles"> Netherlands Antilles </option>
                    <option value="New Caledonia"> New Caledonia </option>
                    <option value="New Zealand"> New Zealand </option>
                    <option value="Nicaragua"> Nicaragua </option>
                    <option value="Niger"> Niger </option>
                    <option value="Nigeria"> Nigeria </option>
                    <option value="Niue"> Niue </option>
                    <option value="Norfolk Island"> Norfolk Island </option>
                    <option value="Turkish Republic of Northern Cyprus"> Turkish Republic of Northern Cyprus </option>
                    <option value="Northern Mariana"> Northern Mariana </option>
                    <option value="Norway"> Norway </option>
                    <option value="Oman"> Oman </option>
                    <option value="Pakistan"> Pakistan </option>
                    <option value="Palau"> Palau </option>
                    <option value="Panama"> Panama </option>
                    <option value="Papua New Guinea"> Papua New Guinea </option>
                    <option value="Paraguay"> Paraguay </option>
                    <option value="Peru"> Peru </option>
                    <option value="Philippines"> Philippines </option>
                    <option value="Pitcairn Islands"> Pitcairn Islands </option>
                    <option value="Poland"> Poland </option>
                    <option value="Portugal"> Portugal </option>
                    <option value="Puerto Rico"> Puerto Rico </option>
                    <option value="Qatar"> Qatar </option>
                    <option value="Romania"> Romania </option>
                    <option value="Russia"> Russia </option>
                    <option value="Rwanda"> Rwanda </option>
                    <option value="Saint Barthelemy"> Saint Barthelemy </option>
                    <option value="Saint Helena"> Saint Helena </option>
                    <option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
                    <option value="Saint Lucia"> Saint Lucia </option>
                    <option value="Saint Martin"> Saint Martin </option>
                    <option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
                    <option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
                    <option value="Samoa"> Samoa </option>
                    <option value="San Marino"> San Marino </option>
                    <option value="Sao Tome and Principe"> Sao Tome and Principe </option>
                    <option value="Saudi Arabia"> Saudi Arabia </option>
                    <option value="Senegal"> Senegal </option>
                    <option value="Serbia"> Serbia </option>
                    <option value="Seychelles"> Seychelles </option>
                    <option value="Sierra Leone"> Sierra Leone </option>
                    <option value="Singapore"> Singapore </option>
                    <option value="Slovakia"> Slovakia </option>
                    <option value="Slovenia"> Slovenia </option>
                    <option value="Solomon Islands"> Solomon Islands </option>
                    <option value="Somalia"> Somalia </option>
                    <option value="Somaliland"> Somaliland </option>
                    <option value="South Africa"> South Africa </option>
                    <option value="South Ossetia"> South Ossetia </option>
                    <option value="Spain"> Spain </option>
                    <option value="Sri Lanka"> Sri Lanka </option>
                    <option value="Sudan"> Sudan </option>
                    <option value="Suriname"> Suriname </option>
                    <option value="Svalbard"> Svalbard </option>
                    <option value="Swaziland"> Swaziland </option>
                    <option value="Sweden"> Sweden </option>
                    <option value="Switzerland"> Switzerland </option>
                    <option value="Syria"> Syria </option>
                    <option value="Taiwan"> Taiwan </option>
                    <option value="Tajikistan"> Tajikistan </option>
                    <option value="Tanzania"> Tanzania </option>
                    <option value="Thailand"> Thailand </option>
                    <option value="Timor-Leste"> Timor-Leste </option>
                    <option value="Togo"> Togo </option>
                    <option value="Tokelau"> Tokelau </option>
                    <option value="Tonga"> Tonga </option>
                    <option value="Transnistria Pridnestrovie"> Transnistria Pridnestrovie </option>
                    <option value="Trinidad and Tobago"> Trinidad and Tobago </option>
                    <option value="Tristan da Cunha"> Tristan da Cunha </option>
                    <option value="Tunisia"> Tunisia </option>
                    <option value="Turkey"> Turkey </option>
                    <option value="Turkmenistan"> Turkmenistan </option>
                    <option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
                    <option value="Tuvalu"> Tuvalu </option>
                    <option value="Uganda"> Uganda </option>
                    <option value="Ukraine"> Ukraine </option>
                    <option value="United Arab Emirates"> United Arab Emirates </option>
                    <option value="United Kingdom"> United Kingdom </option>
                    <option value="Uruguay"> Uruguay </option>
                    <option value="Uzbekistan"> Uzbekistan </option>
                    <option value="Vanuatu"> Vanuatu </option>
                    <option value="Vatican City"> Vatican City </option>
                    <option value="Venezuela"> Venezuela </option>
                    <option value="Vietnam"> Vietnam </option>
                    <option value="British Virgin Islands"> British Virgin Islands </option>
                    <option value="US Virgin Islands"> US Virgin Islands </option>
                    <option value="Wallis and Futuna"> Wallis and Futuna </option>
                    <option value="Western Sahara"> Western Sahara </option>
                    <option value="Yemen"> Yemen </option>
                    <option value="Zambia"> Zambia </option>
                    <option value="Zimbabwe"> Zimbabwe </option>
                    <option value="other"> Other </option>
                  </select>
                  <label class="form-sub-label" for="input_24_country" id="sublabel_24_country"> Country </label></span>
              </td>
            </tr>
          </tbody></table>
        </div>
      </li>
      <li class="form-line" id="id_23">
        <div class="form-label-left" id="label_23">
          <label for="input_23"> Mother's info </label>
          <label class="label-message" for="input_23">  </label>
        </div>
        <div id="cid_23" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q23_mothersInfo[first]" id="first_23" />
            <label class="form-sub-label" for="first_23" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q23_mothersInfo[last]" id="last_23" />
            <label class="form-sub-label" for="last_23" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_33">
        <div class="form-label-left" id="label_33">
          <label for="input_33"> Work Phone </label>
          <label class="label-message" for="input_33">  </label>
        </div>
        <div id="cid_33" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q33_workPhone[area]" id="input_33_area" size="3" />
              <label class="form-sub-label" for="input_33_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q33_workPhone[phone]" id="input_33_phone" size="8" />
              <label class="form-sub-label" for="input_33_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_4">
        <div class="form-label-left" id="label_4">
          <label for="input_4"> E-mail </label>
          <label class="label-message" for="input_4"> Primary email </label>
        </div>
        <div id="cid_4" class="form-input">
          <input type="email" class=" form-textbox validate[Email]" id="input_4" name="q4_email4" size="30" value="" />
        </div>
      </li>
      <li class="form-line" id="id_36">
        <div class="form-label-left" id="label_36">
          <label for="input_36"> Cell Phone </label>
          <label class="label-message" for="input_36">  </label>
        </div>
        <div id="cid_36" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q36_cellPhone36[area]" id="input_36_area" size="3" />
              <label class="form-sub-label" for="input_36_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q36_cellPhone36[phone]" id="input_36_phone" size="8" />
              <label class="form-sub-label" for="input_36_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_32">
        <div class="form-label-left" id="label_32">
          <label for="input_32"> Father's info </label>
          <label class="label-message" for="input_32">  </label>
        </div>
        <div id="cid_32" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q32_fathersInfo[first]" id="first_32" />
            <label class="form-sub-label" for="first_32" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q32_fathersInfo[last]" id="last_32" />
            <label class="form-sub-label" for="last_32" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_34">
        <div class="form-label-left" id="label_34">
          <label for="input_34"> Work Phone </label>
          <label class="label-message" for="input_34">  </label>
        </div>
        <div id="cid_34" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q34_workPhone34[area]" id="input_34_area" size="3" />
              <label class="form-sub-label" for="input_34_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q34_workPhone34[phone]" id="input_34_phone" size="8" />
              <label class="form-sub-label" for="input_34_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_35">
        <div class="form-label-left" id="label_35">
          <label for="input_35"> E-mail </label>
          <label class="label-message" for="input_35">  </label>
        </div>
        <div id="cid_35" class="form-input">
          <input type="email" class=" form-textbox validate[Email]" id="input_35" name="q35_email35" size="30" value="" />
        </div>
      </li>
      <li class="form-line" id="id_31">
        <div class="form-label-left" id="label_31">
          <label for="input_31"> Cell Phone </label>
          <label class="label-message" for="input_31">  </label>
        </div>
        <div id="cid_31" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q31_cellPhone[area]" id="input_31_area" size="3" />
              <label class="form-sub-label" for="input_31_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q31_cellPhone[phone]" id="input_31_phone" size="8" />
              <label class="form-sub-label" for="input_31_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_45">
        <div class="form-label-left" id="label_45">
          <label for="input_45"> How did you hear of us? </label>
          <label class="label-message" for="input_45">  </label>
        </div>
        <div id="cid_45" class="form-input">
          <select class="form-dropdown" style="width:150px" id="input_45" name="q45_howDid">
            <option value="">  </option>
            <option value="Mailer"> Mailer </option>
            <option value="Email"> Email </option>
            <option value="Facebook"> Facebook </option>
            <option value="Newspaper Ad"> Newspaper Ad </option>
            <option value="Internet Search"> Internet Search </option>
            <option value="Attended Previously"> Attended Previously </option>
            <option value="Other"> Other </option>
          </select>
        </div>
      </li>
      <li id="cid_37" class="form-input-wide">
        <div class="form-header-group">
          <h2 id="header_37" class="form-header">
            3. Emergency Information
          </h2>
        </div>
      </li>
      <li class="form-line" id="id_38">
        <div class="form-label-left" id="label_38">
          <label for="input_38">
            Emergency Contact<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_38">  </label>
        </div>
        <div id="cid_38" class="form-input"><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q38_emergencyContact[first]" id="first_38" />
            <label class="form-sub-label" for="first_38" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q38_emergencyContact[last]" id="last_38" />
            <label class="form-sub-label" for="last_38" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_39">
        <div class="form-label-left" id="label_39">
          <label for="input_39">
            Phone Number<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_39">  </label>
        </div>
        <div id="cid_39" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q39_phoneNumber39[area]" id="input_39_area" size="3" />
              <label class="form-sub-label" for="input_39_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q39_phoneNumber39[phone]" id="input_39_phone" size="8" />
              <label class="form-sub-label" for="input_39_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_40">
        <div class="form-label-left" id="label_40">
          <label for="input_40">
            Relationship<span class="form-required">*</span>
          </label>
          <label class="label-message" for="input_40">  </label>
        </div>
        <div id="cid_40" class="form-input">
          <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_40" name="q40_relationship" size="20" value="" />
        </div>
      </li>
      <li class="form-line" id="id_41">
        <div class="form-label-left" id="label_41">
          <label for="input_41"> Pediatrician &amp; Insurance </label>
          <label class="label-message" for="input_41">  </label>
        </div>
        <div id="cid_41" class="form-input"><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q41_pediatricianamp[first]" id="first_41" />
            <label class="form-sub-label" for="first_41" id="sublabel_first"> First Name </label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q41_pediatricianamp[last]" id="last_41" />
            <label class="form-sub-label" for="last_41" id="sublabel_last"> Last Name </label></span>
        </div>
      </li>
      <li class="form-line" id="id_42">
        <div class="form-label-left" id="label_42">
          <label for="input_42"> Phone Number </label>
          <label class="label-message" for="input_42">  </label>
        </div>
        <div id="cid_42" class="form-input">
          <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q42_phoneNumber42[area]" id="input_42_area" size="3" />
              <label class="form-sub-label" for="input_42_area" id="sublabel_area"> Area Code </label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q42_phoneNumber42[phone]" id="input_42_phone" size="8" />
              <label class="form-sub-label" for="input_42_phone" id="sublabel_phone"> Phone Number </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_43">
        <div class="form-label-left" id="label_43">
          <label for="input_43"> Insurance </label>
          <label class="label-message" for="input_43">  </label>
        </div>
        <div id="cid_43" class="form-input">
          <input type="text" class=" form-textbox" data-type="input-textbox" id="input_43" name="q43_insurance" size="20" value="" />
        </div>
      </li>
      <li class="form-line" id="id_44">
        <div class="form-label-left" id="label_44">
          <label for="input_44"> Policy # </label>
          <label class="label-message" for="input_44">  </label>
        </div>
        <div id="cid_44" class="form-input">
          <input type="text" class=" form-textbox" data-type="input-textbox" id="input_44" name="q44_Policy" size="20" value="" />
        </div>
      </li>
      <li id="cid_52" class="form-input-wide">
        <div class="form-header-group">
          <h2 id="header_52" class="form-header">
            4. Payment Information
          </h2>
        </div>
      </li>
      <li class="form-line always-hidden" id="id_57">
        <div class="form-label-left" id="label_57">
          <label for="input_57"> Non-refundable registration fee </label>
          <label class="label-message" for="input_57">  </label>
        </div>
        <div id="cid_57" class="form-input">
          <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_57_0" name="q57_nonrefundableRegistration[]" checked="checked" value="$50" />
              <label id="label_input_57_0" for="input_57_0"><span>$50</span>
              </label></span><span class="clearfix"></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_58">
        <div id="cid_58" class="form-input-wide">
          <div id="text_58" class="form-html">
            <p><span style="font-family: Arial; font-size: 13px; color: rgb(15, 79, 127);">A $50 non-refundable registration fee applies as part of this registration.</span>
            </p>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_56">
        <div class="form-label-left" id="label_56">
          <label for="input_56"> Total </label>
        </div>
        <div id="cid_56" class="form-input">
          <div id="total_amount">
            $50.00
          </div>
          <br />
          <div class="clearfix" id="payformWrapper">
            I would like to pay today:<span class="form-radio-item"><label>
                <input type="radio" class="form-radio validate[partialPayment]" value="full" name="partial" checked="checked" id="input_partial_1" />
                Full amount
              </label></span><span class="form-radio-item"><input type="radio" class="form-radio validate[partialPayment]" value="minimum" name="partial" id="input_partial_2" />
              <label for="input_partial_2"><span>20% minimum: $<span id="payformMin">0.00</span></span>
              </label></span><span class="form-radio-item"><label>
                <input type="radio" class="form-other form-radio validate[partialPayment]" value="custom" name="partial" id="other_partial" />
                $
                <input type="text" onclick="document.getElementById('other_partial').checked = true" class="form-radio-other-input validate[customPartial]" id="input_partial" name="partialamount" data-otherhint="Other" onkeypress="validateNumber(event)" />
              </label></span>
          </div>
        </div>
      </li>
      <li class="form-line" id="id_49">
        <div class="form-label-left" id="label_49">
          <label for="input_49"> Payment </label>
          <label class="label-message" for="input_49">  </label>
        </div>
        <div id="cid_49" class="form-input">
          <div id="form-error">
            This payform is disabled because this form is not set to be secure. Please make this a secure form to enable payment options.
          </div>
          <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0">
            <tbody><tr>
              <td colspan="2" class="form-payment-methods form-multiple-column">
              </td>
            </tr>
            <tr class="credit_card ">
              <th colspan="2">
                Credit Card
              </th>
            </tr>
            <tr class="credit_card ">
              <td colspan="2" style="padding:0">
                <table cellpadding="0" cellspacing="0">
                  <tbody><tr>
                    <td colspan="2"><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q49_payment49[cc_type]" id="input_49_cc_type">
                          <option value="Visa"> Visa </option>
                          <option value="Mastercard"> MasterCard </option>
                          <option value="Amex"> American Express </option>
                          <option value="Discover"> Discover </option>
                        </select>
                        <label class="form-sub-label" for="input_49_cc_type" id="sublabel_cc_type"> Credit Card Type </label></span>
                    </td>
                  </tr>
                  <tr>
                    <td><span class="form-sub-label-container"><input class="form-textbox form-creditcard validate[visible, creditcard]" type="text" name="q49_payment49[cc_number]" id="input_49_cc_number" size="20" autocomplete="off" />
                        <label class="form-sub-label" for="input_49_cc_number" id="sublabel_cc_number"> Credit Card Number </label></span>
                    </td>
                    <td class="cc_ccv hide"><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q49_payment49[cc_ccv]" id="input_49_cc_ccv" size="6" autocomplete="off" />
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