{"id":11388,"date":"2024-03-28T06:44:16","date_gmt":"2024-03-28T06:44:16","guid":{"rendered":"https:\/\/origonpages.com\/samspranew\/?page_id=11388"},"modified":"2024-03-29T12:35:04","modified_gmt":"2024-03-29T12:35:04","slug":"registration","status":"publish","type":"page","link":"https:\/\/origonpages.com\/samspranew\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11388\" class=\"elementor elementor-11388\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c25f87a e-flex e-con-boxed e-con e-parent\" data-id=\"c25f87a\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-375d73a elementor-widget elementor-widget-wpforms\" data-id=\"375d73a\" data-element_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-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\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-background-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\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\n\t\t\t\t}\n\t\t\t<\/style><style id=\"wpforms-css-vars-elementor-widget-375d73a\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-375d73a {\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-render-modern\" id=\"wpforms-11431\"><form id=\"wpforms-form-11431\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"11431\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/samspranew\/wp-json\/wp\/v2\/pages\/11388\"><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-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#066aab\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"6\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 6<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:16.666666666667%;background-color:#066aab\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-11431-field_19-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"19\"><\/div><div id=\"wpforms-11431-field_27-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"27\"><div id=\"wpforms-11431-field_27\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][27]\" aria-errormessage=\"wpforms-11431-field_27-error\"><p>Important:<br \/>\nAdd admit@samspra.org to your list of contacts so you do not miss pertinent communication from the school.&nbsp;<\/p>\n<p>School Year Aug 2023 - Aug 2024&nbsp;<br \/>\nFall Term: Aug 26 - Dec 23<br \/>\nSpring Term: Jan 3- Apr 30&nbsp;<br \/>\nSummer Term: May 1 - Aug 25<\/p>\n<p>Make your class choices in the form. There is a one-time annual non-refundable registration fee of $40.00 per student payable to Samspra Academy at the time of registration.&nbsp;<\/p>\n<p>Steps:&nbsp;<br \/>\n1. Complete the registration form with all your choices.<br \/>\n(Registration fee is one-time only for unlimited Weekly classes per school year)&nbsp;<\/p>\n<p>2. Add one time annual registration fee of $40.00\/ student to the class fee total.&nbsp;<\/p>\n<p>3. Pay via zelle to admit@samspra.org or mail a check to Samspra Academy 9912, Vikki Ter-78736<\/p>\n<p>Note: Registration fee applies to any number of enrichment classes or weekly programs the student takes at Samspra in a school year.&nbsp;<\/p>\n<p>You will receive a copy of this registration to your email. If you have not received a copy of this registration with the details you have provided, please email us at admit@samspra.org. We want to make sure you are all ready for your next class.<\/p>\n<p>Your class teacher(s) may contact you to provide additional class details, and to know your child's learning needs. Teachers may use the information you provide to allot your class level\/ times and customize instruction to suit your learning needs.<\/p>\n<p>Read and agree to Samspra school policies, guidelines, and waivers. If you have any questions, feel free to contact us. We are here to help.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-11431-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-11431-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" aria-errormessage=\"wpforms-11431-field_1-error\" required><label for=\"wpforms-11431-field_1\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-11431-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" aria-errormessage=\"wpforms-11431-field_1-last-error\" required><label for=\"wpforms-11431-field_1-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-11431-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_2\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-11431-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" aria-errormessage=\"wpforms-11431-field_2-error\" required><\/div><div id=\"wpforms-11431-field_11-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_11\">Phone <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-11431-field_11\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][11]\" aria-errormessage=\"wpforms-11431-field_11-error\" required><\/div><div id=\"wpforms-11431-field_12-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Join Samspra Whatsapp Communications<\/legend><ul id=\"wpforms-11431-field_12\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_12_1\" name=\"wpforms[fields][12][]\" value=\"Yes\" aria-errormessage=\"wpforms-11431-field_12_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_12_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_12_2\" name=\"wpforms[fields][12][]\" value=\"No\" aria-errormessage=\"wpforms-11431-field_12_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_12_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_14-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_14\">Whatsapp Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-11431-field_14\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][14]\" aria-errormessage=\"wpforms-11431-field_14-error\" required><\/div><div id=\"wpforms-11431-field_3-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">Address<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-11431-field_3\" class=\"wpforms-field-address-address1\" name=\"wpforms[fields][3][address1]\" aria-errormessage=\"wpforms-11431-field_3-error\" ><label for=\"wpforms-11431-field_3\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-11431-field_3-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][3][address2]\" aria-errormessage=\"wpforms-11431-field_3-address2-error\" ><label for=\"wpforms-11431-field_3-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-11431-field_3-city\" class=\"wpforms-field-address-city\" name=\"wpforms[fields][3][city]\" aria-errormessage=\"wpforms-11431-field_3-city-error\" ><label for=\"wpforms-11431-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-11431-field_3-state\" class=\"wpforms-field-address-state\" name=\"wpforms[fields][3][state]\" aria-errormessage=\"wpforms-11431-field_3-state-error\" ><label for=\"wpforms-11431-field_3-state\" class=\"wpforms-field-sublabel after \">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-11431-field_3-postal\" class=\"wpforms-field-address-postal\" name=\"wpforms[fields][3][postal]\" aria-errormessage=\"wpforms-11431-field_3-postal-error\" ><label for=\"wpforms-11431-field_3-postal\" class=\"wpforms-field-sublabel after \">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-11431-field_3-country\" class=\"wpforms-field-address-country\" name=\"wpforms[fields][3][country]\" placeholder=\"--- Select country ---\" aria-errormessage=\"wpforms-11431-field_3-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-11431-field_3-country\" class=\"wpforms-field-sublabel after \">Country<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-11431-field_15-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Date \/ Time<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-11431-field_15\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][15]2026\" aria-errormessage=\"wpforms-11431-field_15-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-11431-field_15\" class=\"wpforms-field-sublabel after \">Date<\/label><\/div><div class=\"wpforms-field-row-block\"><input type=\"text\" id=\"wpforms-11431-field_15-time\" class=\"wpforms-field-date-time-time wpforms-timepicker\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" name=\"wpforms[fields][15][time]\" aria-errormessage=\"wpforms-11431-field_15-time-error\" ><label for=\"wpforms-11431-field_15-time\" class=\"wpforms-field-sublabel after \">Time<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-11431-field_5-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Gender<\/legend><ul id=\"wpforms-11431-field_5\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_5_1\" name=\"wpforms[fields][5]\" value=\"Male\" aria-errormessage=\"wpforms-11431-field_5_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_5_1\">Male<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_5_2\" name=\"wpforms[fields][5]\" value=\"Female\" aria-errormessage=\"wpforms-11431-field_5_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_5_2\">Female<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_6-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">Date of Birth<\/legend><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][6]2026[m]\" id=\"wpforms-11431-field_6-month\" class=\"wpforms-field-date-time-date-month\" aria-label=\"Month\" ><option value=\"\" class=\"placeholder\" selected disabled>MM<\/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><\/select><select name=\"wpforms[fields][6]2026[d]\" id=\"wpforms-11431-field_6-day\" class=\"wpforms-field-date-time-date-day\" aria-label=\"Day\" ><option value=\"\" class=\"placeholder\" selected disabled>DD<\/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><select name=\"wpforms[fields][6]2026[y]\" id=\"wpforms-11431-field_6-year\" class=\"wpforms-field-date-time-date-year\" aria-label=\"Year\" ><option value=\"\" class=\"placeholder\" selected disabled>YYYY<\/option><option value=\"2027\" >2027<\/option><option value=\"2026\" >2026<\/option><option value=\"2025\" >2025<\/option><option value=\"2024\" >2024<\/option><option value=\"2023\" >2023<\/option><option value=\"2022\" >2022<\/option><option value=\"2021\" >2021<\/option><option value=\"2020\" >2020<\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/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><\/div><\/fieldset><\/div><div id=\"wpforms-11431-field_16-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">Home Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-11431-field_16\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][16][address1]\" aria-errormessage=\"wpforms-11431-field_16-error\" required><label for=\"wpforms-11431-field_16\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-11431-field_16-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][16][address2]\" aria-errormessage=\"wpforms-11431-field_16-address2-error\" ><label for=\"wpforms-11431-field_16-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-11431-field_16-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][16][city]\" aria-errormessage=\"wpforms-11431-field_16-city-error\" required><label for=\"wpforms-11431-field_16-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-11431-field_16-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][16][state]\" placeholder=\"--- Select state ---\" aria-errormessage=\"wpforms-11431-field_16-state-error\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select state ---<\/option><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\" >Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-11431-field_16-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-11431-field_16-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"(99999)|(99999-9999)\" data-inputmask-keepstatic=\"true\" data-rule-inputmask-incomplete=\"1\" name=\"wpforms[fields][16][postal]\" aria-errormessage=\"wpforms-11431-field_16-postal-error\" required><label for=\"wpforms-11431-field_16-postal\" class=\"wpforms-field-sublabel after \">Zip Code<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-11431-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_17\">Student 1 : Medical Information * <\/label><input type=\"text\" id=\"wpforms-11431-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" placeholder=\"Your Answer\" aria-errormessage=\"wpforms-11431-field_17-error\" aria-describedby=\"wpforms-11431-field_17-description\" ><div id=\"wpforms-11431-field_17-description\" class=\"wpforms-field-description\">Mention any allergies \/ medical conditions \/ other concerns \/ none<\/div><\/div><div id=\"wpforms-11431-field_18-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"18\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-11431-field_22-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"22\"><div id=\"wpforms-11431-field_22\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][22]\" aria-errormessage=\"wpforms-11431-field_22-error\"><div class=\"KkG9vf mBzBBe\">\n<div class=\"SajZGc RVEQke hN5qnf\">\n<h5 class=\"aG9Vid vVO4xd  M7eMe\">Student 1 : Classes Registration<\/h5>\n<\/div>\n<\/div>\n<div class=\"vfQisd Q8wTDd OIC90c\">Please select all the classes student 1 is registering for<\/div>\n<div class=\"vfQisd Q8wTDd OIC90c\">&nbsp;<\/div>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-11431-field_23-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"23\"><fieldset><legend class=\"wpforms-field-label\">Culture<\/legend><ul id=\"wpforms-11431-field_23\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_23_1\" name=\"wpforms[fields][23][]\" value=\"Hatha Yoga for Children, Beginners, Seniors\" aria-errormessage=\"wpforms-11431-field_23_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_23_1\">Hatha Yoga for Children, Beginners, Seniors<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_23_2\" name=\"wpforms[fields][23][]\" value=\"Daily Yoga for Children &amp; Adults\" aria-errormessage=\"wpforms-11431-field_23_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_23_2\">Daily Yoga for Children &amp; Adults<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_23_3\" name=\"wpforms[fields][23][]\" value=\"Shloka class\" aria-errormessage=\"wpforms-11431-field_23_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_23_3\">Shloka class<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_23_4\" name=\"wpforms[fields][23][]\" value=\"Sanatana Dharma\" aria-errormessage=\"wpforms-11431-field_23_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_23_4\">Sanatana Dharma<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_24-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"24\"><fieldset><legend class=\"wpforms-field-label\"> Indian Languages<\/legend><ul id=\"wpforms-11431-field_24\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_24_1\" name=\"wpforms[fields][24][]\" value=\"Hindi\" aria-errormessage=\"wpforms-11431-field_24_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_24_1\">Hindi<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_24_2\" name=\"wpforms[fields][24][]\" value=\"Tamil\" aria-errormessage=\"wpforms-11431-field_24_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_24_2\">Tamil<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_25-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"25\"><fieldset><legend class=\"wpforms-field-label\">Fine Arts: Music, Dance, Instruments<\/legend><ul id=\"wpforms-11431-field_25\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_1\" name=\"wpforms[fields][25]\" value=\"Bharathanatyam Dance\" aria-errormessage=\"wpforms-11431-field_25_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_1\">Bharathanatyam Dance<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_2\" name=\"wpforms[fields][25]\" value=\"Semi-Classical (Kathak, Kuchipudi, Garba etc)\" aria-errormessage=\"wpforms-11431-field_25_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_2\">Semi-Classical (Kathak, Kuchipudi, Garba etc)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_3\" name=\"wpforms[fields][25]\" value=\"Dance Movement\" aria-errormessage=\"wpforms-11431-field_25_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_3\">Dance Movement<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_4\" name=\"wpforms[fields][25]\" value=\"Mohiniattam \/ Thiruvathirakali Dance\" aria-errormessage=\"wpforms-11431-field_25_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_4\">Mohiniattam \/ Thiruvathirakali Dance<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_6\" name=\"wpforms[fields][25]\" value=\"Carnatic Vocal\" aria-errormessage=\"wpforms-11431-field_25_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_6\">Carnatic Vocal<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_5\" name=\"wpforms[fields][25]\" value=\"Hindustani Vocal: Classical\/ Devotional, Bollywood.Ghazals, Folk\" aria-errormessage=\"wpforms-11431-field_25_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_5\">Hindustani Vocal: Classical\/ Devotional, Bollywood.Ghazals, Folk<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_7\" name=\"wpforms[fields][25]\" value=\"Piano\" aria-errormessage=\"wpforms-11431-field_25_7-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_7\">Piano<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_8\" name=\"wpforms[fields][25]\" value=\"Carnatic Harmonium\/ Keyboard\" aria-errormessage=\"wpforms-11431-field_25_8-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_8\">Carnatic Harmonium\/ Keyboard<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_9\" name=\"wpforms[fields][25]\" value=\"Carnatic Violin\" aria-errormessage=\"wpforms-11431-field_25_9-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_9\">Carnatic Violin<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_10\" name=\"wpforms[fields][25]\" value=\"Mridangam\" aria-errormessage=\"wpforms-11431-field_25_10-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_10\">Mridangam<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_11\" name=\"wpforms[fields][25]\" value=\"Kanjira\" aria-errormessage=\"wpforms-11431-field_25_11-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_11\">Kanjira<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_12\" name=\"wpforms[fields][25]\" value=\"Flute\" aria-errormessage=\"wpforms-11431-field_25_12-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_12\">Flute<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"radio\" id=\"wpforms-11431-field_25_13\" name=\"wpforms[fields][25]\" value=\"Other:\" aria-errormessage=\"wpforms-11431-field_25_13-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_25_13\">Other:<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><fieldset><legend class=\"wpforms-field-label\">Academics and Technical skills<\/legend><ul id=\"wpforms-11431-field_28\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Creative Writing &amp; Public Speaking\" aria-errormessage=\"wpforms-11431-field_28_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_28_1\">Creative Writing &amp; Public Speaking<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_28_2\" name=\"wpforms[fields][28][]\" value=\"Reading and Writing Tutoring\" aria-errormessage=\"wpforms-11431-field_28_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_28_2\">Reading and Writing Tutoring<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_28_3\" name=\"wpforms[fields][28][]\" value=\"Math Enrichment\" aria-errormessage=\"wpforms-11431-field_28_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_28_3\">Math Enrichment<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_28_5\" name=\"wpforms[fields][28][]\" value=\"Science Tutoring\" aria-errormessage=\"wpforms-11431-field_28_5-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_28_5\">Science Tutoring<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_28_4\" name=\"wpforms[fields][28][]\" value=\"Handwriting Training\" aria-errormessage=\"wpforms-11431-field_28_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_28_4\">Handwriting Training<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_28_6\" name=\"wpforms[fields][28][]\" value=\"Hands on STEAM\" aria-errormessage=\"wpforms-11431-field_28_6-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_28_6\">Hands on STEAM<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_29-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"29\"><fieldset><legend class=\"wpforms-field-label\">Arts and Crafts<\/legend><ul id=\"wpforms-11431-field_29\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_29_1\" name=\"wpforms[fields][29][]\" value=\"Authentic Indian Cooking\" aria-errormessage=\"wpforms-11431-field_29_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_29_1\">Authentic Indian Cooking<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_29_2\" name=\"wpforms[fields][29][]\" value=\"Loom Knitting and Crochet\" aria-errormessage=\"wpforms-11431-field_29_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_29_2\">Loom Knitting and Crochet<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_30-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"30\"><fieldset><legend class=\"wpforms-field-label\">How would you like to learn <\/legend><ul id=\"wpforms-11431-field_30\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_30_1\" name=\"wpforms[fields][30][]\" value=\"In Person @ South Austin: 9912 Vikki Ter - 78736\" aria-errormessage=\"wpforms-11431-field_30_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_30_1\">In Person @ South Austin: 9912 Vikki Ter - 78736<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_30_2\" name=\"wpforms[fields][30][]\" value=\"In Person @ North Austin:  2905 Blue Ridge Dr - 78613\" aria-errormessage=\"wpforms-11431-field_30_2-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_30_2\">In Person @ North Austin:  2905 Blue Ridge Dr - 78613<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_30_3\" name=\"wpforms[fields][30][]\" value=\"Online\" aria-errormessage=\"wpforms-11431-field_30_3-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_30_3\">Online<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_30_4\" name=\"wpforms[fields][30][]\" value=\"Hybrid (At least 1 in-person\/ Month)\" aria-errormessage=\"wpforms-11431-field_30_4-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_30_4\">Hybrid (At least 1 in-person\/ Month)<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_31-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"31\"><fieldset><legend class=\"wpforms-field-label\">Do you have another student to register ?  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-11431-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_31_1\" name=\"wpforms[fields][31][]\" value=\"Yes\" aria-errormessage=\"wpforms-11431-field_31_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_31_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_31_2\" name=\"wpforms[fields][31][]\" value=\"No\" aria-errormessage=\"wpforms-11431-field_31_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_31_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_32-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"32\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"2\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"2\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" data-page=\"3\" style=\"display:none;\"><div id=\"wpforms-11431-field_33-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"33\"><div id=\"wpforms-11431-field_33\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][33]\" aria-errormessage=\"wpforms-11431-field_33-error\"><div class=\"KkG9vf mBzBBe\">\n<div class=\"SajZGc RVEQke hN5qnf\">\n<h4 class=\"aG9Vid vVO4xd  M7eMe\">Parent Information<\/h4>\n<\/div>\n<\/div>\n<div class=\"vfQisd Q8wTDd OIC90c\">Parent Information is required for students under 18 years age<\/div>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-11431-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_7\">Father&#039;s name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-11431-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-11431-field_7-error\" required><\/div><div id=\"wpforms-11431-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_34\">Mother&#039;s name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-11431-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" aria-errormessage=\"wpforms-11431-field_34-error\" required><\/div><div id=\"wpforms-11431-field_35-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"35\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_35\">Secondary Email<\/label><input type=\"email\" id=\"wpforms-11431-field_35\" class=\"wpforms-field-medium\" name=\"wpforms[fields][35]\" spellcheck=\"false\" aria-errormessage=\"wpforms-11431-field_35-error\" ><\/div><div id=\"wpforms-11431-field_36-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_36\">Secondary Phone number<\/label><input type=\"tel\" id=\"wpforms-11431-field_36\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][36]\" aria-errormessage=\"wpforms-11431-field_36-error\" ><\/div><div id=\"wpforms-11431-field_37-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"37\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"3\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"3\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" data-page=\"4\" style=\"display:none;\"><div id=\"wpforms-11431-field_38-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_38\">Contact name  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-11431-field_38\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][38]\" aria-errormessage=\"wpforms-11431-field_38-error\" required><\/div><div id=\"wpforms-11431-field_39-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"39\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_39\">Contact Phone number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-11431-field_39\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][39]\" aria-errormessage=\"wpforms-11431-field_39-error\" required><\/div><div id=\"wpforms-11431-field_40-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_40\">Relationship to Student<\/label><input type=\"text\" id=\"wpforms-11431-field_40\" class=\"wpforms-field-medium\" name=\"wpforms[fields][40]\" aria-errormessage=\"wpforms-11431-field_40-error\" ><\/div><div id=\"wpforms-11431-field_41-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"41\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"4\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"4\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5  \" data-page=\"5\" style=\"display:none;\"><div id=\"wpforms-11431-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_9\">GPA<\/label><input type=\"text\" id=\"wpforms-11431-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" aria-errormessage=\"wpforms-11431-field_9-error\" ><\/div><div id=\"wpforms-11431-field_21-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"21\"><div id=\"wpforms-11431-field_21\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-11431-field_21-error\"><div class=\"KkG9vf mBzBBe\">\n<div class=\"SajZGc RVEQke hN5qnf\">\n<h4 class=\"aG9Vid vVO4xd  M7eMe\">Fees and Payment<\/h4>\n<\/div>\n<\/div>\n<div class=\"vfQisd Q8wTDd OIC90c\">- One time annual non-refundable registration fee of $40 per student is payable to Samspra Academy at the time of registration. Your registration is not complete without the registration fee.<br \/>\n- Tuition is due on the 1st day of class payable to Samspra Academy. Late fee of $10 will be applied to payments made after 7th of the month.<br \/>\n- Zelle Payment&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;Name : Samspra Academy&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Email : <a href=\"mailto:admit@samspra.org\">admit@samspra.org<\/a><br \/>\n- Check Payable to 'Samspra Academy, 9912 Vikki Ter Austin, TX - 78736<br \/>\n- Both monthly and term payment options are available. Discount applies to term pay option.<br \/>\n- For all classes, One-time drop in or preview class fee - $15 \/class.<\/div>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-11431-field_42-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"42\"><fieldset><legend class=\"wpforms-field-label\">Choose your Payment Plan <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-11431-field_42\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_42_1\" name=\"wpforms[fields][42][]\" value=\"Term Payment\" aria-errormessage=\"wpforms-11431-field_42_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_42_1\">Term Payment<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_42_2\" name=\"wpforms[fields][42][]\" value=\"Monthly Payment\" aria-errormessage=\"wpforms-11431-field_42_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_42_2\">Monthly Payment<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_42_3\" name=\"wpforms[fields][42][]\" value=\"One-time Drop in payment\" aria-errormessage=\"wpforms-11431-field_42_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_42_3\">One-time Drop in payment<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_43-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"43\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"5\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"5\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-6 last \" data-page=\"6\" style=\"display:none;\"><div id=\"wpforms-11431-field_44-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"44\"><div id=\"wpforms-11431-field_44\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][44]\" aria-errormessage=\"wpforms-11431-field_44-error\"><div class=\"KkG9vf mBzBBe\">\n<div class=\"SajZGc RVEQke hN5qnf\">\n<h4 class=\"aG9Vid vVO4xd  M7eMe\">Acknowledgements<\/h4>\n<\/div>\n<\/div>\n<div class=\"vfQisd Q8wTDd OIC90c\">- Above information is correct to my knowledge. &nbsp;<br \/>\n- I authorize Samspra Academy to render services \/ seek medical help to the student in case of emergency. I understand that I am financially responsible for any expenses. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<br \/>\n&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<br \/>\n- I have read and understood Samspra Academy's Policies and Guidelines and I will abide to it. <a href=\"https:\/\/drive.google.com\/file\/d\/1utPW_dKJJvYDWLFlnHH4Lnbe4T0abi4o\/view?usp=sharing\">https:\/\/drive.google.com\/file\/d\/1utPW_dKJJvYDWLFlnHH4Lnbe4T0abi4o\/view?usp=sharing<\/a><\/p>\n<p>- I have read and agree to Samspra Academy's Accident Waiver and Release of Liability Form.<br \/>\n<a href=\"https:\/\/drive.google.com\/open?id=1t2QbAVsMt25ZBkLIyZcmU8s1iuW_ynd6\">https:\/\/drive.google.com\/open?id=1t2QbAVsMt25ZBkLIyZcmU8s1iuW_ynd6<\/a><\/div>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-11431-field_46-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"46\"><fieldset><legend class=\"wpforms-field-label\">Acknowledgements<\/legend><ul id=\"wpforms-11431-field_46\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-11431-field_46_1\" name=\"wpforms[fields][46][]\" value=\"I Agree\" aria-errormessage=\"wpforms-11431-field_46_1-error\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-11431-field_46_1\">I Agree<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-11431-field_50-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"50\"><label class=\"wpforms-field-label\" for=\"wpforms-11431-field_50\">Student \/ Parent \/ Guardian &#039;s Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-11431-field_50\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][50]\" aria-errormessage=\"wpforms-11431-field_50-error\" required><\/div><div id=\"wpforms-11431-field_52-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"52\"><div id=\"wpforms-11431-field_52\" class=\"wpforms-field-medium wpforms-field-row\" name=\"wpforms[fields][52]\" aria-errormessage=\"wpforms-11431-field_52-error\"><p>A copy of your responses will be emailed to the address you provided.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-11431-field_20-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"20\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev wpforms-disabled\"\n\t\t\t\t\tdata-action=\"prev\" data-page=\"6\" data-formid=\"11431\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Previous<\/button><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"11431\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><input type=\"hidden\" class=\"wpforms-token\" name=\"wpforms[token]\" value=\"8ca42d79a3c4f93ab7026243f10463ae\" \/><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-11431\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/origonpages.com\/samspranew\/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\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. &#8211; Step 1 of 6 Important: Add admit@samspra.org to your list of contacts so you do not miss pertinent communication from the school.&nbsp; School Year Aug 2023 &#8211; Aug 2024&nbsp; Fall Term: Aug 26 &#8211; Dec&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false,"footnotes":"","_tec_slr_enabled":"","_tec_slr_layout":""},"class_list":["post-11388","page","type-page","status-publish","hentry"],"ticketed":false,"_links":{"self":[{"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/pages\/11388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/comments?post=11388"}],"version-history":[{"count":19,"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/pages\/11388\/revisions"}],"predecessor-version":[{"id":11704,"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/pages\/11388\/revisions\/11704"}],"wp:attachment":[{"href":"https:\/\/origonpages.com\/samspranew\/wp-json\/wp\/v2\/media?parent=11388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}