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<form class="userform-form" action="" method="post" name="form_7040785" id="7040785" accept-charset="utf-8"><input type="hidden" name="formID" value="7040785" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Parent's Name<span class="form-required">*</span> </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q1_fullName[first]" id="first_1" autocomplete="given-name" />  <label class="form-sub-label" for="first_1" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q1_fullName[last]" id="last_1" autocomplete="family-name" />  <label class="form-sub-label" for="last_1" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Parent's Phone Number<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q3_phoneNumber[full]" id="input_3_full" autocomplete="tel" />  <label class="form-sub-label" for="input_3_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> How many children are you signing up?<span class="form-required">*</span> </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_13" name="q13_number13" style="width:60px" size="5" value="" data-type="input-number" autocomplete="nope" min="0" data-numbermin="0" max="3" data-numbermax="3" /> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> Child's Name<span class="form-required">*</span> </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q4_fullName4[first]" id="first_4" autocomplete="given-name" />  <label class="form-sub-label" for="first_4" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q4_fullName4[last]" id="last_4" autocomplete="family-name" />  <label class="form-sub-label" for="last_4" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> Child's Grade<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_5" name="q5_number" style="width:60px" size="5" value="" maxlength="8" data-type="input-number" autocomplete="nope" min="3" data-numbermin="3" max="5" data-numbermax="5" /> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> 1st Child's Name<span class="form-required">*</span> </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q16_fullName16[first]" id="first_16" autocomplete="given-name" />  <label class="form-sub-label" for="first_16" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q16_fullName16[last]" id="last_16" autocomplete="family-name" />  <label class="form-sub-label" for="last_16" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_19"><div class="form-label-left" id="label_19"><label for="input_19"> 1st Child's Grade<span class="form-required">*</span> </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_19" name="q19_number19" style="width:60px" size="5" value="" maxlength="8" data-type="input-number" autocomplete="nope" min="3" data-numbermin="3" max="5" data-numbermax="5" /> </div></li><li class="form-line" id="id_22"><div class="form-label-left" id="label_22"><label for="input_22"> 1st Child's School<span class="form-required">*</span> </label><label class="label-message" for="input_22"> </label></div><div id="cid_22" 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_22_0" name="q22_input22" value="Yeshiva Schools" /><label id="label_input_22_0" for="input_22_0"><span>Yeshiva Schools</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_22_1" name="q22_input22" value="Hillel Academy" /><label id="label_input_22_1" for="input_22_1"><span>Hillel Academy</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_22_2" name="q22_input22" value="Community Day School" /><label id="label_input_22_2" for="input_22_2"><span>Community Day School</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"> 2nd Child's Name<span class="form-required">*</span> </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 validate[required]" type="text" size="10" name="q15_fullName15[first]" id="first_15" autocomplete="given-name" />  <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 validate[required]" type="text" size="15" name="q15_fullName15[last]" id="last_15" autocomplete="family-name" />  <label class="form-sub-label" for="last_15" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> 2nd Child's Grade<span class="form-required">*</span> </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_17" name="q17_number17" style="width:60px" size="5" value="" maxlength="8" data-type="input-number" autocomplete="nope" min="3" data-numbermin="3" max="5" data-numbermax="5" /> </div></li><li class="form-line" id="id_23"><div class="form-label-left" id="label_23"><label for="input_23"> 2nd Child's School<span class="form-required">*</span> </label><label class="label-message" for="input_23"> </label></div><div id="cid_23" 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_23_0" name="q23_input23" value="Yeshiva Schools" /><label id="label_input_23_0" for="input_23_0"><span>Yeshiva Schools</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_23_1" name="q23_input23" value="Hillel Academy" /><label id="label_input_23_1" for="input_23_1"><span>Hillel Academy</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_23_2" name="q23_input23" value="Community Day School" /><label id="label_input_23_2" for="input_23_2"><span>Community Day School</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> 3rd Child's Name<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q14_fullName14[first]" id="first_14" autocomplete="given-name" />  <label class="form-sub-label" for="first_14" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q14_fullName14[last]" id="last_14" autocomplete="family-name" />  <label class="form-sub-label" for="last_14" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> 3rd Child's Grade<span class="form-required">*</span> </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <input type="number" class="form-number-input  form-textbox validate[required]" id="input_18" name="q18_number18" style="width:60px" size="5" value="" maxlength="8" data-type="input-number" autocomplete="nope" min="3" data-numbermin="3" max="5" data-numbermax="5" /> </div></li><li class="form-line" id="id_24"><div class="form-label-left" id="label_24"><label for="input_24"> 3rd Child's School<span class="form-required">*</span> </label><label class="label-message" for="input_24"> </label></div><div id="cid_24" 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_24_0" name="q24_input24" value="Yeshiva Schools" /><label id="label_input_24_0" for="input_24_0"><span>Yeshiva Schools</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_24_1" name="q24_input24" value="Hillel Academy" /><label id="label_input_24_1" for="input_24_1"><span>Hillel Academy</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_24_2" name="q24_input24" value="Community Day School" /><label id="label_input_24_2" for="input_24_2"><span>Community Day School</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> Allergies or Dietary Restrictions<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" 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_6_0" name="q6_input6" value="Yes" /><label id="label_input_6_0" for="input_6_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_6_1" name="q6_input6" value="No" /><label id="label_input_6_1" for="input_6_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> Please Explain<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <textarea id="input_7" class="form-textarea validate[required]" name="q7_input7" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Which days will your child be attending?<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_8_0" name="q8_input8[]" value="Monday" /><label id="label_input_8_0" for="input_8_0"><span>Monday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_8_1" name="q8_input8[]" value="Wednesday" /><label id="label_input_8_1" for="input_8_1"><span>Wednesday</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_20"><div class="form-label-left" id="label_20"><label for="input_20"> Which days will your children be attending?<span class="form-required">*</span> </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-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_20_0" name="q20_input20[]" value="Monday" /><label id="label_input_20_0" for="input_20_0"><span>Monday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_20_1" name="q20_input20[]" value="Wednesday" /><label id="label_input_20_1" for="input_20_1"><span>Wednesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox-other form-checkbox validate[required, other]" name="q20_input20[other]" id="other_20" value="" /><span><input type="text" class="form-checkbox-other-input form-textbox form-checkbox validate[required, other]" name="q20_input20[other][text]" data-otherhint="Other" size="15" id="input_20" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Emergency Contact Name<span class="form-required">*</span> </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q9_fullName9[first]" id="first_9" 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class="form-line" id="id_11"><div class="form-label-left" id="label_11"><label for="input_11"> Names of people allowed to pick up your child<span class="form-required">*</span> </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input"> <textarea id="input_11" class="form-textarea validate[required]" name="q11_input11" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_25"><div class="form-label-left" id="label_25"><label for="input_25"> How did you hear about the After School Program?<span class="form-required">*</span> </label><label class="label-message" for="input_25"> </label></div><div id="cid_25" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_25" name="q25_input25" size="20" value="" /> </div></li><li class="form-line" id="id_26"><div class="form-label-left" id="label_26"><label for="input_26"> Any supports your child will need when attending our after school program?  </label><label class="label-message" for="input_26"> </label></div><div id="cid_26" class="form-input"> <textarea id="input_26" class="form-textarea" name="q26_input26" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_27"><div class="form-label-left" id="label_27"><label for="input_27"> Any supports your children will need when attending our after school program? </label><label class="label-message" for="input_27"> </label></div><div id="cid_27" class="form-input"> <textarea id="input_27" class="form-textarea" name="q27_input27" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Any behaviors or concerns we should be aware of while spending time with your child?  </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <textarea id="input_12" class="form-textarea" name="q12_input12" cols="40" 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