{"id":1914,"date":"2018-08-06T17:12:59","date_gmt":"2018-08-06T21:12:59","guid":{"rendered":"http:\/\/wractso.com\/new\/?page_id=1914"},"modified":"2019-12-31T20:55:13","modified_gmt":"2020-01-01T01:55:13","slug":"enroll","status":"publish","type":"page","link":"https:\/\/wractso.com\/new\/enroll","title":{"rendered":"Enroll"},"content":{"rendered":"\n<div class=\"wpforms-container wpforms-container-full wpforms-form-abandonment\" id=\"wpforms-2023\"><form id=\"wpforms-form-2023\" class=\"wpforms-validate wpforms-form\" data-formid=\"2023\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/new\/wp-json\/wp\/v2\/pages\/1914\" data-token=\"9db336af98026b705e72d591a5d4d32f\" data-token-time=\"1781729965\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2023-field_30-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"30\"><div id=\"wpforms-2023-field_30\"><hr \/>\r\n<h1 style=\"color:#588bbf\"><strong>COMPETITION<\/strong><\/h1><\/div><\/div><div id=\"wpforms-2023-field_29-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_29\">Competition Year <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2023-field_29\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][29]\" required=\"required\"><option value=\"2019-2020\" >2019-2020<\/option><option value=\"2020-2021\" >2020-2021<\/option><option value=\"2021-2022\" >2021-2022<\/option><option value=\"2022-2023\" >2022-2023<\/option><option value=\"2023-2024\" >2023-2024<\/option><option value=\"2024-2025\" >2024-2025<\/option><option value=\"2025-2026\"  selected='selected'>2025-2026<\/option><\/select><\/div><div id=\"wpforms-2023-field_38-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns wpforms-conditional-trigger\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_38\">Categories <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2023-field_38\" class=\"wpforms-field-required\" data-choice-limit=\"3\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_4\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Business: Entrepreneurship\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_4\">Business: Entrepreneurship<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_6\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Humanities: Music Composition\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_6\">Humanities: Music Composition<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_7\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Humanities: Short Story\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_7\">Humanities: Short Story<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_8\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Humanities: Original Essay\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_8\">Humanities: Original Essay<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_9\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Humanities: Playwriting\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_9\">Humanities: Playwriting<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_10\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Humanities: Poetry Written\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_10\">Humanities: Poetry Written<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_12\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Dance Ballet\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_12\">Performance: Dance Ballet<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_13\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Dance Contemporary\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_13\">Performance: Dance Contemporary<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_14\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Dance Modern \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_14\">Performance: Dance Modern<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_15\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Dance Cultural\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_15\">Performance: Dance Cultural<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_16\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Dramatics\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_16\">Performance: Dramatics<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_17\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Music Instrumental Classical\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_17\">Performance: Music Instrumental Classical<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_18\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Music Instrumental Contemporary\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_18\">Performance: Music Instrumental Contemporary<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_19\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Music Vocal Classical\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_19\">Performance: Music Vocal Classical<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_20\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Music Vocal Contemporary\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_20\">Performance: Music Vocal Contemporary<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_21\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Oratory\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_21\">Performance: Oratory<\/label><\/li><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_22\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Performance: Spoken Word\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_22\">Performance: Spoken Word<\/label><\/li><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_24\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Architecture\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_24\">STEM: Architecture<\/label><\/li><li class=\"choice-25 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_25\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Biology\/Microbiology\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_25\">STEM: Biology\/Microbiology<\/label><\/li><li class=\"choice-26 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_26\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Chemistry\/Biochemistry\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_26\">STEM: Chemistry\/Biochemistry<\/label><\/li><li class=\"choice-27 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_27\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Artificial Intelligence and Computer Science\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_27\">STEM: Artificial Intelligence and Computer Science<\/label><\/li><li class=\"choice-29 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_29\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Earth and Space Sciences\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_29\">STEM: Earth and Space Sciences<\/label><\/li><li class=\"choice-30 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_30\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Engineering\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_30\">STEM: Engineering<\/label><\/li><li class=\"choice-31 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_31\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Mathematics\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_31\">STEM: Mathematics<\/label><\/li><li class=\"choice-32 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_32\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Medicine and Health\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_32\">STEM: Medicine and Health<\/label><\/li><li class=\"choice-33 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_33\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"STEM: Physics\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_33\">STEM: Physics<\/label><\/li><li class=\"choice-35 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_35\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Visual Arts: Drawing\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_35\">Visual Arts: Drawing<\/label><\/li><li class=\"choice-36 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_36\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Visual Arts: Filmmaking\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_36\">Visual Arts: Filmmaking<\/label><\/li><li class=\"choice-37 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_37\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Visual Arts: Painting\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_37\">Visual Arts: Painting<\/label><\/li><li class=\"choice-38 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_38\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Visual Arts: Photography\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_38\">Visual Arts: Photography<\/label><\/li><li class=\"choice-39 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_38_39\" data-rule-check-limit=\"true\" name=\"wpforms[fields][38][]\" value=\"Visual Arts: Sculpture\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_38_39\">Visual Arts: Sculpture<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Choose up to three (3) categories to compete.<\/div><\/div><div id=\"wpforms-2023-field_40-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"40\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_40\">Music Instrument <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2023-field_40\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][40]\" required><\/div><div id=\"wpforms-2023-field_21-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"21\"><div id=\"wpforms-2023-field_21\"><hr \/>\r\n<h1 style=\"color:#588bbf\"><strong>STUDENT<\/strong><\/h1><\/div><\/div><div id=\"wpforms-2023-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_1\">Student Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2023-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-2023-field_1\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2023-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-2023-field_1-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2023-field_8-container\" class=\"wpforms-field wpforms-field-date-time wpforms-one-half wpforms-first\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_8\">Date of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-date-dropdown-wrap wpforms-field-medium\"><select name=\"wpforms[fields][8][date][m]\" id=\"wpforms-2023-field_8-month\" class=\"wpforms-field-date-time-date-month wpforms-field-required\"  required><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][8][date][d]\" id=\"wpforms-2023-field_8-day\" class=\"wpforms-field-date-time-date-day wpforms-field-required\"  required><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][8][date][y]\" id=\"wpforms-2023-field_8-year\" class=\"wpforms-field-date-time-date-year wpforms-field-required\"  required><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><\/div><div id=\"wpforms-2023-field_12-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half wpforms-field-select-style-classic\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_12\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2023-field_12\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][12]\" required=\"required\"><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><option value=\"Other\" >Other<\/option><\/select><\/div><div id=\"wpforms-2023-field_11-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_11\">Student Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-2023-field_11\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][11][address1]\" required><label for=\"wpforms-2023-field_11\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-2023-field_11-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][11][city]\" required><label for=\"wpforms-2023-field_11-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-2023-field_11-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][11][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>New York<\/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-2023-field_11-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-2023-field_11-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][11][postal]\" required><label for=\"wpforms-2023-field_11-postal\" class=\"wpforms-field-sublabel after \">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-2023-field_13-container\" class=\"wpforms-field wpforms-field-email wpforms-one-fourth wpforms-first\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_13\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2023-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2023-field_14-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-fourth\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_14\">Cell Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-2023-field_14\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][14]\" required><\/div><div id=\"wpforms-2023-field_15-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-fourth\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_15\">Home Phone <\/label><input type=\"tel\" id=\"wpforms-2023-field_15\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][15]\" ><\/div><div id=\"wpforms-2023-field_16-container\" class=\"wpforms-field wpforms-field-radio wpforms-one-fourth\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_16\">US Citizen or Legal resident<\/label><ul id=\"wpforms-2023-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-2023-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_16_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-2023-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_16_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-2023-field_22-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"22\"><div id=\"wpforms-2023-field_22\"><hr \/>\r\n<h1 style=\"color:#588bbf\"><strong>SCHOOL<\/strong><\/h1><\/div><\/div><div id=\"wpforms-2023-field_34-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half wpforms-first wpforms-field-select-style-classic\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_34\">School <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2023-field_34\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][34]\" required=\"required\"><option value=\"Alexander Hamilton High School, Elmsford\" >Alexander Hamilton High School, Elmsford<\/option><option value=\"Archbishop Stepinac High School, White Plains\" >Archbishop Stepinac High School, White Plains<\/option><option value=\"Ardsley High School, Ardsley\" >Ardsley High School, Ardsley<\/option><option value=\"Blessed Sacrament-St. Gabriel School, New Rochelle\" >Blessed Sacrament-St. Gabriel School, New Rochelle<\/option><option value=\"Blind Brook High School, Rye Brook\" >Blind Brook High School, Rye Brook<\/option><option value=\"Briarcliff High School, Briarcliff Manor\" >Briarcliff High School, Briarcliff Manor<\/option><option value=\"Bronxville High School, Bronxville\" >Bronxville High School, Bronxville<\/option><option value=\"Byram Hills High School, Armonk\" >Byram Hills High School, Armonk<\/option><option value=\"Croton-Harmon High School, Croton-on-Hudson\" >Croton-Harmon High School, Croton-on-Hudson<\/option><option value=\"Dobbs Ferry High School, Dobbs Ferry\" >Dobbs Ferry High School, Dobbs Ferry<\/option><option value=\"Early College High School, Yonkers\" >Early College High School, Yonkers<\/option><option value=\"Eastchester High School, Eastchester\" >Eastchester High School, Eastchester<\/option><option value=\"Edgemont High School, Greenburgh\" >Edgemont High School, Greenburgh<\/option><option value=\"Denzel Washington School Of The Arts, Mt. Vernon\" >Denzel Washington School Of The Arts, Mt. Vernon<\/option><option value=\"Fox Lane High School, Bedford\" >Fox Lane High School, Bedford<\/option><option value=\"French American School\" >French American School<\/option><option value=\"Gorton High School, Yonkers\" >Gorton High School, Yonkers<\/option><option value=\"Greenburgh Eleven High School, Dobbs Ferry\" >Greenburgh Eleven High School, Dobbs Ferry<\/option><option value=\"Harrison High School, Harrison\" >Harrison High School, Harrison<\/option><option value=\"Hastings High School, Hastings-on-Hudson\" >Hastings High School, Hastings-on-Hudson<\/option><option value=\"Hawthorne-Cedar Knolls High School, Hawthorne\" >Hawthorne-Cedar Knolls High School, Hawthorne<\/option><option value=\"Hendrick Hudson High School, Montrose\" >Hendrick Hudson High School, Montrose<\/option><option value=\"High School of Travel and Tourism, Yonkers\" >High School of Travel and Tourism, Yonkers<\/option><option value=\"Horace Greeley High School, Chappaqua\" >Horace Greeley High School, Chappaqua<\/option><option value=\"Iona Preparatory School, New Rochelle\" >Iona Preparatory School, New Rochelle<\/option><option value=\"Irvington High School, Irvington\" >Irvington High School, Irvington<\/option><option value=\"Ives School, Lincolndale\" >Ives School, Lincolndale<\/option><option value=\"John Jay High School, Cross River\" >John Jay High School, Cross River<\/option><option value=\"John F. Kennedy Catholic High School, Somers\" >John F. Kennedy Catholic High School, Somers<\/option><option value=\"Karafin School, Mount Kisco\" >Karafin School, Mount Kisco<\/option><option value=\"Keio Academy of New York, Purchase\" >Keio Academy of New York, Purchase<\/option><option value=\"Lakeland High School, Shrub Oak\" >Lakeland High School, Shrub Oak<\/option><option value=\"Lincoln High School, Yonkers\" >Lincoln High School, Yonkers<\/option><option value=\"Linden Hill School, Hawthorne\" >Linden Hill School, Hawthorne<\/option><option value=\"Mamaroneck High School, Mamaroneck\" >Mamaroneck High School, Mamaroneck<\/option><option value=\"Maria Regina High School, Hartsdale\" >Maria Regina High School, Hartsdale<\/option><option value=\"Martin Luther King, Junior, High School, Hastings-on-Hudson\" >Martin Luther King, Junior, High School, Hastings-on-Hudson<\/option><option value=\"Masters School (The), Dobbs Ferry\" >Masters School (The), Dobbs Ferry<\/option><option value=\"Mount Vernon High School, Mount Vernon\" >Mount Vernon High School, Mount Vernon<\/option><option value=\"Nelson Mandela Community High School, Mount Vernon\" >Nelson Mandela Community High School, Mount Vernon<\/option><option value=\"New Rochelle High School, New Rochelle\" >New Rochelle High School, New Rochelle<\/option><option value=\"North Salem Middle\/High School, North Salem\" >North Salem Middle\/High School, North Salem<\/option><option value=\"Ohr Hameir Boys Yeshiva School, Peekskill\" >Ohr Hameir Boys Yeshiva School, Peekskill<\/option><option value=\"Ossining High School, Ossining\" >Ossining High School, Ossining<\/option><option value=\"Our Lady of Victory Academy, Dobbs Ferry\" >Our Lady of Victory Academy, Dobbs Ferry<\/option><option value=\"Palisade Preparatory School, Yonkers\" >Palisade Preparatory School, Yonkers<\/option><option value=\"Park Street School, Peekskill\" >Park Street School, Peekskill<\/option><option value=\"Peekskill High School, Peekskill\" >Peekskill High School, Peekskill<\/option><option value=\"Pelham Memorial High School, Pelham\" >Pelham Memorial High School, Pelham<\/option><option value=\"Phoenix High School, Shrub Oak\" >Phoenix High School, Shrub Oak<\/option><option value=\"Pleasantville High School, Pleasantville\" >Pleasantville High School, Pleasantville<\/option><option value=\"Port Chester High School, Rye Brook\" >Port Chester High School, Rye Brook<\/option><option value=\"Riverside High School for Engineering and Design, Yonkers\" >Riverside High School for Engineering and Design, Yonkers<\/option><option value=\"Roosevelt High School (Yonkers, New York), Yonkers\" >Roosevelt High School (Yonkers, New York), Yonkers<\/option><option value=\"Rye Country Day School, Rye, NY\" >Rye Country Day School, Rye, NY<\/option><option value=\"Rye High School, Rye\" >Rye High School, Rye<\/option><option value=\"Rye Neck High School, Mamaroneck\" >Rye Neck High School, Mamaroneck<\/option><option value=\"Sacred Heart High School, Yonkers\" >Sacred Heart High School, Yonkers<\/option><option value=\"Salesian High School, New Rochelle\" >Salesian High School, New Rochelle<\/option><option value=\"Saunders Trades and Technical High School, Yonkers\" >Saunders Trades and Technical High School, Yonkers<\/option><option value=\"Scarsdale High School, Scarsdale\" >Scarsdale High School, Scarsdale<\/option><option value=\"Sleepy Hollow Middle High School, Sleepy Hollow\" >Sleepy Hollow Middle High School, Sleepy Hollow<\/option><option value=\"Somers High School, Somers\" >Somers High School, Somers<\/option><option value=\"Tuckahoe High School, Eastchester\" >Tuckahoe High School, Eastchester<\/option><option value=\"Ursuline School (The), New Rochelle\" >Ursuline School (The), New Rochelle<\/option><option value=\"Valhalla High School, Valhalla\" >Valhalla High School, Valhalla<\/option><option value=\"Walter Panas High School, Cortlandt Manor\" >Walter Panas High School, Cortlandt Manor<\/option><option value=\"Westchester Hebrew High School, Mamaroneck\" >Westchester Hebrew High School, Mamaroneck<\/option><option value=\"Westlake High School, Thornwood\" >Westlake High School, Thornwood<\/option><option value=\"White Plains High School, White Plains\" >White Plains High School, White Plains<\/option><option value=\"Woodlands High School, Hartsdale\" >Woodlands High School, Hartsdale<\/option><option value=\"Yonkers Middle\/High School, Yonkers\" >Yonkers Middle\/High School, Yonkers<\/option><option value=\"Yonkers Montessori Academy, Yonkers\" >Yonkers Montessori Academy, Yonkers<\/option><option value=\"Yorktown High School, Yorktown Heights\" >Yorktown High School, Yorktown Heights<\/option><\/select><\/div><div id=\"wpforms-2023-field_32-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half wpforms-field-select-style-classic\" data-field-id=\"32\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_32\">School Grade <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-2023-field_32\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][32]\" required=\"required\"><option value=\"12th Grade\" >12th Grade<\/option><option value=\"11th Grade\" >11th Grade<\/option><option value=\"10th Grade\" >10th Grade<\/option><option value=\"9th Grade\" >9th Grade<\/option><\/select><\/div><div id=\"wpforms-2023-field_23-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"23\"><div id=\"wpforms-2023-field_23\"><hr \/>\r\n<h1 style=\"color:#588bbf\"><strong>PARENT\/GUARDIAN<\/strong><\/h1><\/div><\/div><div id=\"wpforms-2023-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_5\">Parent\/Guardian Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2023-field_5\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][5][first]\" required><label for=\"wpforms-2023-field_5\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2023-field_5-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][5][last]\" required><label for=\"wpforms-2023-field_5-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2023-field_6-container\" class=\"wpforms-field wpforms-field-email wpforms-one-third wpforms-first\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_6\">Parent\/Guardian Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2023-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2023-field_24-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-third\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_24\">Parent\/Guardian Cell Phone  <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-2023-field_24\" class=\"wpforms-field-medium wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][24]\" required><\/div><div id=\"wpforms-2023-field_25-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-third\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_25\">Parent\/Guardian Home Phone<\/label><input type=\"tel\" id=\"wpforms-2023-field_25\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][25]\" ><\/div><div id=\"wpforms-2023-field_47-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-conditional-trigger\" data-field-id=\"47\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_47\">Parent\/Guardian Address <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2023-field_47\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_47_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Same address as student\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_47_1\">Same address as student<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_47_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][47][]\" value=\"Different address\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_47_2\">Different address<\/label><\/li><\/ul><\/div><div id=\"wpforms-2023-field_7-container\" class=\"wpforms-field wpforms-field-address wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"7\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_7\">Parent\/Guardian Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div ><input type=\"text\" id=\"wpforms-2023-field_7\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][7][address1]\" required><label for=\"wpforms-2023-field_7\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-2023-field_7-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][7][city]\" required><label for=\"wpforms-2023-field_7-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-2023-field_7-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][7][state]\" required><option class=\"placeholder\" value=\"\" selected disabled>New York<\/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-2023-field_7-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-2023-field_7-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][7][postal]\" required><label for=\"wpforms-2023-field_7-postal\" class=\"wpforms-field-sublabel after \">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-2023-field_41-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"41\"><div id=\"wpforms-2023-field_41\"><hr \/>\r\n<h1 style=\"color:#588bbf\"><strong>MENTOR\/COACH<\/strong><\/h1>\r\n<p>You need to have a teacher or coach working with you in your competition area.<\/p><\/div><\/div><div id=\"wpforms-2023-field_43-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_43\">Who is working with you? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2023-field_43\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_43_1\" name=\"wpforms[fields][43][]\" value=\"Mentor\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_43_1\">Mentor<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_43_2\" name=\"wpforms[fields][43][]\" value=\"Coach\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_43_2\">Coach<\/label><\/li><\/ul><\/div><div id=\"wpforms-2023-field_42-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_42\">Mentor\/Coach Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-2023-field_42\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][42][first]\" required><label for=\"wpforms-2023-field_42\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-2023-field_42-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][42][last]\" required><label for=\"wpforms-2023-field_42-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-2023-field_44-container\" class=\"wpforms-field wpforms-field-email wpforms-one-half wpforms-first\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_44\">Mentor\/Coach Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-2023-field_44\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][44]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-2023-field_45-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-half\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_45\">Mentor\/Coach Cell Phone<\/label><input type=\"tel\" id=\"wpforms-2023-field_45\" class=\"wpforms-field-medium wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" data-rule-us-phone-field=\"true\" data-inputmask-inputmode=\"tel\" name=\"wpforms[fields][45]\" ><\/div><div id=\"wpforms-2023-field_46-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"46\"><div id=\"wpforms-2023-field_46\"><hr \/>\r\n<h1 style=\"color:#588bbf\"><strong>NAACP MEMBERSHIP<\/strong><\/h1>\r\n<p>ACT-SO is a major youth initiative of the National Association for the Advancement of Colored People (NAACP).<br \/>\r\nParticipants are expected to take a youth membership in the NAACP. <a href=\"https:\/\/www.naacp.org\/become-a-member\/\" target=\"_blank\">Click here to join the NAACP<\/a>.<\/p><\/div><\/div><div id=\"wpforms-2023-field_48-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half wpforms-first\" data-field-id=\"48\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_48\">Are you a NAACP Member? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2023-field_48\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_48_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][48][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_48_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_48_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][48][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_48_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-2023-field_49-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-one-half\" data-field-id=\"49\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_49\">Are you a NAACP Youth Council Member? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2023-field_49\" class=\"wpforms-field-required\" data-choice-limit=\"1\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_49_1\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_49_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2023-field_49_2\" data-rule-check-limit=\"true\" name=\"wpforms[fields][49][]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2023-field_49_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-2023-field_50-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"50\"><div id=\"wpforms-2023-field_50\"><hr \/>\r\n<h1 style=\"color:#588bbf\"><strong>PARENT AUTHORIZATION<\/strong><\/h1>\r\n<\/div><\/div><div id=\"wpforms-2023-field_51-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_51\">Parent\/Guardian Initials <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2023-field_51\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][51]\" autocomplete=\"off\" required><div class=\"wpforms-signature-wrap wpforms-field-small\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-2023-field_51-signature\" data-color=\"#14437a\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><div class=\"wpforms-field-description\">By drawing my initials in this field I acknowledge that I allow my child to fill out this form and I authorize my child to participate in the NAACP-Westchester Region ACT-SO competitions.<\/div><\/div><div id=\"wpforms-2023-field_52-container\" class=\"wpforms-field wpforms-field-captcha\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-2023-field_52\">Captcha <span class=\"wpforms-required-label\">*<\/span><\/label>\t\t\t<div class=\"wpforms-captcha-math\">\n\t\t\t\t<span id=\"wpforms-2023-field_52-question\" class=\"wpforms-captcha-equation\">\n\t\t\t\t\t<span class=\"n1\">6<\/span>\n\t\t\t\t\t\t\t<span class=\"cal\">*<\/span>\n\t\t\t\t\t\t\t<span class=\"n2\">8<\/span>\t\t\t\t\t<span class=\"e\">=<\/span>\n\t\t\t\t<\/span>\n\t\t\t\t<input type=\"text\" id=\"wpforms-2023-field_52\" class=\"wpforms-field-medium wpforms-field-required a\" data-rule-wpf-captcha=\"math\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][52][a]\" aria-describedby=\"wpforms-2023-field_52-question\" required>\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][52][cal]\" class=\"cal\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][52][n2]\" class=\"n2\">\n\t\t\t\t<input type=\"hidden\" name=\"wpforms[fields][52][n1]\" class=\"n1\">\n\t\t\t<\/div>\n\t\t\t<div class=\"wpforms-field-description\">Just ensuring you are not a persistent bot who took the time to fill out all the information needed \ud83d\ude09 <\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-2023-field-hp\" class=\"wpforms-field-label\">Phone<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-2023-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2023\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/pages\/1914\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2023\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1914","page","type-page","status-publish","czr-hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/pages\/1914","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/comments?post=1914"}],"version-history":[{"count":7,"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/pages\/1914\/revisions"}],"predecessor-version":[{"id":2050,"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/pages\/1914\/revisions\/2050"}],"wp:attachment":[{"href":"https:\/\/wractso.com\/new\/wp-json\/wp\/v2\/media?parent=1914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}