{"id":113,"date":"2018-05-06T05:08:07","date_gmt":"2018-05-06T05:08:07","guid":{"rendered":"http:\/\/tedrosrobinson.com\/ecasocial\/?page_id=113"},"modified":"2018-05-06T05:11:43","modified_gmt":"2018-05-06T05:11:43","slug":"eca-social-committe-youth-sports-registration","status":"publish","type":"page","link":"http:\/\/tedrosrobinson.com\/ecasocial\/eca-social-committe-youth-sports-registration\/","title":{"rendered":"ECA Social Committee Youth Sports Registration"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-112\"><form id=\"wpforms-form-112\" class=\"wpforms-validate wpforms-form\" data-formid=\"112\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/ecasocial\/wp-json\/wp\/v2\/pages\/113\" data-token=\"f1b3a488bea589912a4af709d5943ce6\" data-token-time=\"1781154947\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-112-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Mother or Guardian&#039;s Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_3\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][3][first]\" required><label for=\"wpforms-112-field_3\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_3-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][3][last]\" required><label for=\"wpforms-112-field_3-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-112-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Father&#039;s Name<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_4\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][4][first]\" ><label for=\"wpforms-112-field_4\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_4-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][4][last]\" ><label for=\"wpforms-112-field_4-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-112-field_6-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Participating Child&#039;s Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_6\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][6][first]\" required><label for=\"wpforms-112-field_6\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_6-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][6][last]\" required><label for=\"wpforms-112-field_6-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-112-field_5-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_5\">Date of Birth (DD\/MM\/YYYY) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-112-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" step=\"any\" required><\/div><div id=\"wpforms-112-field_7-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_7\">Gender <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-112-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required=\"required\"><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><\/div><div id=\"wpforms-112-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_8\">City<\/label><input type=\"text\" id=\"wpforms-112-field_8\" class=\"wpforms-field-medium\" name=\"wpforms[fields][8]\" ><\/div><div id=\"wpforms-112-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_9\">School<\/label><input type=\"text\" id=\"wpforms-112-field_9\" class=\"wpforms-field-medium\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-112-field_10-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_10\">Grade <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-112-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" step=\"any\" required><\/div><div id=\"wpforms-112-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_11\">Preferred Sport<\/label><input type=\"text\" id=\"wpforms-112-field_11\" class=\"wpforms-field-medium\" name=\"wpforms[fields][11]\" ><\/div><div id=\"wpforms-112-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_12\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-112-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-112-field_13-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_13\">Home Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-112-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" step=\"any\" required><\/div><div id=\"wpforms-112-field_14-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_14\">Mother&#039;s Phone<\/label><input type=\"number\" id=\"wpforms-112-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" step=\"any\" ><\/div><div id=\"wpforms-112-field_15-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_15\">Father&#039;s Phone<\/label><input type=\"number\" id=\"wpforms-112-field_15\" class=\"wpforms-field-medium\" name=\"wpforms[fields][15]\" step=\"any\" ><\/div><div id=\"wpforms-112-field_16-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"16\"><label class=\"wpforms-field-label\">Emergency Contact Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_16\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][16][first]\" required><label for=\"wpforms-112-field_16\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-112-field_16-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][16][last]\" required><label for=\"wpforms-112-field_16-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div class=\"wpforms-field-description\">(Other than parent)<\/div><\/div><div id=\"wpforms-112-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_17\">Relationship<\/label><input type=\"text\" id=\"wpforms-112-field_17\" class=\"wpforms-field-medium\" name=\"wpforms[fields][17]\" ><\/div><div id=\"wpforms-112-field_18-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_18\">Phone Number(s)<\/label><input type=\"number\" id=\"wpforms-112-field_18\" class=\"wpforms-field-medium\" name=\"wpforms[fields][18]\" step=\"any\" ><\/div><div id=\"wpforms-112-field_19-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_19\">Known Medical Problems<\/label><textarea id=\"wpforms-112-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" ><\/textarea><\/div><div id=\"wpforms-112-field_20-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-112-field_20\">Special Concerns, Allergies, or Medication<\/label><textarea id=\"wpforms-112-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/textarea><\/div><div id=\"wpforms-112-field_22-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"22\"><label class=\"wpforms-field-label\">Physician&#039;s Name<\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div 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