{"id":3337,"date":"2021-12-02T21:19:22","date_gmt":"2021-12-02T13:19:22","guid":{"rendered":"https:\/\/www.impactdancefactory.com.au\/WP\/?page_id=3337"},"modified":"2022-01-03T11:24:43","modified_gmt":"2022-01-03T03:24:43","slug":"enrolment","status":"publish","type":"page","link":"https:\/\/www.impactdancefactory.com.au\/WP\/enrolment\/","title":{"rendered":"ENROLMENT"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-stripe\" id=\"wpforms-3336\"><form id=\"wpforms-form-3336\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3336\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/WP\/wp-json\/wp\/v2\/pages\/3337\" data-token=\"340728c98a9bd6a13d8c45528692ac8a\" data-token-time=\"1780944855\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-3336-field_41-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"41\"><div id=\"wpforms-3336-field_41\"><b>If you have any questions please email enquiriesimpactdancefactory@gmail.com<\/b><\/div><\/div><div id=\"wpforms-3336-field_6-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"6\"><label class=\"wpforms-field-label\">Student 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-3336-field_6\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][6][first]\" required><label for=\"wpforms-3336-field_6\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3336-field_6-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][6][last]\" required><label for=\"wpforms-3336-field_6-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-3336-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-3336-field_8\">Date of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3336-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-3336-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Parent\/Guardian 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-3336-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" required><label for=\"wpforms-3336-field_11\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3336-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" required><label for=\"wpforms-3336-field_11-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-3336-field_12-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"12\"><label class=\"wpforms-field-label\">Student\/Parent\/Guardian Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-3336-field_12\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][12][address1]\" required><label for=\"wpforms-3336-field_12\" class=\"wpforms-field-sublabel after\">Address Line 1<\/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-3336-field_12-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][12][city]\" required><label for=\"wpforms-3336-field_12-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3336-field_12-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][12][state]\" value=\"WA\" required><label for=\"wpforms-3336-field_12-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-3336-field_12-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][12][postal]\" required><label for=\"wpforms-3336-field_12-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-3336-field_12-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][12][country]\" required><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-3336-field_12-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-3336-field_13-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-3336-field_13\">Phone\/Mobile <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-3336-field_13\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][13]\" aria-label=\"Phone\/Mobile\" required><\/div><div id=\"wpforms-3336-field_14-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"14\"><label class=\"wpforms-field-label\">Student\/Parent\/Guardian Email <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"email\" id=\"wpforms-3336-field_14\" class=\"wpforms-field-required wpforms-field-email-primary\" name=\"wpforms[fields][14][primary]\" spellcheck=\"false\" required><label for=\"wpforms-3336-field_14\" class=\"wpforms-field-sublabel after\">Email<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"email\" id=\"wpforms-3336-field_14-secondary\" class=\"wpforms-field-email-secondary wpforms-field-required\" data-rule-confirm=\"#wpforms-3336-field_14\" name=\"wpforms[fields][14][secondary]\" spellcheck=\"false\" required><label for=\"wpforms-3336-field_14-secondary\" class=\"wpforms-field-sublabel after\">Confirm Email<\/label><\/div><\/div><div class=\"wpforms-field-description\">*Upon submission of this form, your payment receipt will be sent to this email address.*<\/div><\/div><div id=\"wpforms-3336-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-3336-field_15\">Medical Conditions (N\/A if Not Applicable) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3336-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/div><div id=\"wpforms-3336-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-3336-field_16\">Current Medications (N\/A if Not Applicable) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3336-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-3336-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-3336-field_17\">Allergies (N\/A if Not Applicable) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3336-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-3336-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-3336-field_19\">Allergy Medication (N\/A if Not Applicable) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3336-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-3336-field_20-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"20\"><label class=\"wpforms-field-label\">Emergency Contact <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-3336-field_20\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][20][first]\" required><label for=\"wpforms-3336-field_20\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3336-field_20-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][20][last]\" required><label for=\"wpforms-3336-field_20-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-3336-field_21-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"21\"><label class=\"wpforms-field-label\">Emergency Contact Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-3336-field_21\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][21][address1]\" required><label for=\"wpforms-3336-field_21\" class=\"wpforms-field-sublabel after\">Address Line 1<\/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-3336-field_21-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][21][city]\" required><label for=\"wpforms-3336-field_21-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3336-field_21-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][21][state]\" value=\"WA\" required><label for=\"wpforms-3336-field_21-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-3336-field_21-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][21][postal]\" required><label for=\"wpforms-3336-field_21-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-3336-field_21-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][21][country]\" required><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-3336-field_21-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><\/div><div id=\"wpforms-3336-field_22-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-3336-field_22\">Emergency Contact Phone\/Mobile <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-3336-field_22\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][22]\" aria-label=\"Emergency Contact Phone\/Mobile\" required><\/div><div id=\"wpforms-3336-field_76-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"76\"><label class=\"wpforms-field-label\">CLASSES<\/label><ul id=\"wpforms-3336-field_76\"><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_5\" name=\"wpforms[fields][76][]\" value=\"ACROBATS - LEVEL 1 (TINY TUMBLERS )\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_5\">ACROBATS - LEVEL 1 (TINY TUMBLERS )<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_4\" name=\"wpforms[fields][76][]\" value=\"ACROBATS - LEVEL 2\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_4\">ACROBATS - LEVEL 2<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_2\" name=\"wpforms[fields][76][]\" value=\"ACROBATS - LEVEL 3\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_2\">ACROBATS - LEVEL 3<\/label><\/li><li class=\"choice-38 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_38\" name=\"wpforms[fields][76][]\" value=\"ACROBATS - LEVEL 4\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_38\">ACROBATS - LEVEL 4<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_3\" name=\"wpforms[fields][76][]\" value=\"ACROBATS - OPEN\/ADVANCED \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_3\">ACROBATS - OPEN\/ADVANCED<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_14\" name=\"wpforms[fields][76][]\" value=\"BALLET - TWINKLE TOES  (2-5YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_14\">BALLET - TWINKLE TOES  (2-5YRS)<\/label><\/li><li class=\"choice-39 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_39\" name=\"wpforms[fields][76][]\" value=\"BALLET - PRE\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_39\">BALLET - PRE<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_13\" name=\"wpforms[fields][76][]\" value=\"BALLET - PRIMARY (6-7YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_13\">BALLET - PRIMARY (6-7YRS)<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_12\" name=\"wpforms[fields][76][]\" value=\"BALLET - GRADE 1  (8-9YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_12\">BALLET - GRADE 1  (8-9YRS)<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_11\" name=\"wpforms[fields][76][]\" value=\"BALLET - GRADE 2 (10YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_11\">BALLET - GRADE 2 (10YRS)<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_18\" name=\"wpforms[fields][76][]\" value=\"BALLET - GRADE 3  (11YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_18\">BALLET - GRADE 3  (11YRS)<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_17\" name=\"wpforms[fields][76][]\" value=\"BALLET - GRADE 4  (12YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_17\">BALLET - GRADE 4  (12YRS)<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_16\" name=\"wpforms[fields][76][]\" value=\"BALLET - GRADE 5 (13YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_16\">BALLET - GRADE 5 (13YRS)<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_15\" name=\"wpforms[fields][76][]\" value=\"BALLET - SUB ELEMENTARY (13YRS+)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_15\">BALLET - SUB ELEMENTARY (13YRS+)<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_7\" name=\"wpforms[fields][76][]\" value=\"HIP HOP - JUNIOR \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_7\">HIP HOP - JUNIOR<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_6\" name=\"wpforms[fields][76][]\" value=\"HIP HOP - INTER\/SENIOR \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_6\">HIP HOP - INTER\/SENIOR<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_10\" name=\"wpforms[fields][76][]\" value=\"JAZZ\/TAP COMBO - TINIES (4-7YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_10\">JAZZ\/TAP COMBO - TINIES (4-7YRS)<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_9\" name=\"wpforms[fields][76][]\" value=\"JAZZ\/TAP COMBO - JUNIOR (8-11YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_9\">JAZZ\/TAP COMBO - JUNIOR (8-11YRS)<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_8\" name=\"wpforms[fields][76][]\" value=\"JAZZ\/TAP COMBO - INTER  (12YRS+)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_8\">JAZZ\/TAP COMBO - INTER  (12YRS+)<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_20\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - PRE\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_20\">JAZZ EXAM - PRE<\/label><\/li><li class=\"choice-25 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_25\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - JUNIOR\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_25\">JAZZ EXAM - JUNIOR<\/label><\/li><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_24\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - GRADE 1\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_24\">JAZZ EXAM - GRADE 1<\/label><\/li><li class=\"choice-33 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_33\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - GRADE 2\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_33\">JAZZ EXAM - GRADE 2<\/label><\/li><li class=\"choice-34 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_34\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - GRADE 3\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_34\">JAZZ EXAM - GRADE 3<\/label><\/li><li class=\"choice-35 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_35\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - GRADE 4\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_35\">JAZZ EXAM - GRADE 4<\/label><\/li><li class=\"choice-36 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_36\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - GRADE 5\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_36\">JAZZ EXAM - GRADE 5<\/label><\/li><li class=\"choice-40 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_40\" name=\"wpforms[fields][76][]\" value=\"JAZZ EXAM - GRADE 6\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_40\">JAZZ EXAM - GRADE 6<\/label><\/li><li class=\"choice-31 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_31\" name=\"wpforms[fields][76][]\" value=\"M&amp;M - JAZZ &amp; TAP COMBO\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_31\">M&amp;M - JAZZ &amp; TAP COMBO<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_21\" name=\"wpforms[fields][76][]\" value=\"JUNIOR MUSICAL THEATRE\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_21\">JUNIOR MUSICAL THEATRE<\/label><\/li><li class=\"choice-41 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_41\" name=\"wpforms[fields][76][]\" value=\"INTER MUSICAL THEATRE\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_41\">INTER MUSICAL THEATRE<\/label><\/li><li class=\"choice-27 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_27\" name=\"wpforms[fields][76][]\" value=\"STRETCH\/CONDITIONING\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_27\">STRETCH\/CONDITIONING<\/label><\/li><li class=\"choice-37 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_37\" name=\"wpforms[fields][76][]\" value=\"TURNS &amp; LEAPS\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_37\">TURNS &amp; LEAPS<\/label><\/li><li class=\"choice-28 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_28\" name=\"wpforms[fields][76][]\" value=\"TAP TECH\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_28\">TAP TECH<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_23\" name=\"wpforms[fields][76][]\" value=\"THEATRICAL EXAM - TTA  (5YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_23\">THEATRICAL EXAM - TTA  (5YRS)<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_19\" name=\"wpforms[fields][76][]\" value=\"THEATRICAL EXAM - TTB (6YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_19\">THEATRICAL EXAM - TTB (6YRS)<\/label><\/li><li class=\"choice-30 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_30\" name=\"wpforms[fields][76][]\" value=\"THEATRICAL PERFORMING ARTS EXAM\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_30\">THEATRICAL PERFORMING ARTS EXAM<\/label><\/li><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_76_1\" name=\"wpforms[fields][76][]\" value=\"TODDLE BOP \/ PRESCHOOLERS (2-4YRS)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_76_1\">TODDLE BOP \/ PRESCHOOLERS (2-4YRS)<\/label><\/li><\/ul><\/div><div id=\"wpforms-3336-field_74-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"74\"><label class=\"wpforms-field-label\">TROUPES\/COMPETITION STUDENTS<\/label><ul id=\"wpforms-3336-field_74\"><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_2\" name=\"wpforms[fields][74][]\" value=\"6\/U MODERN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_2\">6\/U MODERN<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_7\" name=\"wpforms[fields][74][]\" value=\"8\/U MODERN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_7\">8\/U MODERN<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_6\" name=\"wpforms[fields][74][]\" value=\"8\/U TAP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_6\">8\/U TAP<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_10\" name=\"wpforms[fields][74][]\" value=\"8\/U LYRICAL\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_10\">8\/U LYRICAL<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_9\" name=\"wpforms[fields][74][]\" value=\"10\/U MODERN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_9\">10\/U MODERN<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_8\" name=\"wpforms[fields][74][]\" value=\"10\/U TAP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_8\">10\/U TAP<\/label><\/li><li class=\"choice-29 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_29\" name=\"wpforms[fields][74][]\" value=\"10\/U ACRO\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_29\">10\/U ACRO<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_15\" name=\"wpforms[fields][74][]\" value=\"10\/U LYRICAL\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_15\">10\/U LYRICAL<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_14\" name=\"wpforms[fields][74][]\" value=\"12\/U MODERN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_14\">12\/U MODERN<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_13\" name=\"wpforms[fields][74][]\" value=\"12\/U TAP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_13\">12\/U TAP<\/label><\/li><li class=\"choice-30 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_30\" name=\"wpforms[fields][74][]\" value=\"12\/U CONTEMP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_30\">12\/U CONTEMP<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_12\" name=\"wpforms[fields][74][]\" value=\"12\/U LYRICAL\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_12\">12\/U LYRICAL<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_11\" name=\"wpforms[fields][74][]\" value=\"12\/U ACRO\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_11\">12\/U ACRO<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_18\" name=\"wpforms[fields][74][]\" value=\"14\/U MODERN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_18\">14\/U MODERN<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_17\" name=\"wpforms[fields][74][]\" value=\"14\/U TAP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_17\">14\/U TAP<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_16\" name=\"wpforms[fields][74][]\" value=\"14\/U LYRICAL\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_16\">14\/U LYRICAL<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_4\" name=\"wpforms[fields][74][]\" value=\"14\/U CONTEMP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_4\">14\/U CONTEMP<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_20\" name=\"wpforms[fields][74][]\" value=\"16\/U MODERN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_20\">16\/U MODERN<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_19\" name=\"wpforms[fields][74][]\" value=\"16\/U TAP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_19\">16\/U TAP<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_3\" name=\"wpforms[fields][74][]\" value=\"16\/U LYRICAL\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_3\">16\/U LYRICAL<\/label><\/li><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_24\" name=\"wpforms[fields][74][]\" value=\"16\/U CONTEMP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_24\">16\/U CONTEMP<\/label><\/li><li class=\"choice-28 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_28\" name=\"wpforms[fields][74][]\" value=\"16\/U ACRO\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_28\">16\/U ACRO<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_23\" name=\"wpforms[fields][74][]\" value=\"OPEN MODERN\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_23\">OPEN MODERN<\/label><\/li><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_22\" name=\"wpforms[fields][74][]\" value=\"OPEN TAP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_22\">OPEN TAP<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_21\" name=\"wpforms[fields][74][]\" value=\"OPEN LYRICAL\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_21\">OPEN LYRICAL<\/label><\/li><li class=\"choice-27 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_27\" name=\"wpforms[fields][74][]\" value=\"OPEN CONTEMP\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_27\">OPEN CONTEMP<\/label><\/li><li class=\"choice-26 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_74_26\" name=\"wpforms[fields][74][]\" value=\"OPEN ACRO\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_74_26\">OPEN ACRO<\/label><\/li><\/ul><\/div><div id=\"wpforms-3336-field_48-container\" class=\"wpforms-field wpforms-field-payment-single\" data-field-id=\"48\"><label class=\"wpforms-field-label\">COMPULSORY ENROLMENT FEE<\/label><div class=\"wpforms-single-item-price-content\"><div class=\"wpforms-single-item-price wpforms-field-small wpforms-payment-price\">Price: <span class=\"wpforms-price\">&#036;51.18<\/span><\/div><\/div><input type=\"hidden\" id=\"wpforms-3336-field_48\" class=\"wpforms-field-small wpforms-payment-price\" name=\"wpforms[fields][48]\" value=\"&#036;51.18\"><div class=\"wpforms-field-description\">*Includes Credit Card Processing Fee of $1.18<\/div><\/div><div id=\"wpforms-3336-field_49-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-id=\"49\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-3336-field_49\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][49]\" value=\"0\"><div class=\"wpforms-field-description\">*Please note enrolment fee is non-refundable*\r\n<\/div><\/div><div id=\"wpforms-3336-field_68-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"68\"><label class=\"wpforms-field-label\">Credit Card Payment <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-stripe-credit-card-number\"><div id=\"wpforms-3336-field_68\" class=\"wpforms-field-stripe-credit-card-cardnumber wpforms-field-required\" data-required=\"required\"><!-- a Stripe Element will be inserted here. --><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-3336]\" disabled style=\"display: none;\"><label  class=\"wpforms-field-sublabel after\">Card<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-stripe-credit-card-name\"><input type=\"text\" id=\"wpforms-3336-field_68-cardname\" class=\"wpforms-field-stripe-credit-card-cardname wpforms-field-required\" name=\"wpforms[stripe-credit-card-cardname]\" required><label for=\"wpforms-3336-field_68-cardname\" class=\"wpforms-field-sublabel after\">Name on Card<\/label><\/div><\/div><\/div><div id=\"wpforms-3336-field_28-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"28\"><label class=\"wpforms-field-label\">ALL STUDENTS DANCE AT THEIR OWN RISK <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3336-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3336-field_28_1\" name=\"wpforms[fields][28][]\" value=\"Accept liability for own\/student actions\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3336-field_28_1\">Accept liability for own\/student actions<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3336\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/pages\/3337\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3336\" class=\"wpforms-submit\" data-alt-text=\"Dancing your form to the studio\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.impactdancefactory.com.au\/WP\/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 -->\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-3337","page","type-page","status-publish","hentry","post"],"_links":{"self":[{"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/pages\/3337","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/comments?post=3337"}],"version-history":[{"count":4,"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/pages\/3337\/revisions"}],"predecessor-version":[{"id":3387,"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/pages\/3337\/revisions\/3387"}],"wp:attachment":[{"href":"https:\/\/www.impactdancefactory.com.au\/WP\/wp-json\/wp\/v2\/media?parent=3337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}