{"id":7467,"date":"2025-01-22T09:38:02","date_gmt":"2025-01-22T15:38:02","guid":{"rendered":"https:\/\/www.wtcsnd.org\/?page_id=7467"},"modified":"2025-03-18T08:26:25","modified_gmt":"2025-03-18T13:26:25","slug":"new-25-26-registration-form","status":"publish","type":"page","link":"https:\/\/www.wtcsnd.org\/?page_id=7467","title":{"rendered":"25-26 Registration K &#8211; 12 Form"},"content":{"rendered":"\n<style><style><\/style><\/style><style><\/style><div class='rmformui'><div id='rm-form-container' class='rmform-design--default-container'><form id='rmform-module-21' class='rmform-ui rmform-custom-form rmform-custom-form-21 rmform-design--default' action='' method='post' enctype='multipart\/form-data'data-form-id='21' data-design='default' data-style='label_top' data-type='0'><div class='rmform-page'><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-richtext-834' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='834'><div class=\"rmform-control \" ><p><span style=\"font-weight: 400\">IF YOU ARE COMPLETING APPLICATION ON YOUR PHONE AND YOU CLICK A LINK, YOUR INFORMATION COULD BE LOST.\u00a0 THE SCHOOL RECOMMENDS COMPLETING APPLICATION USING A COMPUTER OR LAPTOP.<\/span><\/p><\/div><span class='rmform-error-message' id='rmform-richtext_834-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-email-832' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='832'><label for=\"input_id_Email_832\" id=\"label_id_Email_832\" class=\"rmform-label\"  >  Account Email<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"email\" name=\"Email_832\" class=\"rmform-control \" aria-describedby=\"rm-note-832\" id=\"input_id_Email_832\" data-fieldtype=\"Email\" aria-labelledby=\"label_id_Email_832\" value=\"\" placeholder=\"Your email address\" required data-primary=\"1\" aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-email_832-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-833' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='833'><h1 class=\"rmform-field-type-heading rmform-control \" >Student Information<\/h1><span class='rmform-error-message' id='rmform-htmlh_833-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-835' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='835'><label for=\"input_id_Textbox_835\" id=\"label_id_Textbox_835\" class=\"rmform-label\" >  Student Last Name<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_835\" class=\"rmform-control \" aria-describedby=\"rm-note-835\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_835\" aria-labelledby=\"label_id_Textbox_835\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_835-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-836' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='836'><label for=\"input_id_Textbox_836\" id=\"label_id_Textbox_836\" class=\"rmform-label\" >  Student First Name<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_836\" class=\"rmform-control \" aria-describedby=\"rm-note-836\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_836\" aria-labelledby=\"label_id_Textbox_836\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_836-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-837' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='837'><label for=\"input_id_Textbox_837\" id=\"label_id_Textbox_837\" class=\"rmform-label\" >  Middle Name<\/label><input type=\"text\" name=\"Textbox_837\" class=\"rmform-control \" aria-describedby=\"rm-note-837\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_837\" aria-labelledby=\"label_id_Textbox_837\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_837-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-bdate-838' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='838'><label for=\"input_id_Bdate_838\" id=\"label_id_Bdate_838\" class=\"rmform-label\" > Date of Birth<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Bdate_838\" class=\"rmform-control bdaydatepicker\" aria-describedby=\"rm-note-838\" autocomplete=\"off\" readonly data-dateformat=\"mm\/dd\/yy\" aria-labelledby=\"label_id_Bdate_838\" id=\"input_id_Bdate_838\" required_max_range=\"07\/27\/2026\" required_min_range=\"\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-bdate_838-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-839' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='839'><span class=\"rmform-label\" > Gender<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_839_0'><input name=\"Radio_839\" class=\"rmform-control radio_839 \" aria-describedby=\"rm-note-839\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_839_0\" value=\"Male\" aria-labelledby=\"label_id_Radio_839_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_839_0\"  >Male<\/span><\/label><label class='rmform-check' for='Radio_839_1'><input name=\"Radio_839\" class=\"rmform-control radio_839 \" aria-describedby=\"rm-note-839\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_839_1\" value=\"Female\" aria-labelledby=\"label_id_Radio_839_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_839_1\"  >Female<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_839-error'><\/span><div id='rm-note-839' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-select-840' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='840'><label for=\"input_id_Select_840\" id=\"label_id_Select_840\" class=\"rmform-label\" > Grade (Fall of 2025)<span class='rmform-req-symbol'>*<\/span><\/label><select name=\"Select_840\" class=\"rmform-control select_840 \" aria-describedby=\"rm-note-840\" id=\"input_id_Select_840\" aria-labelledby=\"label_id_Select_840\" required aria-required=\"true\"  ><option value=''>Select an option<\/option><option value='K'>K<\/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><span class='rmform-error-message' id='rmform-select_840-error'><\/span><div id='rm-note-840' class='rmform-note' style='display: none;'>Grade<\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-select-841' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='841'><label for=\"input_id_Select_841\" id=\"label_id_Select_841\" class=\"rmform-label\" > Student Status<span class='rmform-req-symbol'>*<\/span><\/label><select name=\"Select_841\" class=\"rmform-control select_841 \" aria-describedby=\"rm-note-841\" id=\"input_id_Select_841\" aria-labelledby=\"label_id_Select_841\" required aria-required=\"true\"  ><option value=''>Select an option<\/option><option value='Current Preschool-Prekindergarten Student'>Current Preschool-Prekindergarten Student<\/option><option value='New Child of Alumni'>New Child of Alumni<\/option><option value='New Enrollment'>New Enrollment<\/option><option value='Sibling of Current Student'>Sibling of Current Student<\/option><\/select><script>jQuery(document).ready(function() {jQuery(\".select_841\").select2();});<\/script><span class='rmform-error-message' id='rmform-select_841-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-address-843' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='843'><label class=\"rmform-label\" >  Home Address<span class='rmform-req-symbol'>*<\/span><\/label><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-843\" id=\"input_id_address1_843\" name=\"Address_843[address1]\" aria-labelledby=\"label_id_address1_843\" value=\"\" required aria-required=\"true\"  ><label for='input_id_address1_843' id='label_id_address1_843' class='rmform-label rmform-label-address'> Address Line 1<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_843address1-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-843\" id=\"input_id_address2_label_843\" name=\"Address_843[address2]\" aria-labelledby=\"label_id_address2_label_843\" value=\"\" ><label for='input_id_address2_label_843' id='label_id_address2_label_843' class='rmform-label rmform-label-address'> Address Line 2<\/label><span class='rmform-error-message' id='rmform-address_843address2-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-843\" id=\"input_id_city_label_843\" name=\"Address_843[city]\" aria-labelledby=\"label_id_city_label_843\" value=\"\" required aria-required=\"true\"  ><label for='input_id_city_label_843' id='label_id_city_label_843' class='rmform-label rmform-label-address'> City<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_843city-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-843\" id=\"input_id_state_label_843\" name=\"Address_843[state]\" aria-labelledby=\"label_id_state_label_843\" value=\"\" required aria-required=\"true\"  ><option value=''>--Select State--<\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='Armed Forces America'>Armed Forces America<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District Of Columbia'>District Of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><\/select><label for='input_id_state_label_843' id='label_id_state_label_843' class='rmform-label rmform-label-address'>State or Region<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_843state-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-843\" id=\"input_id_country_label_843\" name=\"Address_843[country]\" aria-labelledby=\"label_id_country_label_843\" value=\"\" onchange=\"update_state_dropdown(843)\" required aria-required=\"true\"  ><option value='US'>United States<\/option><option value='Canada'>Canada<\/option><\/select><label for='input_id_country_label_843' id='label_id_country_label_843' class='rmform-label rmform-label-address'> Country<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_843country-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-843\" id=\"input_id_zip_label_843\" name=\"Address_843[zip]\" aria-labelledby=\"label_id_zip_label_843\" value=\"\" required aria-required=\"true\"  ><label for='input_id_zip_label_843' id='label_id_zip_label_843' class='rmform-label rmform-label-address'> Zip<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_843zip-error'><\/span><\/div><\/div><\/div><\/div><div id='rm-note-843' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-mobile-851' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='851'><label for=\"input_id_Mobile_851\" id=\"label_id_Mobile_851\" class=\"rmform-label\" > Student Cell<\/label><input type=\"text\" name=\"Mobile_851\" class=\"rmform-control \" aria-describedby=\"rm-note-851\" id=\"input_id_Mobile_851\" aria-labelledby=\"label_id_Mobile_851\" minlength=\"\" maxlength=\"\" placeholder=\"\" data-fieldtype=\"MobileInternational\"  ><span class='rmform-error-message' id='rmform-mobile_851-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-email-845' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='845'><label for=\"input_id_Email_845\" id=\"label_id_Email_845\" class=\"rmform-label\"  >  Student Email<\/label><input type=\"email\" name=\"Email_845\" class=\"rmform-control \" aria-describedby=\"rm-note-845\" id=\"input_id_Email_845\" data-fieldtype=\"Email\" aria-labelledby=\"label_id_Email_845\" value=\"\" placeholder=\"\" data-primary=\"0\"  ><span class='rmform-error-message' id='rmform-email_845-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-901' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='901'><span class=\"rmform-label\" > In the past 12 months, has the student had disciplinary difficulties, been suspended from school, or been in trouble with the law?<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_901_0'><input name=\"Radio_901\" class=\"rmform-control radio_901 \" aria-describedby=\"rm-note-901\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_901_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_901_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_901_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_901_1'><input name=\"Radio_901\" class=\"rmform-control radio_901 \" aria-describedby=\"rm-note-901\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_901_1\" value=\"No\" aria-labelledby=\"label_id_Radio_901_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_901_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_901-error'><\/span><div id='rm-note-901' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textarea-1048' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1048'><label for=\"input_id_Textarea_1048\" id=\"label_id_Textarea_1048\" class=\"rmform-label\" > If so, please explain<\/label><textarea name=\"Textarea_1048\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-1048\" minlength=\"\" maxlength=\"\" cols=\"\" rows=\"\" id=\"input_id_Textarea_1048\" placeholder=\"\" data-cond-option=\"Radio_901\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><\/textarea><span class='rmform-error-message' id='rmform-textarea_1048-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-checkbox-904' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='904'><span class=\"rmform-label\" > Has your child ever been tested for or is currently receiving any of the following: Please Check All That Apply<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='checkbox_904_0'><input name=\"Checkbox_904[]\" class=\"rmform-control checkbox_904 \" aria-describedby=\"rm-note-904\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_904_0\" id=\"checkbox_904_0\" value=\"None\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_904_0'>None<\/span><\/label><label class='rmform-check' for='checkbox_904_1'><input name=\"Checkbox_904[]\" class=\"rmform-control checkbox_904 \" aria-describedby=\"rm-note-904\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_904_1\" id=\"checkbox_904_1\" value=\"Title I\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_904_1'>Title I<\/span><\/label><label class='rmform-check' for='checkbox_904_2'><input name=\"Checkbox_904[]\" class=\"rmform-control checkbox_904 \" aria-describedby=\"rm-note-904\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_904_2\" id=\"checkbox_904_2\" value=\"LD\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_904_2'>LD<\/span><\/label><label class='rmform-check' for='checkbox_904_3'><input name=\"Checkbox_904[]\" class=\"rmform-control checkbox_904 \" aria-describedby=\"rm-note-904\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_904_3\" id=\"checkbox_904_3\" value=\"Speech\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_904_3'>Speech<\/span><\/label><label class='rmform-check' for='checkbox_904_4'><input name=\"Checkbox_904[]\" class=\"rmform-control checkbox_904 \" aria-describedby=\"rm-note-904\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_904_4\" id=\"checkbox_904_4\" value=\"IEP\/IPS\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_904_4'>IEP\/IPS<\/span><\/label><label class='rmform-check' for='checkbox_904_5'><input name=\"Checkbox_904[]\" class=\"rmform-control checkbox_904 \" aria-describedby=\"rm-note-904\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_904_5\" id=\"checkbox_904_5\" value=\"Gifted\/Honors\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_904_5'>Gifted\/Honors<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-checkbox_904-error'><\/span><div id='rm-note-904' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-842' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='842'><hr class=\"rmform-divider hr\" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_842-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-946' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='946'><h1 class=\"rmform-field-type-heading rmform-control \" >Ethnicity\/Race<\/h1><span class='rmform-error-message' id='rmform-htmlh_946-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-1034' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1034'><span class=\"rmform-label\" > Is the student Hispanic or Latino?<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_1034_0'><input name=\"Radio_1034\" class=\"rmform-control radio_1034 \" aria-describedby=\"rm-note-1034\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1034_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_1034_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1034_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_1034_1'><input name=\"Radio_1034\" class=\"rmform-control radio_1034 \" aria-describedby=\"rm-note-1034\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1034_1\" value=\"No\" aria-labelledby=\"label_id_Radio_1034_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1034_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_1034-error'><\/span><div id='rm-note-1034' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-checkbox-978' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='978'><span class=\"rmform-label\" > Race<\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='checkbox_978_0'><input name=\"Checkbox_978[]\" class=\"rmform-control checkbox_978 \" aria-describedby=\"rm-note-978\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_978_0\" id=\"checkbox_978_0\" value=\"American Indian or Alaskan Native\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_978_0'>American Indian or Alaskan Native<\/span><\/label><label class='rmform-check' for='checkbox_978_1'><input name=\"Checkbox_978[]\" class=\"rmform-control checkbox_978 \" aria-describedby=\"rm-note-978\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_978_1\" id=\"checkbox_978_1\" value=\"Asian\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_978_1'>Asian<\/span><\/label><label class='rmform-check' for='checkbox_978_2'><input name=\"Checkbox_978[]\" class=\"rmform-control checkbox_978 \" aria-describedby=\"rm-note-978\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_978_2\" id=\"checkbox_978_2\" value=\"Black or African American\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_978_2'>Black or African American<\/span><\/label><label class='rmform-check' for='checkbox_978_3'><input name=\"Checkbox_978[]\" class=\"rmform-control checkbox_978 \" aria-describedby=\"rm-note-978\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_978_3\" id=\"checkbox_978_3\" value=\"Native Hawaiian or other Pacific Islander\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_978_3'>Native Hawaiian or other Pacific Islander<\/span><\/label><label class='rmform-check' for='checkbox_978_4'><input name=\"Checkbox_978[]\" class=\"rmform-control checkbox_978 \" aria-describedby=\"rm-note-978\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_978_4\" id=\"checkbox_978_4\" value=\"Caucasian\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_978_4'>Caucasian<\/span><\/label><label class='rmform-check' for='checkbox_978_5'><input name=\"Checkbox_978[]\" class=\"rmform-control checkbox_978 \" aria-describedby=\"rm-note-978\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" aria-labelledby=\"label_id_Checkbox_978_5\" id=\"checkbox_978_5\" value=\"Other or Refuse to Identify\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_978_5'>Other or Refuse to Identify<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-checkbox_978-error'><\/span><div id='rm-note-978' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-953' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='953'><label for=\"input_id_Textbox_953\" id=\"label_id_Textbox_953\" class=\"rmform-label\" >  Primary Language Spoken at Home<\/label><input type=\"text\" name=\"Textbox_953\" class=\"rmform-control \" aria-describedby=\"rm-note-953\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_953\" aria-labelledby=\"label_id_Textbox_953\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_953-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-1027' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1027'><hr class=\"rmform-divider hr\" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_1027-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-1028' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1028'><h1 class=\"rmform-field-type-heading rmform-control \" >Medical<\/h1><span class='rmform-error-message' id='rmform-htmlh_1028-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-906' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='906'><span class=\"rmform-label\" > Allergies<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_906_0'><input name=\"Radio_906\" class=\"rmform-control radio_906 \" aria-describedby=\"rm-note-906\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_906_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_906_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_906_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_906_1'><input name=\"Radio_906\" class=\"rmform-control radio_906 \" aria-describedby=\"rm-note-906\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_906_1\" value=\"No\" aria-labelledby=\"label_id_Radio_906_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_906_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_906-error'><\/span><div id='rm-note-906' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-987' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='987'><label for=\"input_id_Textbox_987\" id=\"label_id_Textbox_987\" class=\"rmform-label\" >  List allergies here<\/label><input type=\"text\" name=\"Textbox_987\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-987\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_987\" aria-labelledby=\"label_id_Textbox_987\" placeholder=\"\" data-cond-option=\"Radio_906\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_987-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-908' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='908'><span class=\"rmform-label\" > Glasses \/ Contacts<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_908_0'><input name=\"Radio_908\" class=\"rmform-control radio_908 \" aria-describedby=\"rm-note-908\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_908_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_908_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_908_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_908_1'><input name=\"Radio_908\" class=\"rmform-control radio_908 \" aria-describedby=\"rm-note-908\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_908_1\" value=\"No\" aria-labelledby=\"label_id_Radio_908_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_908_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_908-error'><\/span><div id='rm-note-908' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-909' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='909'><span class=\"rmform-label\" > Hearing Aids\/Accommodations<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_909_0'><input name=\"Radio_909\" class=\"rmform-control radio_909 \" aria-describedby=\"rm-note-909\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_909_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_909_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_909_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_909_1'><input name=\"Radio_909\" class=\"rmform-control radio_909 \" aria-describedby=\"rm-note-909\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_909_1\" value=\"No\" aria-labelledby=\"label_id_Radio_909_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_909_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_909-error'><\/span><div id='rm-note-909' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-907' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='907'><label for=\"input_id_Textbox_907\" id=\"label_id_Textbox_907\" class=\"rmform-label\" >  List Accommodations here<\/label><input type=\"text\" name=\"Textbox_907\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-907\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_907\" aria-labelledby=\"label_id_Textbox_907\" placeholder=\"\" data-cond-option=\"Radio_909\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_907-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-file-934' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='934'><label for=\"input_id_File_934\" id=\"label_id_File_934\" class=\"rmform-label\" > Birth Certificate<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"file\" name=\"File_934[]\" class=\"rmform-control \" aria-describedby=\"rm-note-934\" id=\"input_id_File_934\" aria-labelledby=\"label_id_File_934\" data-fieldtype=\"File\" multiple required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-file_934-error'><\/span><div id='rm-note-934' class='rmform-note' style='display: none;'>Please Upload your students Birth Certificate here<\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-file-918' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='918'><label for=\"input_id_File_918\" id=\"label_id_File_918\" class=\"rmform-label\" > Please Upload Immunization Records or Certificate of Immunization<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"file\" name=\"File_918[]\" class=\"rmform-control \" aria-describedby=\"rm-note-918\" id=\"input_id_File_918\" aria-labelledby=\"label_id_File_918\" data-fieldtype=\"File\" multiple required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-file_918-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-link-921' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='921'><a class=\"rmform-control \" href=\"https:\/\/docs.google.com\/document\/d\/1DTiDFBTjfVsaSIM8KIGukTPlBylV1i0MTdxcNhnMpVY\/edit?usp=sharing\" target=\"_blank\" >  CERTIFICATE OF IMMUNIZATION<\/a><span class='rmform-error-message' id='rmform-link_921-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-1008' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1008'><hr class=\"rmform-divider hr\" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_1008-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-986' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='986'><h1 class=\"rmform-field-type-heading rmform-control \" >School Most Recently Attended<\/h1><span class='rmform-error-message' id='rmform-htmlh_986-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-947' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='947'><label for=\"input_id_Textbox_947\" id=\"label_id_Textbox_947\" class=\"rmform-label\" >  Previous School Name<\/label><input type=\"text\" name=\"Textbox_947\" class=\"rmform-control \" aria-describedby=\"rm-note-947\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_947\" aria-labelledby=\"label_id_Textbox_947\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_947-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-973' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='973'><label for=\"input_id_Phone_973\" id=\"label_id_Phone_973\" class=\"rmform-label\" > Previous School Phone Number<\/label><input type=\"tel\" name=\"Phone_973\" class=\"rmform-control \" aria-describedby=\"rm-note-973\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_973\" aria-labelledby=\"label_id_Phone_973\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-phone_973-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-address-948' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='948'><label class=\"rmform-label\" >  Previous School Address<\/label><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-948\" id=\"input_id_address1_948\" name=\"Address_948[address1]\" aria-labelledby=\"label_id_address1_948\" value=\"\"  ><label for='input_id_address1_948' id='label_id_address1_948' class='rmform-label rmform-label-address'> Address Line 1<\/label><span class='rmform-error-message' id='rmform-address_948address1-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-948\" id=\"input_id_address2_label_948\" name=\"Address_948[address2]\" aria-labelledby=\"label_id_address2_label_948\" value=\"\" ><label for='input_id_address2_label_948' id='label_id_address2_label_948' class='rmform-label rmform-label-address'> Address Line 2<\/label><span class='rmform-error-message' id='rmform-address_948address2-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-948\" id=\"input_id_city_label_948\" name=\"Address_948[city]\" aria-labelledby=\"label_id_city_label_948\" value=\"\"  ><label for='input_id_city_label_948' id='label_id_city_label_948' class='rmform-label rmform-label-address'> City<\/label><span class='rmform-error-message' id='rmform-address_948city-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-948\" id=\"input_id_state_label_948\" name=\"Address_948[state]\" aria-labelledby=\"label_id_state_label_948\" value=\"\"  ><label for='input_id_state_label_948' id='label_id_state_label_948' class='rmform-label rmform-label-address'>State or Region<\/label><span class='rmform-error-message' id='rmform-address_948state-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-948\" id=\"input_id_country_label_948\" name=\"Address_948[country]\" aria-labelledby=\"label_id_country_label_948\" value=\"\"  ><option value=\"\">--Select Country--<\/option><option value=\"Afghanistan\" data-code=\"af\">Afghanistan<\/option><option value=\"Aland Islands\" data-code=\"ax\">Aland Islands<\/option><option value=\"Albania\" data-code=\"al\">Albania<\/option><option value=\"Algeria\" data-code=\"dz\">Algeria<\/option><option value=\"American Samoa\" data-code=\"as\">American Samoa<\/option><option value=\"Andorra\" data-code=\"ad\">Andorra<\/option><option value=\"Angola\" data-code=\"ao\">Angola<\/option><option value=\"Anguilla\" data-code=\"ai\">Anguilla<\/option><option value=\"Antarctica\" data-code=\"aq\">Antarctica<\/option><option value=\"Antigua and Barbuda\" data-code=\"ag\">Antigua and Barbuda<\/option><option value=\"Argentina\" data-code=\"ar\">Argentina<\/option><option value=\"Armenia\" data-code=\"am\">Armenia<\/option><option value=\"Aruba\" data-code=\"aw\">Aruba<\/option><option value=\"Australia\" data-code=\"au\">Australia<\/option><option value=\"Austria\" data-code=\"at\">Austria<\/option><option value=\"Azerbaijan\" data-code=\"az\">Azerbaijan<\/option><option value=\"Bahamas, The\" data-code=\"bs\">Bahamas, The<\/option><option value=\"Bahrain\" data-code=\"bh\">Bahrain<\/option><option value=\"Bangladesh\" data-code=\"bd\">Bangladesh<\/option><option value=\"Barbados\" data-code=\"bb\">Barbados<\/option><option value=\"Belarus\" data-code=\"by\">Belarus<\/option><option value=\"Belgium\" data-code=\"be\">Belgium<\/option><option value=\"Belize\" data-code=\"bz\">Belize<\/option><option value=\"Benin\" data-code=\"bj\">Benin<\/option><option value=\"Bermuda\" data-code=\"bm\">Bermuda<\/option><option value=\"Bhutan\" data-code=\"bt\">Bhutan<\/option><option value=\"Bolivia\" data-code=\"bo\">Bolivia<\/option><option value=\"Bosnia and Herzegovina\" data-code=\"ba\">Bosnia and Herzegovina<\/option><option value=\"Botswana\" data-code=\"bw\">Botswana<\/option><option value=\"Bouvet Island\" data-code=\"bv\">Bouvet Island<\/option><option value=\"Brazil\" data-code=\"br\">Brazil<\/option><option value=\"British Indian Ocean Territory\" data-code=\"io\">British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\" data-code=\"bn\">Brunei Darussalam<\/option><option value=\"Bulgaria\" data-code=\"bg\">Bulgaria<\/option><option value=\"Burkina Faso\" data-code=\"bf\">Burkina Faso<\/option><option value=\"Burundi\" data-code=\"bi\">Burundi<\/option><option value=\"Cambodia\" data-code=\"kh\">Cambodia<\/option><option value=\"Cameroon\" data-code=\"cm\">Cameroon<\/option><option value=\"Canada\" data-code=\"ca\">Canada<\/option><option value=\"Cape Verde\" data-code=\"cv\">Cape Verde<\/option><option value=\"Cayman Islands\" data-code=\"ky\">Cayman Islands<\/option><option value=\"Central African Republic\" data-code=\"cf\">Central African Republic<\/option><option value=\"Chad\" data-code=\"td\">Chad<\/option><option value=\"Chile\" data-code=\"cl\">Chile<\/option><option value=\"China\" data-code=\"cn\">China<\/option><option value=\"Christmas Island\" data-code=\"cx\">Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\" data-code=\"cc\">Cocos (Keeling) Islands<\/option><option value=\"Colombia\" data-code=\"co\">Colombia<\/option><option value=\"Comoros\" data-code=\"km\">Comoros<\/option><option value=\"Congo\" data-code=\"cg\">Congo<\/option><option value=\"Congo, The Democratic Republic Of The\" data-code=\"cd\">Congo, The Democratic Republic Of The<\/option><option value=\"Cook Islands\" data-code=\"ck\">Cook Islands<\/option><option value=\"Costa Rica\" data-code=\"cr\">Costa Rica<\/option><option value=\"Cote D&#039;ivoire\" data-code=\"ci\">Cote D&#039;ivoire<\/option><option value=\"Croatia\" data-code=\"hr\">Croatia<\/option><option value=\"Cuba\" data-code=\"cu\">Cuba<\/option><option value=\"Cyprus\" data-code=\"cy\">Cyprus<\/option><option value=\"Czech Republic\" data-code=\"cz\">Czech Republic<\/option><option value=\"Denmark\" data-code=\"dk\">Denmark<\/option><option value=\"Djibouti\" data-code=\"dj\">Djibouti<\/option><option value=\"Dominica\" data-code=\"dm\">Dominica<\/option><option value=\"Dominican Republic\" data-code=\"do\">Dominican Republic<\/option><option value=\"Ecuador\" data-code=\"ec\">Ecuador<\/option><option value=\"Egypt\" data-code=\"eg\">Egypt<\/option><option value=\"El Salvador\" data-code=\"sv\">El Salvador<\/option><option value=\"Equatorial Guinea\" data-code=\"gq\">Equatorial Guinea<\/option><option value=\"Eritrea\" data-code=\"er\">Eritrea<\/option><option value=\"Estonia\" data-code=\"ee\">Estonia<\/option><option value=\"Ethiopia\" data-code=\"et\">Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\" data-code=\"fk\">Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\" data-code=\"fo\">Faroe Islands<\/option><option value=\"Fiji\" data-code=\"fj\">Fiji<\/option><option value=\"Finland\" data-code=\"fi\">Finland<\/option><option value=\"France\" data-code=\"fr\">France<\/option><option value=\"French Guiana\" data-code=\"gf\">French Guiana<\/option><option value=\"French Polynesia\" data-code=\"pf\">French Polynesia<\/option><option value=\"French Southern Territories\" data-code=\"tf\">French Southern Territories<\/option><option value=\"Gabon\" data-code=\"ga\">Gabon<\/option><option value=\"Gambia, The\" data-code=\"gm\">Gambia, The<\/option><option value=\"Georgia\" data-code=\"ge\">Georgia<\/option><option value=\"Germany\" data-code=\"de\">Germany<\/option><option value=\"Ghana\" data-code=\"gh\">Ghana<\/option><option value=\"Gibraltar\" data-code=\"gi\">Gibraltar<\/option><option value=\"Greece\" data-code=\"gr\">Greece<\/option><option value=\"Greenland\" data-code=\"gl\">Greenland<\/option><option value=\"Grenada\" data-code=\"gd\">Grenada<\/option><option value=\"Guadeloupe\" data-code=\"gp\">Guadeloupe<\/option><option value=\"Guam\" data-code=\"gu\">Guam<\/option><option value=\"Guatemala\" data-code=\"gt\">Guatemala<\/option><option value=\"Guernsey\" data-code=\"gg\">Guernsey<\/option><option value=\"Guinea\" data-code=\"gn\">Guinea<\/option><option value=\"Guinea-Bissau\" data-code=\"gw\">Guinea-Bissau<\/option><option value=\"Guyana\" data-code=\"gy\">Guyana<\/option><option value=\"Haiti\" data-code=\"ht\">Haiti<\/option><option value=\"Heard Island and the McDonald Islands\" data-code=\"hm\">Heard Island and the McDonald Islands<\/option><option value=\"Holy See\" data-code=\"va\">Holy See<\/option><option value=\"Honduras\" data-code=\"hn\">Honduras<\/option><option value=\"Hong Kong\" data-code=\"hk\">Hong Kong<\/option><option value=\"Hungary\" data-code=\"hu\">Hungary<\/option><option value=\"Iceland\" data-code=\"is\">Iceland<\/option><option value=\"India\" data-code=\"in\">India<\/option><option value=\"Indonesia\" data-code=\"id\">Indonesia<\/option><option value=\"Iran\" data-code=\"ir\">Iran<\/option><option value=\"Iraq\" data-code=\"iq\">Iraq<\/option><option value=\"Ireland\" data-code=\"ie\">Ireland<\/option><option value=\"Isle Of Man\" data-code=\"im\">Isle Of Man<\/option><option value=\"Israel\" data-code=\"il\">Israel<\/option><option value=\"Italy\" data-code=\"it\">Italy<\/option><option value=\"Jamaica\" data-code=\"jm\">Jamaica<\/option><option value=\"Japan\" data-code=\"jp\">Japan<\/option><option value=\"Jersey\" data-code=\"je\">Jersey<\/option><option value=\"Jordan\" data-code=\"jo\">Jordan<\/option><option value=\"Kazakhstan\" data-code=\"kz\">Kazakhstan<\/option><option value=\"Kenya\" data-code=\"ke\">Kenya<\/option><option value=\"Kiribati\" data-code=\"ki\">Kiribati<\/option><option value=\"Korea, Republic Of\" data-code=\"kr\">Korea, Republic Of<\/option><option value=\"Kosovo\" data-code=\"ks\">Kosovo<\/option><option value=\"Kuwait\" data-code=\"kw\">Kuwait<\/option><option value=\"Kyrgyzstan\" data-code=\"kg\">Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\" data-code=\"la\">Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\" data-code=\"lv\">Latvia<\/option><option value=\"Lebanon\" data-code=\"lb\">Lebanon<\/option><option value=\"Lesotho\" data-code=\"ls\">Lesotho<\/option><option value=\"Liberia\" data-code=\"lr\">Liberia<\/option><option value=\"Libya\" data-code=\"ly\">Libya<\/option><option value=\"Liechtenstein\" data-code=\"li\">Liechtenstein<\/option><option value=\"Lithuania\" data-code=\"lt\">Lithuania<\/option><option value=\"Luxembourg\" data-code=\"lu\">Luxembourg<\/option><option value=\"Macao\" data-code=\"mo\">Macao<\/option><option value=\"Macedonia, The Former Yugoslav Republic Of\" data-code=\"mk\">Macedonia, The Former Yugoslav Republic Of<\/option><option value=\"Madagascar\" data-code=\"mg\">Madagascar<\/option><option value=\"Malawi\" data-code=\"mw\">Malawi<\/option><option value=\"Malaysia\" data-code=\"my\">Malaysia<\/option><option value=\"Maldives\" data-code=\"mv\">Maldives<\/option><option value=\"Mali\" data-code=\"ml\">Mali<\/option><option value=\"Malta\" data-code=\"mt\">Malta<\/option><option value=\"Marshall Islands\" data-code=\"mh\">Marshall Islands<\/option><option value=\"Martinique\" data-code=\"mq\">Martinique<\/option><option value=\"Mauritania\" data-code=\"mr\">Mauritania<\/option><option value=\"Mauritius\" data-code=\"mu\">Mauritius<\/option><option value=\"Mayotte\" data-code=\"yt\">Mayotte<\/option><option value=\"Mexico\" data-code=\"mx\">Mexico<\/option><option value=\"Micronesia, Federated States Of\" data-code=\"fm\">Micronesia, Federated States Of<\/option><option value=\"Moldova, Republic Of\" data-code=\"md\">Moldova, Republic Of<\/option><option value=\"Monaco\" data-code=\"mc\">Monaco<\/option><option value=\"Mongolia\" data-code=\"mn\">Mongolia<\/option><option value=\"Montenegro\" data-code=\"me\">Montenegro<\/option><option value=\"Montserrat\" data-code=\"ms\">Montserrat<\/option><option value=\"Morocco\" data-code=\"ma\">Morocco<\/option><option value=\"Mozambique\" data-code=\"mz\">Mozambique<\/option><option value=\"Myanmar\" data-code=\"mm\">Myanmar<\/option><option value=\"Namibia\" data-code=\"na\">Namibia<\/option><option value=\"Nauru\" data-code=\"nr\">Nauru<\/option><option value=\"Nepal\" data-code=\"np\">Nepal<\/option><option value=\"Netherlands\" data-code=\"nl\">Netherlands<\/option><option value=\"Netherlands Antilles\" data-code=\"an\">Netherlands Antilles<\/option><option value=\"New Caledonia\" data-code=\"nc\">New Caledonia<\/option><option value=\"New Zealand\" data-code=\"nz\">New Zealand<\/option><option value=\"Nicaragua\" data-code=\"ni\">Nicaragua<\/option><option value=\"Niger\" data-code=\"ne\">Niger<\/option><option value=\"Nigeria\" data-code=\"ng\">Nigeria<\/option><option value=\"Niue\" data-code=\"nu\">Niue<\/option><option value=\"Norfolk Island\" data-code=\"nf\">Norfolk Island<\/option><option value=\"Northern Mariana Islands\" data-code=\"mp\">Northern Mariana Islands<\/option><option value=\"Norway\" data-code=\"no\">Norway<\/option><option value=\"Oman\" data-code=\"om\">Oman<\/option><option value=\"Pakistan\" data-code=\"pk\">Pakistan<\/option><option value=\"Palau\" data-code=\"pw\">Palau<\/option><option value=\"Palestinian Territories\" data-code=\"ps\">Palestinian Territories<\/option><option value=\"Panama\" data-code=\"pa\">Panama<\/option><option value=\"Papua New Guinea\" data-code=\"pg\">Papua New Guinea<\/option><option value=\"Paraguay\" data-code=\"py\">Paraguay<\/option><option value=\"Peru\" data-code=\"pe\">Peru<\/option><option value=\"Philippines\" data-code=\"ph\">Philippines<\/option><option value=\"Pitcairn\" data-code=\"pn\">Pitcairn<\/option><option value=\"Poland\" data-code=\"pl\">Poland<\/option><option value=\"Portugal\" data-code=\"pt\">Portugal<\/option><option value=\"Puerto Rico\" data-code=\"pr\">Puerto Rico<\/option><option value=\"Qatar\" data-code=\"qa\">Qatar<\/option><option value=\"Reunion\" data-code=\"re\">Reunion<\/option><option value=\"Romania\" data-code=\"ro\">Romania<\/option><option value=\"Russian Federation\" data-code=\"ru\">Russian Federation<\/option><option value=\"Rwanda\" data-code=\"rw\">Rwanda<\/option><option value=\"Saint Barthelemy\" data-code=\"bl\">Saint Barthelemy<\/option><option value=\"Saint Helena\" data-code=\"sh\">Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" data-code=\"kn\">Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" data-code=\"lc\">Saint Lucia<\/option><option value=\"Saint Martin\" data-code=\"mf\">Saint Martin<\/option><option value=\"Saint Pierre and Miquelon\" data-code=\"pm\">Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and The Grenadines\" data-code=\"vc\">Saint Vincent and The Grenadines<\/option><option value=\"Samoa\" data-code=\"ws\">Samoa<\/option><option value=\"San Marino\" data-code=\"sm\">San Marino<\/option><option value=\"Sao Tome and Principe\" data-code=\"st\">Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" data-code=\"sa\">Saudi Arabia<\/option><option value=\"Senegal\" data-code=\"sn\">Senegal<\/option><option value=\"Serbia\" data-code=\"rs\">Serbia<\/option><option value=\"Seychelles\" data-code=\"sc\">Seychelles<\/option><option value=\"Sierra Leone\" data-code=\"sl\">Sierra Leone<\/option><option value=\"Singapore\" data-code=\"sg\">Singapore<\/option><option value=\"Slovakia\" data-code=\"sk\">Slovakia<\/option><option value=\"Slovenia\" data-code=\"si\">Slovenia<\/option><option value=\"Solomon Islands\" data-code=\"sb\">Solomon Islands<\/option><option value=\"Somalia\" data-code=\"so\">Somalia<\/option><option value=\"South Africa\" data-code=\"za\">South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\" data-code=\"gs\">South Georgia and the South Sandwich Islands<\/option><option value=\"Spain\" data-code=\"es\">Spain<\/option><option value=\"Sri Lanka\" data-code=\"lk\">Sri Lanka<\/option><option value=\"Sudan\" data-code=\"sd\">Sudan<\/option><option value=\"Suriname\" data-code=\"sr\">Suriname<\/option><option value=\"Svalbard and Jan Mayen\" data-code=\"sj\">Svalbard and Jan Mayen<\/option><option value=\"Swaziland\" data-code=\"sz\">Swaziland<\/option><option value=\"Sweden\" data-code=\"se\">Sweden<\/option><option value=\"Switzerland\" data-code=\"ch\">Switzerland<\/option><option value=\"Syria\" data-code=\"sy\">Syria<\/option><option value=\"Taiwan\" data-code=\"tw\">Taiwan<\/option><option value=\"Tajikistan\" data-code=\"tj\">Tajikistan<\/option><option value=\"Tanzania, United Republic Of\" data-code=\"tz\">Tanzania, United Republic Of<\/option><option value=\"Thailand\" data-code=\"th\">Thailand<\/option><option value=\"Timor-leste\" data-code=\"tl\">Timor-leste<\/option><option value=\"Togo\" data-code=\"tg\">Togo<\/option><option value=\"Tokelau\" data-code=\"tk\">Tokelau<\/option><option value=\"Tonga\" data-code=\"to\">Tonga<\/option><option value=\"Trinidad and Tobago\" data-code=\"tt\">Trinidad and Tobago<\/option><option value=\"Tunisia\" data-code=\"tn\">Tunisia<\/option><option value=\"Turkey\" data-code=\"tr\">Turkey<\/option><option value=\"Turkmenistan\" data-code=\"tm\">Turkmenistan<\/option><option value=\"Turks and Caicos Islands\" data-code=\"tc\">Turks and Caicos Islands<\/option><option value=\"Tuvalu\" data-code=\"tv\">Tuvalu<\/option><option value=\"Uganda\" data-code=\"ug\">Uganda<\/option><option value=\"Ukraine\" data-code=\"ua\">Ukraine<\/option><option value=\"United Arab Emirates\" data-code=\"ae\">United Arab Emirates<\/option><option value=\"United Kingdom\" data-code=\"gb\">United Kingdom<\/option><option value=\"United States\" data-code=\"us\">United States<\/option><option value=\"United States Minor Outlying Islands\" data-code=\"um\">United States Minor Outlying Islands<\/option><option value=\"Uruguay\" data-code=\"uy\">Uruguay<\/option><option value=\"Uzbekistan\" data-code=\"uz\">Uzbekistan<\/option><option value=\"Vanuatu\" data-code=\"vu\">Vanuatu<\/option><option value=\"Venezuela\" data-code=\"ve\">Venezuela<\/option><option value=\"Vietnam\" data-code=\"vn\">Vietnam<\/option><option value=\"Virgin Islands, British\" data-code=\"vg\">Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" data-code=\"vi\">Virgin Islands, U.S.<\/option><option value=\"Wallis and Futuna\" data-code=\"wf\">Wallis and Futuna<\/option><option value=\"Western Sahara\" data-code=\"eh\">Western Sahara<\/option><option value=\"Yemen\" data-code=\"ye\">Yemen<\/option><option value=\"Zambia\" data-code=\"zm\">Zambia<\/option><option value=\"Zimbabwe\" data-code=\"zw\">Zimbabwe<\/option><\/select><label for='input_id_country_label_948' id='label_id_country_label_948' class='rmform-label rmform-label-address'> Country<\/label><span class='rmform-error-message' id='rmform-address_948country-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-948\" id=\"input_id_zip_label_948\" name=\"Address_948[zip]\" aria-labelledby=\"label_id_zip_label_948\" value=\"\"  ><label for='input_id_zip_label_948' id='label_id_zip_label_948' class='rmform-label rmform-label-address'> Zip<\/label><span class='rmform-error-message' id='rmform-address_948zip-error'><\/span><\/div><\/div><\/div><\/div><div id='rm-note-948' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-1007' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1007'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_1007-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-935' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='935'><h1 class=\"rmform-field-type-heading rmform-control \" >TO BE FILLED OUT BY STUDENTS IN GRADES 6-12.<\/h1><span class='rmform-error-message' id='rmform-htmlh_935-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textarea-936' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='936'><label for=\"input_id_Textarea_936\" id=\"label_id_Textarea_936\" class=\"rmform-label\" > Please briefly share about your faith journey and perspective on life:<\/label><textarea name=\"Textarea_936\" class=\"rmform-control \" aria-describedby=\"rm-note-936\" minlength=\"\" maxlength=\"\" cols=\"\" rows=\"\" id=\"input_id_Textarea_936\" placeholder=\"\"  ><\/textarea><span class='rmform-error-message' id='rmform-textarea_936-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-heading'>Student Commitment at Williston Trinity Christian School<\/div><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlp-937' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='937'><p class=\"rmform-control \" >We believe that right and wrong exist. We believe that there are moral obligations with origins in God. We believe that what we say and do affects those around us. We recognize that the Bible teaches life principles and the importance of self-control (Colossians 3:5-8). As a potential student at WTCS, I agree with the school's position.<\/p><span class='rmform-error-message' id='rmform-htmlp_937-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-richtext-974' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='974'><div class=\"rmform-control \" ><p>If offered enrollment at Williston Trinity Christian School, with God\u2019s help, I agree to:<\/p>\r\n<p>1. Keep my cell phone\/iPod and all other electronic devices TURNED OFF and in my locker during designated hours.<\/p>\r\n<p>2. Follow dress code policy.<br \/>3. Be honest at all times and not deceitful.<\/p>\r\n<p>4. Respect the property of others and not misuse or steal it.<\/p>\r\n<p>5. Respect and preserve the emotional and sexual integrity of myself and others.<\/p>\r\n<p>6. Preserve personal purity.<\/p>\r\n<p>7. Respect and respond properly to authority through spirit, tone of voice, facial expression, and content of my speech.<\/p>\r\n<p>8. Approach the school and its program with a positive Christian attitude in action, word, and appearance.<\/p>\r\n<p>9. Approach all social media websites and posts with strong Christian accountability.<\/p>\r\n<p>10. I will refrain from bullying others in any form.<\/p>\r\n<p>&nbsp;<\/p>\r\n<p>I certify that I have read and will abide by the above Student Commitment, whether at school, home, or elsewhere. I will respect and abide by the guidelines and rules as outlined in the Williston Trinity Christian School handbook, or be subject to disciplinary measures.<\/p><\/div><span class='rmform-error-message' id='rmform-richtext_974-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-939' class='rmform-col rmform-col-6'><div class='rmform-field' data-field-id='939'><label for=\"input_id_Textbox_939\" id=\"label_id_Textbox_939\" class=\"rmform-label\" >  Student Signature (Grades 6-12)<\/label><input type=\"text\" name=\"Textbox_939\" class=\"rmform-control \" aria-describedby=\"rm-note-939\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_939\" aria-labelledby=\"label_id_Textbox_939\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_939-error'><\/span><\/div><\/div><div id='rm-jqueryuidate-996' class='rmform-col rmform-col-6'><div class='rmform-field' data-field-id='996'><label for=\"input_id_jQueryUIDate_996\" id=\"label_id_jQueryUIDate_996\" class=\"rmform-label\" > Date<\/label><input type=\"text\" name=\"jQueryUIDate_996\" class=\"rmform-control datepicker\" aria-describedby=\"rm-note-996\" autocomplete=\"off\" readonly data-dateformat=\"mm\/dd\/yy\" data-fieldtype=\"jQueryUIDate\" aria-labelledby=\"label_id_jQueryUIDate_996\" id=\"input_id_jQueryUIDate_996\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-jqueryuidate_996-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-846' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='846'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_846-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-847' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='847'><h1 class=\"rmform-field-type-heading rmform-control \" >Family Information<\/h1><span class='rmform-error-message' id='rmform-htmlh_847-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-848' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='848'><span class=\"rmform-label\" > Marital Status<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_848_0'><input name=\"Radio_848\" class=\"rmform-control radio_848 \" aria-describedby=\"rm-note-848\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_848_0\" value=\"Single\" aria-labelledby=\"label_id_Radio_848_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_848_0\"  >Single<\/span><\/label><label class='rmform-check' for='Radio_848_1'><input name=\"Radio_848\" class=\"rmform-control radio_848 \" aria-describedby=\"rm-note-848\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_848_1\" value=\"Married\" aria-labelledby=\"label_id_Radio_848_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_848_1\"  >Married<\/span><\/label><label class='rmform-check' for='Radio_848_2'><input name=\"Radio_848\" class=\"rmform-control radio_848 \" aria-describedby=\"rm-note-848\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_848_2\" value=\"Divorced\" aria-labelledby=\"label_id_Radio_848_2\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_848_2\"  >Divorced<\/span><\/label><label class='rmform-check' for='Radio_848_3'><input name=\"Radio_848\" class=\"rmform-control radio_848 \" aria-describedby=\"rm-note-848\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_848_3\" value=\"Separated\" aria-labelledby=\"label_id_Radio_848_3\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_848_3\"  >Separated<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_848-error'><\/span><div id='rm-note-848' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-checkbox-863' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='863'><span class=\"rmform-label\" > Who Does Student Live With? (Select All that Apply)<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='checkbox_863_0'><input name=\"Checkbox_863[]\" class=\"rmform-control checkbox_863 \" aria-describedby=\"rm-note-863\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_863_0\" id=\"checkbox_863_0\" value=\"Mother\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_863_0'>Mother<\/span><\/label><label class='rmform-check' for='checkbox_863_1'><input name=\"Checkbox_863[]\" class=\"rmform-control checkbox_863 \" aria-describedby=\"rm-note-863\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_863_1\" id=\"checkbox_863_1\" value=\"Father\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_863_1'>Father<\/span><\/label><label class='rmform-check' for='checkbox_863_2'><input name=\"Checkbox_863[]\" class=\"rmform-control checkbox_863 \" aria-describedby=\"rm-note-863\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_863_2\" id=\"checkbox_863_2\" value=\"Step-Father\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_863_2'>Step-Father<\/span><\/label><label class='rmform-check' for='checkbox_863_3'><input name=\"Checkbox_863[]\" class=\"rmform-control checkbox_863 \" aria-describedby=\"rm-note-863\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_863_3\" id=\"checkbox_863_3\" value=\"Step-Mother\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_863_3'>Step-Mother<\/span><\/label><label class='rmform-check' for='checkbox_863_4'><input name=\"Checkbox_863[]\" class=\"rmform-control checkbox_863 \" aria-describedby=\"rm-note-863\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_863_4\" id=\"checkbox_863_4\" value=\"Guardian\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_863_4'>Guardian<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-checkbox_863-error'><\/span><div id='rm-note-863' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-894' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='894'><span class=\"rmform-label\" > Are there restrictions on who can pick up your child from school?<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_894_0'><input name=\"Radio_894\" class=\"rmform-control radio_894 \" aria-describedby=\"rm-note-894\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_894_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_894_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_894_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_894_1'><input name=\"Radio_894\" class=\"rmform-control radio_894 \" aria-describedby=\"rm-note-894\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_894_1\" value=\"No\" aria-labelledby=\"label_id_Radio_894_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_894_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_894-error'><\/span><div id='rm-note-894' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-895' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='895'><label for=\"input_id_Textbox_895\" id=\"label_id_Textbox_895\" class=\"rmform-label\" >  If so, then whom?<\/label><input type=\"text\" name=\"Textbox_895\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-895\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_895\" aria-labelledby=\"label_id_Textbox_895\" placeholder=\"\" data-cond-option=\"Radio_894\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_895-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-1018' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1018'><span class=\"rmform-label\" > Is there a current court-ordered parenting, visitation, or safety plan?<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_1018_0'><input name=\"Radio_1018\" class=\"rmform-control radio_1018 \" aria-describedby=\"rm-note-1018\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1018_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_1018_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1018_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_1018_1'><input name=\"Radio_1018\" class=\"rmform-control radio_1018 \" aria-describedby=\"rm-note-1018\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1018_1\" value=\"No\" aria-labelledby=\"label_id_Radio_1018_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1018_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_1018-error'><\/span><div id='rm-note-1018' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textarea-898' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='898'><label for=\"input_id_Textarea_898\" id=\"label_id_Textarea_898\" class=\"rmform-label\" > Please explain<\/label><textarea name=\"Textarea_898\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-898\" minlength=\"\" maxlength=\"\" cols=\"\" rows=\"\" id=\"input_id_Textarea_898\" placeholder=\"\" data-cond-option=\"Radio_1018\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><\/textarea><span class='rmform-error-message' id='rmform-textarea_898-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-file-899' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='899'><label for=\"input_id_File_899\" id=\"label_id_File_899\" class=\"rmform-label\" > Upload court documents below.<\/label><input type=\"file\" name=\"File_899[]\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-899\" id=\"input_id_File_899\" aria-labelledby=\"label_id_File_899\" data-fieldtype=\"File\" multiple data-cond-option=\"Radio_1018\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-file_899-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-1045' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1045'><hr class=\"rmform-divider hr\" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_1045-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-849' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='849'><h1 class=\"rmform-field-type-heading rmform-control \" >Father<\/h1><span class='rmform-error-message' id='rmform-htmlh_849-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-1014' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1014'><label for=\"input_id_Textbox_1014\" id=\"label_id_Textbox_1014\" class=\"rmform-label\" >  Father's First and Last Name<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_1014\" class=\"rmform-control \" aria-describedby=\"rm-note-1014\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_1014\" aria-labelledby=\"label_id_Textbox_1014\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_1014-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-address-850' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='850'><label class=\"rmform-label\" >  Fathers Address<\/label><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-850\" id=\"input_id_address1_850\" name=\"Address_850[address1]\" aria-labelledby=\"label_id_address1_850\" value=\"\" required aria-required=\"true\"  ><label for='input_id_address1_850' id='label_id_address1_850' class='rmform-label rmform-label-address'> Address Line 1<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_850address1-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-850\" id=\"input_id_address2_label_850\" name=\"Address_850[address2]\" aria-labelledby=\"label_id_address2_label_850\" value=\"\" ><label for='input_id_address2_label_850' id='label_id_address2_label_850' class='rmform-label rmform-label-address'> Address Line 2<\/label><span class='rmform-error-message' id='rmform-address_850address2-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-850\" id=\"input_id_city_label_850\" name=\"Address_850[city]\" aria-labelledby=\"label_id_city_label_850\" value=\"\" required aria-required=\"true\"  ><label for='input_id_city_label_850' id='label_id_city_label_850' class='rmform-label rmform-label-address'> City<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_850city-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-850\" id=\"input_id_state_label_850\" name=\"Address_850[state]\" aria-labelledby=\"label_id_state_label_850\" value=\"\" required aria-required=\"true\"  ><option value=''>--Select State--<\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='Armed Forces America'>Armed Forces America<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District Of Columbia'>District Of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><\/select><label for='input_id_state_label_850' id='label_id_state_label_850' class='rmform-label rmform-label-address'>State or Region<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_850state-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-850\" id=\"input_id_country_label_850\" name=\"Address_850[country]\" aria-labelledby=\"label_id_country_label_850\" value=\"\" onchange=\"update_state_dropdown(850)\" required aria-required=\"true\"  ><option value='US'>United States<\/option><option value='Canada'>Canada<\/option><\/select><label for='input_id_country_label_850' id='label_id_country_label_850' class='rmform-label rmform-label-address'> Country<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_850country-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-850\" id=\"input_id_zip_label_850\" name=\"Address_850[zip]\" aria-labelledby=\"label_id_zip_label_850\" value=\"\" required aria-required=\"true\"  ><label for='input_id_zip_label_850' id='label_id_zip_label_850' class='rmform-label rmform-label-address'> Zip<span class='rmform-req-symbol'>*<\/span><\/label><span class='rmform-error-message' id='rmform-address_850zip-error'><\/span><\/div><\/div><\/div><\/div><div id='rm-note-850' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-1052' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1052'><label for=\"input_id_Phone_1052\" id=\"label_id_Phone_1052\" class=\"rmform-label\" > Father's Home Phone<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"tel\" name=\"Phone_1052\" class=\"rmform-control \" aria-describedby=\"rm-note-1052\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_1052\" aria-labelledby=\"label_id_Phone_1052\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-phone_1052-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-email-1015' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1015'><label for=\"input_id_Email_1015\" id=\"label_id_Email_1015\" class=\"rmform-label\"  >  Father's Email<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"email\" name=\"Email_1015\" class=\"rmform-control \" aria-describedby=\"rm-note-1015\" id=\"input_id_Email_1015\" data-fieldtype=\"Email\" aria-labelledby=\"label_id_Email_1015\" value=\"\" placeholder=\"\" data-primary=\"0\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-email_1015-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-853' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='853'><label for=\"input_id_Textbox_853\" id=\"label_id_Textbox_853\" class=\"rmform-label\" >  Father's Employer<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_853\" class=\"rmform-control \" aria-describedby=\"rm-note-853\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_853\" aria-labelledby=\"label_id_Textbox_853\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_853-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-956' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='956'><label for=\"input_id_Phone_956\" id=\"label_id_Phone_956\" class=\"rmform-label\" > Father's Day Phone<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"tel\" name=\"Phone_956\" class=\"rmform-control \" aria-describedby=\"rm-note-956\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_956\" aria-labelledby=\"label_id_Phone_956\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-phone_956-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-855' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='855'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_855-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-858' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='858'><h1 class=\"rmform-field-type-heading rmform-control \" >Mother<\/h1><span class='rmform-error-message' id='rmform-htmlh_858-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-856' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='856'><label for=\"input_id_Textbox_856\" id=\"label_id_Textbox_856\" class=\"rmform-label\" >  Mother's First and Last Name<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_856\" class=\"rmform-control \" aria-describedby=\"rm-note-856\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_856\" aria-labelledby=\"label_id_Textbox_856\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_856-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-address-857' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='857'><label class=\"rmform-label\" >  Mother's Address<\/label><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-857\" id=\"input_id_address1_857\" name=\"Address_857[address1]\" aria-labelledby=\"label_id_address1_857\" value=\"\"  ><label for='input_id_address1_857' id='label_id_address1_857' class='rmform-label rmform-label-address'> Address Line 1<\/label><span class='rmform-error-message' id='rmform-address_857address1-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-857\" id=\"input_id_address2_label_857\" name=\"Address_857[address2]\" aria-labelledby=\"label_id_address2_label_857\" value=\"\" ><label for='input_id_address2_label_857' id='label_id_address2_label_857' class='rmform-label rmform-label-address'> Address Line 2<\/label><span class='rmform-error-message' id='rmform-address_857address2-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-857\" id=\"input_id_city_label_857\" name=\"Address_857[city]\" aria-labelledby=\"label_id_city_label_857\" value=\"\"  ><label for='input_id_city_label_857' id='label_id_city_label_857' class='rmform-label rmform-label-address'> City<\/label><span class='rmform-error-message' id='rmform-address_857city-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-857\" id=\"input_id_state_label_857\" name=\"Address_857[state]\" aria-labelledby=\"label_id_state_label_857\" value=\"\"  ><option value=''>--Select State--<\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='Armed Forces America'>Armed Forces America<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District Of Columbia'>District Of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><\/select><label for='input_id_state_label_857' id='label_id_state_label_857' class='rmform-label rmform-label-address'>State or Region<\/label><span class='rmform-error-message' id='rmform-address_857state-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-857\" id=\"input_id_country_label_857\" name=\"Address_857[country]\" aria-labelledby=\"label_id_country_label_857\" value=\"\" onchange=\"update_state_dropdown(857)\"  ><option value='US'>United States<\/option><option value='Canada'>Canada<\/option><\/select><label for='input_id_country_label_857' id='label_id_country_label_857' class='rmform-label rmform-label-address'> Country<\/label><span class='rmform-error-message' id='rmform-address_857country-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control\" aria-describedby=\"rm-note-857\" id=\"input_id_zip_label_857\" name=\"Address_857[zip]\" aria-labelledby=\"label_id_zip_label_857\" value=\"\"  ><label for='input_id_zip_label_857' id='label_id_zip_label_857' class='rmform-label rmform-label-address'> Zip<\/label><span class='rmform-error-message' id='rmform-address_857zip-error'><\/span><\/div><\/div><\/div><\/div><div id='rm-note-857' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-889' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='889'><label for=\"input_id_Phone_889\" id=\"label_id_Phone_889\" class=\"rmform-label\" > Mother's Home Phone<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"tel\" name=\"Phone_889\" class=\"rmform-control \" aria-describedby=\"rm-note-889\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_889\" aria-labelledby=\"label_id_Phone_889\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-phone_889-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-email-852' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='852'><label for=\"input_id_Email_852\" id=\"label_id_Email_852\" class=\"rmform-label\"  >  Mother's Email<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"email\" name=\"Email_852\" class=\"rmform-control \" aria-describedby=\"rm-note-852\" id=\"input_id_Email_852\" data-fieldtype=\"Email\" aria-labelledby=\"label_id_Email_852\" value=\"\" placeholder=\"\" data-primary=\"0\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-email_852-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-860' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='860'><label for=\"input_id_Textbox_860\" id=\"label_id_Textbox_860\" class=\"rmform-label\" >  Mother's Employer<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_860\" class=\"rmform-control \" aria-describedby=\"rm-note-860\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_860\" aria-labelledby=\"label_id_Textbox_860\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_860-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-861' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='861'><label for=\"input_id_Phone_861\" id=\"label_id_Phone_861\" class=\"rmform-label\" > Mother's Day Phone<\/label><input type=\"tel\" name=\"Phone_861\" class=\"rmform-control \" aria-describedby=\"rm-note-861\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_861\" aria-labelledby=\"label_id_Phone_861\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-phone_861-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-862' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='862'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_862-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-983' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='983'><h1 class=\"rmform-field-type-heading rmform-control  data-conditional-revamp\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\" >Step-Parent<\/h1><span class='rmform-error-message' id='rmform-htmlh_983-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-864' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='864'><label for=\"input_id_Textbox_864\" id=\"label_id_Textbox_864\" class=\"rmform-label\" >  Step-Parent First and Last Name<\/label><input type=\"text\" name=\"Textbox_864\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-864\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_864\" aria-labelledby=\"label_id_Textbox_864\" placeholder=\"\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Father|Step-Mother\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\"  ><span class='rmform-error-message' id='rmform-textbox_864-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-address-865' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='865'><label class=\"rmform-label\" >  Step-Parent Address<\/label><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-865\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\" id=\"input_id_address1_865\" name=\"Address_865[address1]\" aria-labelledby=\"label_id_address1_865\" value=\"\"  ><label for='input_id_address1_865' id='label_id_address1_865' class='rmform-label rmform-label-address'> Address Line 1<\/label><span class='rmform-error-message' id='rmform-address_865address1-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-865\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\" id=\"input_id_address2_label_865\" name=\"Address_865[address2]\" aria-labelledby=\"label_id_address2_label_865\" value=\"\" ><label for='input_id_address2_label_865' id='label_id_address2_label_865' class='rmform-label rmform-label-address'> Address Line 2<\/label><span class='rmform-error-message' id='rmform-address_865address2-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-865\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\" id=\"input_id_city_label_865\" name=\"Address_865[city]\" aria-labelledby=\"label_id_city_label_865\" value=\"\"  ><label for='input_id_city_label_865' id='label_id_city_label_865' class='rmform-label rmform-label-address'> City<\/label><span class='rmform-error-message' id='rmform-address_865city-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-865\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\" id=\"input_id_state_label_865\" name=\"Address_865[state]\" aria-labelledby=\"label_id_state_label_865\" value=\"\"  ><option value=''>--Select State--<\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='Armed Forces America'>Armed Forces America<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District Of Columbia'>District Of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><\/select><label for='input_id_state_label_865' id='label_id_state_label_865' class='rmform-label rmform-label-address'>State or Region<\/label><span class='rmform-error-message' id='rmform-address_865state-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-865\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\" id=\"input_id_country_label_865\" name=\"Address_865[country]\" aria-labelledby=\"label_id_country_label_865\" value=\"\" onchange=\"update_state_dropdown(865)\"  ><option value='US'>United States<\/option><option value='Canada'>Canada<\/option><\/select><label for='input_id_country_label_865' id='label_id_country_label_865' class='rmform-label rmform-label-address'> Country<\/label><span class='rmform-error-message' id='rmform-address_865country-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-865\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\" id=\"input_id_zip_label_865\" name=\"Address_865[zip]\" aria-labelledby=\"label_id_zip_label_865\" value=\"\"  ><label for='input_id_zip_label_865' id='label_id_zip_label_865' class='rmform-label rmform-label-address'> Zip<\/label><span class='rmform-error-message' id='rmform-address_865zip-error'><\/span><\/div><\/div><\/div><\/div><div id='rm-note-865' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-866' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='866'><label for=\"input_id_Phone_866\" id=\"label_id_Phone_866\" class=\"rmform-label\" > Step-Parent Phone<\/label><input type=\"tel\" name=\"Phone_866\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-866\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_866\" aria-labelledby=\"label_id_Phone_866\" placeholder=\"\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\"  ><span class='rmform-error-message' id='rmform-phone_866-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-email-867' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='867'><label for=\"input_id_Email_867\" id=\"label_id_Email_867\" class=\"rmform-label\"  >  Step Parent Email<\/label><input type=\"email\" name=\"Email_867\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-867\" id=\"input_id_Email_867\" data-fieldtype=\"Email\" aria-labelledby=\"label_id_Email_867\" value=\"\" placeholder=\"\" data-primary=\"0\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Father|Step-Mother\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\"  ><span class='rmform-error-message' id='rmform-email_867-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-957' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='957'><label for=\"input_id_Textbox_957\" id=\"label_id_Textbox_957\" class=\"rmform-label\" >  Step-Parent Employer<\/label><input type=\"text\" name=\"Textbox_957\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-957\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_957\" aria-labelledby=\"label_id_Textbox_957\" placeholder=\"\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\"  ><span class='rmform-error-message' id='rmform-textbox_957-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-854' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='854'><label for=\"input_id_Phone_854\" id=\"label_id_Phone_854\" class=\"rmform-label\" > Step-Parent Work Phone<\/label><input type=\"tel\" name=\"Phone_854\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-854\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_854\" aria-labelledby=\"label_id_Phone_854\" placeholder=\"\" data-cond-option=\"Checkbox_863[]|Checkbox_863[]\" data-cond-value=\"Step-Mother|Step-Father\" data-cond-operator=\"==|==\" data-cond-action=\"show\" data-cond-comb=\"OR\"  ><span class='rmform-error-message' id='rmform-phone_854-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-984' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='984'><h1 class=\"rmform-field-type-heading rmform-control  data-conditional-revamp\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\" >Guardian<\/h1><span class='rmform-error-message' id='rmform-htmlh_984-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-868' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='868'><label for=\"input_id_Textbox_868\" id=\"label_id_Textbox_868\" class=\"rmform-label\" >  Guardian's First and Last Name<\/label><input type=\"text\" name=\"Textbox_868\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-868\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_868\" aria-labelledby=\"label_id_Textbox_868\" placeholder=\"\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_868-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-address-872' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='872'><label class=\"rmform-label\" >  Guardian Address<\/label><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-872\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"input_id_address1_872\" name=\"Address_872[address1]\" aria-labelledby=\"label_id_address1_872\" value=\"\"  ><label for='input_id_address1_872' id='label_id_address1_872' class='rmform-label rmform-label-address'> Address Line 1<\/label><span class='rmform-error-message' id='rmform-address_872address1-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-12'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-872\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"input_id_address2_label_872\" name=\"Address_872[address2]\" aria-labelledby=\"label_id_address2_label_872\" value=\"\" ><label for='input_id_address2_label_872' id='label_id_address2_label_872' class='rmform-label rmform-label-address'> Address Line 2<\/label><span class='rmform-error-message' id='rmform-address_872address2-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-872\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"input_id_city_label_872\" name=\"Address_872[city]\" aria-labelledby=\"label_id_city_label_872\" value=\"\"  ><label for='input_id_city_label_872' id='label_id_city_label_872' class='rmform-label rmform-label-address'> City<\/label><span class='rmform-error-message' id='rmform-address_872city-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-872\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"input_id_state_label_872\" name=\"Address_872[state]\" aria-labelledby=\"label_id_state_label_872\" value=\"\"  ><option value=''>--Select State--<\/option><option value='Alabama'>Alabama<\/option><option value='Alaska'>Alaska<\/option><option value='Arizona'>Arizona<\/option><option value='Arkansas'>Arkansas<\/option><option value='Armed Forces America'>Armed Forces America<\/option><option value='Armed Forces Europe'>Armed Forces Europe<\/option><option value='Armed Forces Pacific'>Armed Forces Pacific<\/option><option value='California'>California<\/option><option value='Colorado'>Colorado<\/option><option value='Connecticut'>Connecticut<\/option><option value='Delaware'>Delaware<\/option><option value='District Of Columbia'>District Of Columbia<\/option><option value='Florida'>Florida<\/option><option value='Georgia'>Georgia<\/option><option value='Hawaii'>Hawaii<\/option><option value='Idaho'>Idaho<\/option><option value='Illinois'>Illinois<\/option><option value='Indiana'>Indiana<\/option><option value='Iowa'>Iowa<\/option><option value='Kansas'>Kansas<\/option><option value='Kentucky'>Kentucky<\/option><option value='Louisiana'>Louisiana<\/option><option value='Maine'>Maine<\/option><option value='Maryland'>Maryland<\/option><option value='Massachusetts'>Massachusetts<\/option><option value='Michigan'>Michigan<\/option><option value='Minnesota'>Minnesota<\/option><option value='Mississippi'>Mississippi<\/option><option value='Missouri'>Missouri<\/option><option value='Montana'>Montana<\/option><option value='Nebraska'>Nebraska<\/option><option value='Nevada'>Nevada<\/option><option value='New Hampshire'>New Hampshire<\/option><option value='New Jersey'>New Jersey<\/option><option value='New Mexico'>New Mexico<\/option><option value='New York'>New York<\/option><option value='North Carolina'>North Carolina<\/option><option value='North Dakota'>North Dakota<\/option><option value='Ohio'>Ohio<\/option><option value='Oklahoma'>Oklahoma<\/option><option value='Oregon'>Oregon<\/option><option value='Pennsylvania'>Pennsylvania<\/option><option value='Rhode Island'>Rhode Island<\/option><option value='South Carolina'>South Carolina<\/option><option value='South Dakota'>South Dakota<\/option><option value='Tennessee'>Tennessee<\/option><option value='Texas'>Texas<\/option><option value='Utah'>Utah<\/option><option value='Vermont'>Vermont<\/option><option value='Virginia'>Virginia<\/option><option value='Washington'>Washington<\/option><option value='West Virginia'>West Virginia<\/option><option value='Wisconsin'>Wisconsin<\/option><option value='Wyoming'>Wyoming<\/option><\/select><label for='input_id_state_label_872' id='label_id_state_label_872' class='rmform-label rmform-label-address'>State or Region<\/label><span class='rmform-error-message' id='rmform-address_872state-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'><div class='rmform-col rmform-col-6'><div class='rmform-field'><select type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-872\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"input_id_country_label_872\" name=\"Address_872[country]\" aria-labelledby=\"label_id_country_label_872\" value=\"\" onchange=\"update_state_dropdown(872)\"  ><option value='US'>United States<\/option><option value='Canada'>Canada<\/option><\/select><label for='input_id_country_label_872' id='label_id_country_label_872' class='rmform-label rmform-label-address'> Country<\/label><span class='rmform-error-message' id='rmform-address_872country-error'><\/span><\/div><\/div><div class='rmform-col rmform-col-6'><div class='rmform-field'><input type=\"text\" class=\"rmform-control data-conditional-revamp\" aria-describedby=\"rm-note-872\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"input_id_zip_label_872\" name=\"Address_872[zip]\" aria-labelledby=\"label_id_zip_label_872\" value=\"\"  ><label for='input_id_zip_label_872' id='label_id_zip_label_872' class='rmform-label rmform-label-address'> Zip<\/label><span class='rmform-error-message' id='rmform-address_872zip-error'><\/span><\/div><\/div><\/div><\/div><div id='rm-note-872' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-972' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='972'><label for=\"input_id_Phone_972\" id=\"label_id_Phone_972\" class=\"rmform-label\" > Guardian Phone<\/label><input type=\"tel\" name=\"Phone_972\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-972\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_972\" aria-labelledby=\"label_id_Phone_972\" placeholder=\"\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-phone_972-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-email-871' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='871'><label for=\"input_id_Email_871\" id=\"label_id_Email_871\" class=\"rmform-label\"  >  Guardian Email<\/label><input type=\"email\" name=\"Email_871\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-871\" id=\"input_id_Email_871\" data-fieldtype=\"Email\" aria-labelledby=\"label_id_Email_871\" value=\"\" placeholder=\"\" data-primary=\"0\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-email_871-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-955' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='955'><label for=\"input_id_Textbox_955\" id=\"label_id_Textbox_955\" class=\"rmform-label\" >  Guardian Employer<\/label><input type=\"text\" name=\"Textbox_955\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-955\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_955\" aria-labelledby=\"label_id_Textbox_955\" placeholder=\"\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_955-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-873' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='873'><label for=\"input_id_Phone_873\" id=\"label_id_Phone_873\" class=\"rmform-label\" > Guardian Work Phone<\/label><input type=\"tel\" name=\"Phone_873\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-873\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_873\" aria-labelledby=\"label_id_Phone_873\" placeholder=\"\" data-cond-option=\"Checkbox_863[]\" data-cond-value=\"Guardian\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-phone_873-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-874' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='874'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_874-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-905' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='905'><h1 class=\"rmform-field-type-heading rmform-control \" >Daycare<\/h1><span class='rmform-error-message' id='rmform-htmlh_905-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-976' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='976'><span class=\"rmform-label\" > Does your child attend daycare<\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_976_0'><input name=\"Radio_976\" class=\"rmform-control radio_976 \" aria-describedby=\"rm-note-976\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" id=\"Radio_976_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_976_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_976_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_976_1'><input name=\"Radio_976\" class=\"rmform-control radio_976 \" aria-describedby=\"rm-note-976\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" id=\"Radio_976_1\" value=\"No\" aria-labelledby=\"label_id_Radio_976_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_976_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_976-error'><\/span><div id='rm-note-976' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-875' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='875'><label for=\"input_id_Textbox_875\" id=\"label_id_Textbox_875\" class=\"rmform-label\" >  Day Care Title<\/label><input type=\"text\" name=\"Textbox_875\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-875\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_875\" aria-labelledby=\"label_id_Textbox_875\" placeholder=\"\" data-cond-option=\"Radio_976\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_875-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-876' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='876'><label for=\"input_id_Textbox_876\" id=\"label_id_Textbox_876\" class=\"rmform-label\" >  Day Care Provider<\/label><input type=\"text\" name=\"Textbox_876\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-876\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_876\" aria-labelledby=\"label_id_Textbox_876\" placeholder=\"\" data-cond-option=\"Radio_976\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_876-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-877' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='877'><label for=\"input_id_Phone_877\" id=\"label_id_Phone_877\" class=\"rmform-label\" > Day Care Provider Phone Number<\/label><input type=\"tel\" name=\"Phone_877\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-877\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_877\" aria-labelledby=\"label_id_Phone_877\" placeholder=\"\" data-cond-option=\"Radio_976\" data-cond-value=\"Yes\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-phone_877-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-985' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='985'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_985-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-982' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='982'><h1 class=\"rmform-field-type-heading rmform-control \" >Emergency Contacts<\/h1><span class='rmform-error-message' id='rmform-htmlh_982-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-886' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='886'><h1 class=\"rmform-field-type-heading rmform-control \" ><\/h1><span class='rmform-error-message' id='rmform-htmlh_886-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-887' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='887'><label for=\"input_id_Textbox_887\" id=\"label_id_Textbox_887\" class=\"rmform-label\" >  Emergency Contact 1<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_887\" class=\"rmform-control \" aria-describedby=\"rm-note-887\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_887\" aria-labelledby=\"label_id_Textbox_887\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_887-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-select-1012' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1012'><label for=\"input_id_Select_1012\" id=\"label_id_Select_1012\" class=\"rmform-label\" > Relationship to Student<span class='rmform-req-symbol'>*<\/span><\/label><select name=\"Select_1012\" class=\"rmform-control select_1012 \" aria-describedby=\"rm-note-1012\" id=\"input_id_Select_1012\" aria-labelledby=\"label_id_Select_1012\" required aria-required=\"true\"  ><option value=''>Select an option<\/option><option value='Mother'>Mother<\/option><option value='Father'>Father<\/option><option value='Grandmother'>Grandmother<\/option><option value='Grandfather'>Grandfather<\/option><option value='Step Mother'>Step Mother<\/option><option value='Step Father'>Step Father<\/option><option value='Aunt'>Aunt<\/option><option value='Uncle'>Uncle<\/option><option value='Sister'>Sister<\/option><option value='Brother'>Brother<\/option><option value='Friend'>Friend<\/option><option value='Neighbor'>Neighbor<\/option><option value='Other'>Other<\/option><\/select><span class='rmform-error-message' id='rmform-select_1012-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-1050' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1050'><label for=\"input_id_Textbox_1050\" id=\"label_id_Textbox_1050\" class=\"rmform-label\" >  If Other, please list relationship to student<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_1050\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-1050\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_1050\" aria-labelledby=\"label_id_Textbox_1050\" placeholder=\"\" data-cond-option=\"Select_1012\" data-cond-value=\"Other\" data-cond-operator=\"==\" data-cond-action=\"show\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_1050-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-1051' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1051'><label for=\"input_id_Phone_1051\" id=\"label_id_Phone_1051\" class=\"rmform-label\" > Phone Number<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"tel\" name=\"Phone_1051\" class=\"rmform-control \" aria-describedby=\"rm-note-1051\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_1051\" aria-labelledby=\"label_id_Phone_1051\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-phone_1051-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-890' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='890'><label for=\"input_id_Textbox_890\" id=\"label_id_Textbox_890\" class=\"rmform-label\" >  Emergency Contact 2<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_890\" class=\"rmform-control \" aria-describedby=\"rm-note-890\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_890\" aria-labelledby=\"label_id_Textbox_890\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_890-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-select-1013' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1013'><label for=\"input_id_Select_1013\" id=\"label_id_Select_1013\" class=\"rmform-label\" > Relationship to Student<span class='rmform-req-symbol'>*<\/span><\/label><select name=\"Select_1013\" class=\"rmform-control select_1013 \" aria-describedby=\"rm-note-1013\" id=\"input_id_Select_1013\" aria-labelledby=\"label_id_Select_1013\" required aria-required=\"true\"  ><option value=''>Select an option<\/option><option value='Mother'>Mother<\/option><option value='Father'>Father<\/option><option value='Grandmother'>Grandmother<\/option><option value='Grandfather'>Grandfather<\/option><option value='Step Mother'>Step Mother<\/option><option value='Step Father'>Step Father<\/option><option value='Aunt'>Aunt<\/option><option value='Uncle'>Uncle<\/option><option value='Sister'>Sister<\/option><option value='Brother'>Brother<\/option><option value='Friend'>Friend<\/option><option value='Neighbor'>Neighbor<\/option><option value='Other'>Other<\/option><\/select><span class='rmform-error-message' id='rmform-select_1013-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-1049' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1049'><label for=\"input_id_Textbox_1049\" id=\"label_id_Textbox_1049\" class=\"rmform-label\" >  If Other, please list relationship to student<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_1049\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-1049\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_1049\" aria-labelledby=\"label_id_Textbox_1049\" placeholder=\"\" data-cond-option=\"Select_1013\" data-cond-value=\"Other\" data-cond-operator=\"==\" data-cond-action=\"show\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_1049-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-892' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='892'><label for=\"input_id_Phone_892\" id=\"label_id_Phone_892\" class=\"rmform-label\" > Phone Number<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"tel\" name=\"Phone_892\" class=\"rmform-control \" aria-describedby=\"rm-note-892\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_892\" aria-labelledby=\"label_id_Phone_892\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-phone_892-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-971' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='971'><hr class=\"rmform-divider hr\" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_971-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-881' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='881'><h1 class=\"rmform-field-type-heading rmform-control \" >Discovering Williston Trinity Christian School<\/h1><span class='rmform-error-message' id='rmform-htmlh_881-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-checkbox-1009' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1009'><span class=\"rmform-label\" > How or whom did you hear about Williston Trinity Christian School? Choose all that apply:<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='checkbox_1009_0'><input name=\"Checkbox_1009[]\" class=\"rmform-control checkbox_1009 \" aria-describedby=\"rm-note-1009\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_1009_0\" id=\"checkbox_1009_0\" value=\"Social Media\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_1009_0'>Social Media<\/span><\/label><label class='rmform-check' for='checkbox_1009_1'><input name=\"Checkbox_1009[]\" class=\"rmform-control checkbox_1009 \" aria-describedby=\"rm-note-1009\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_1009_1\" id=\"checkbox_1009_1\" value=\"Radio\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_1009_1'>Radio<\/span><\/label><label class='rmform-check' for='checkbox_1009_2'><input name=\"Checkbox_1009[]\" class=\"rmform-control checkbox_1009 \" aria-describedby=\"rm-note-1009\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_1009_2\" id=\"checkbox_1009_2\" value=\"Newspaper\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_1009_2'>Newspaper<\/span><\/label><label class='rmform-check' for='checkbox_1009_3'><input name=\"Checkbox_1009[]\" class=\"rmform-control checkbox_1009 \" aria-describedby=\"rm-note-1009\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_1009_3\" id=\"checkbox_1009_3\" value=\"Community Event\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_1009_3'>Community Event<\/span><\/label><label class='rmform-check' for='checkbox_1009_4'><input name=\"Checkbox_1009[]\" class=\"rmform-control checkbox_1009 \" aria-describedby=\"rm-note-1009\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_1009_4\" id=\"checkbox_1009_4\" value=\"Recommended\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_1009_4'>Recommended<\/span><\/label><label class='rmform-check' for='checkbox_1009_5'><input name=\"Checkbox_1009[]\" class=\"rmform-control checkbox_1009 \" aria-describedby=\"rm-note-1009\" type=\"checkbox\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" aria-labelledby=\"label_id_Checkbox_1009_5\" id=\"checkbox_1009_5\" value=\"Other\"  ><span class='rmform-label rmform-radio-check' id='label_id_Checkbox_1009_5'>Other<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-checkbox_1009-error'><\/span><div id='rm-note-1009' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-1010' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1010'><label for=\"input_id_Textbox_1010\" id=\"label_id_Textbox_1010\" class=\"rmform-label\" >  What event did you attend?<\/label><input type=\"text\" name=\"Textbox_1010\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-1010\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_1010\" aria-labelledby=\"label_id_Textbox_1010\" placeholder=\"\" data-cond-option=\"Checkbox_1009[]\" data-cond-value=\"Community Event\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_1010-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-879' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='879'><label for=\"input_id_Textbox_879\" id=\"label_id_Textbox_879\" class=\"rmform-label\" >  Who referred you to WTCS?<\/label><input type=\"text\" name=\"Textbox_879\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-879\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_879\" aria-labelledby=\"label_id_Textbox_879\" placeholder=\"\" data-cond-option=\"Checkbox_1009[]\" data-cond-value=\"Recommended\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_879-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-988' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='988'><label for=\"input_id_Textbox_988\" id=\"label_id_Textbox_988\" class=\"rmform-label\" >  If Other, please explain.<\/label><input type=\"text\" name=\"Textbox_988\" class=\"rmform-control  data-conditional-revamp\" aria-describedby=\"rm-note-988\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_988\" aria-labelledby=\"label_id_Textbox_988\" placeholder=\"\" data-cond-option=\"Checkbox_1009[]\" data-cond-value=\"Other\" data-cond-operator=\"==\" data-cond-action=\"show\"  ><span class='rmform-error-message' id='rmform-textbox_988-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-885' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='885'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_885-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-1046' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1046'><h1 class=\"rmform-field-type-heading rmform-control \" >Church Information<\/h1><span class='rmform-error-message' id='rmform-htmlh_1046-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlp-882' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='882'><p class=\"rmform-control \" >Students attending Williston Trinity Christian School are strongly encouraged to attend church regularly. Our purpose is to help Christian youth\r\ngrow in the grace and knowledge of the Lord Jesus Christ according to 2 Peter 3:18. Faithful church attendance helps create a balance in life\r\nand allows the students to see life from God\u2019s point of view.<\/p><span class='rmform-error-message' id='rmform-htmlp_882-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-1011' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1011'><span class=\"rmform-label\" > Church Attendance<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_1011_0'><input name=\"Radio_1011\" class=\"rmform-control radio_1011 \" aria-describedby=\"rm-note-1011\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1011_0\" value=\"Weekly\" aria-labelledby=\"label_id_Radio_1011_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1011_0\"  >Weekly<\/span><\/label><label class='rmform-check' for='Radio_1011_1'><input name=\"Radio_1011\" class=\"rmform-control radio_1011 \" aria-describedby=\"rm-note-1011\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1011_1\" value=\"Monthly\" aria-labelledby=\"label_id_Radio_1011_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1011_1\"  >Monthly<\/span><\/label><label class='rmform-check' for='Radio_1011_2'><input name=\"Radio_1011\" class=\"rmform-control radio_1011 \" aria-describedby=\"rm-note-1011\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1011_2\" value=\"Occasionally\" aria-labelledby=\"label_id_Radio_1011_2\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1011_2\"  >Occasionally<\/span><\/label><label class='rmform-check' for='Radio_1011_3'><input name=\"Radio_1011\" class=\"rmform-control radio_1011 \" aria-describedby=\"rm-note-1011\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1011_3\" value=\"Rarely\/Never\" aria-labelledby=\"label_id_Radio_1011_3\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1011_3\"  >Rarely\/Never<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_1011-error'><\/span><div id='rm-note-1011' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-884' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='884'><label for=\"input_id_Textbox_884\" id=\"label_id_Textbox_884\" class=\"rmform-label\" >  Church Attending<\/label><input type=\"text\" name=\"Textbox_884\" class=\"rmform-control \" aria-describedby=\"rm-note-884\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_884\" aria-labelledby=\"label_id_Textbox_884\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_884-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-944' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='944'><label for=\"input_id_Textbox_944\" id=\"label_id_Textbox_944\" class=\"rmform-label\" >  Pastors Name<\/label><input type=\"text\" name=\"Textbox_944\" class=\"rmform-control \" aria-describedby=\"rm-note-944\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_944\" aria-labelledby=\"label_id_Textbox_944\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_944-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-1035' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1035'><label for=\"input_id_Textbox_1035\" id=\"label_id_Textbox_1035\" class=\"rmform-label\" >  Pastoral Email<\/label><input type=\"text\" name=\"Textbox_1035\" class=\"rmform-control \" aria-describedby=\"rm-note-1035\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_1035\" aria-labelledby=\"label_id_Textbox_1035\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-textbox_1035-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-phone-945' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='945'><label for=\"input_id_Phone_945\" id=\"label_id_Phone_945\" class=\"rmform-label\" > Pastoral Phone<\/label><input type=\"tel\" name=\"Phone_945\" class=\"rmform-control \" aria-describedby=\"rm-note-945\" minlength=\"\" maxlength=\"\" id=\"input_id_Phone_945\" aria-labelledby=\"label_id_Phone_945\" placeholder=\"\"  ><span class='rmform-error-message' id='rmform-phone_945-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-1019' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1019'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_1019-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-912' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='912'><h1 class=\"rmform-field-type-heading rmform-control \" >Permissions<\/h1><span class='rmform-error-message' id='rmform-htmlh_912-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-1020' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1020'><span class=\"rmform-label\" > Field Trip Permission: We hereby grant permission for our child to be taken on field trips, outings, competitive athletic events, choir tours, or other extra-curricular activities.<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_1020_0'><input name=\"Radio_1020\" class=\"rmform-control radio_1020 \" aria-describedby=\"rm-note-1020\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1020_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_1020_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1020_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_1020_1'><input name=\"Radio_1020\" class=\"rmform-control radio_1020 \" aria-describedby=\"rm-note-1020\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1020_1\" value=\"No\" aria-labelledby=\"label_id_Radio_1020_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1020_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_1020-error'><\/span><div id='rm-note-1020' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-1022' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1022'><span class=\"rmform-label\" > We grant the staff or agents of Williston Trinity Christian School (WTCS) permission to seek emergency medical services for my child if the need arises while at school or school-related activities.<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_1022_0'><input name=\"Radio_1022\" class=\"rmform-control radio_1022 \" aria-describedby=\"rm-note-1022\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1022_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_1022_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1022_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_1022_1'><input name=\"Radio_1022\" class=\"rmform-control radio_1022 \" aria-describedby=\"rm-note-1022\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1022_1\" value=\"No\" aria-labelledby=\"label_id_Radio_1022_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1022_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_1022-error'><\/span><div id='rm-note-1022' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-1021' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1021'><span class=\"rmform-label\" > Student Media Waiver: I grant WTCS the right to take photographs of my child. I authorize WTCS, its assignees, and transferees to copyright, use, and publish the same in print and\/or electronically. I agree that WTCS may use such photographs of my child with or without my name and for any lawful purpose, including but not limited to publicity, illustration, advertising, and web content.<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_1021_0'><input name=\"Radio_1021\" class=\"rmform-control radio_1021 \" aria-describedby=\"rm-note-1021\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1021_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_1021_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1021_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_1021_1'><input name=\"Radio_1021\" class=\"rmform-control radio_1021 \" aria-describedby=\"rm-note-1021\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_1021_1\" value=\"No\" aria-labelledby=\"label_id_Radio_1021_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1021_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_1021-error'><\/span><div id='rm-note-1021' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-1023' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1023'><span class=\"rmform-label\" > Internal Photo Permission (only within WTCS): I grant WTCS the right to take photographs of my child. I authorize WTCS, its assignees, and transferees to print and use these photographs ONLY within the WTCS facility. Photographs of my child may NOT be used for public access use such as publicity, advertising, or web content.<\/span><div class='rmform-field-horizontal-row'><label class='rmform-check' for='Radio_1023_0'><input name=\"Radio_1023\" class=\"rmform-control radio_1023  data-conditional-revamp\" aria-describedby=\"rm-note-1023\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" data-cond-option=\"Radio_1021\" data-cond-value=\"No\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"Radio_1023_0\" value=\"Yes\" aria-labelledby=\"label_id_Radio_1023_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1023_0\"  >Yes<\/span><\/label><label class='rmform-check' for='Radio_1023_1'><input name=\"Radio_1023\" class=\"rmform-control radio_1023  data-conditional-revamp\" aria-describedby=\"rm-note-1023\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" data-cond-option=\"Radio_1021\" data-cond-value=\"No\" data-cond-operator=\"==\" data-cond-action=\"show\" id=\"Radio_1023_1\" value=\"No\" aria-labelledby=\"label_id_Radio_1023_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_1023_1\"  >No<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_1023-error'><\/span><div id='rm-note-1023' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-980' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='980'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_980-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-1043' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1043'><h1 class=\"rmform-field-type-heading rmform-control \" >Statement of Faith and Parent Support<\/h1><span class='rmform-error-message' id='rmform-htmlh_1043-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-richtext-922' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='922'><div class=\"rmform-control \" ><p>Use the link below to read WTCS's Statement of Faith and Parent Support<\/p><\/div><span class='rmform-error-message' id='rmform-richtext_922-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-link-919' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='919'><a class=\"rmform-control \" href=\"https:\/\/docs.google.com\/document\/d\/1nqhTI8lCgHXEE2NwnsMlg6DI3pvYi-U-qIY9RTAS2tM\/edit?usp=sharing\" target=\"_blank\" >  Statement of Faith and Parent Support<\/a><span class='rmform-error-message' id='rmform-link_919-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-radio-920' class='rm-address-field-wrap rmform-col rmform-col-12'><div class='rmform-field' data-field-id='920'><span class=\"rmform-label\" > Please check one of the following buttons to agree to terms<span class='rmform-req-symbol'>*<\/span><\/span><div class='rmform-field-vertical-row' data-field-col='1' ><label class='rmform-check' for='Radio_920_0'><input name=\"Radio_920\" class=\"rmform-control radio_920 \" aria-describedby=\"rm-note-920\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_920_0\" value=\"I agree without reservation to the Statement of Faith\" aria-labelledby=\"label_id_Radio_920_0\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_920_0\"  >I agree without reservation to the Statement of Faith<\/span><\/label><label class='rmform-check' for='Radio_920_1'><input name=\"Radio_920\" class=\"rmform-control radio_920 \" aria-describedby=\"rm-note-920\" type=\"radio\" onchange=\"rmToggleOtherText(this)\" required aria-required=\"true\" id=\"Radio_920_1\" value=\"I do not agree with the Statement of Faith with out reservations, but will support it&#039;s implementation in all aspects of school life.\" aria-labelledby=\"label_id_Radio_920_1\" ><span class=\"rmform-label rmform-radio-check\" id=\"label_id_Radio_920_1\"  >I do not agree with the Statement of Faith with out reservations, but will support it's implementation in all aspects of school life.<\/span><\/label><\/div><span class='rmform-error-message' id='rmform-radio_920-error'><\/span><div id='rm-note-920' class='rmform-note' style='display: none;'><\/div><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-divider-1041' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1041'><hr class=\"rmform-divider \" width=\"100%\" size=\"8\" align=\"center\" ><span class='rmform-error-message' id='rmform-divider_1041-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-htmlh-927' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='927'><h1 class=\"rmform-field-type-heading rmform-control \" >Statement of Parent Commitment<\/h1><span class='rmform-error-message' id='rmform-htmlh_927-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-richtext-1042' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='1042'><div class=\"rmform-control \" ><p><span style=\"font-weight: 400\">As parent(s) we recognize that we are fully responsible for our child(ren). Nevertheless, in applying for enrollment at Williston Trinity Christian School, we place him\/her under the authority of the school and are supportive of the goals and standards of the school. If your child is admitted we agree to the following:\u00a0\u00a0<\/span><\/p>\r\n<p>&nbsp;<\/p>\r\n<ol>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will contribute my time and abilities to the school continually, as needed.\u00a0\u00a0<\/span><\/li>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will support and uphold the school staff and board in matters of discipline.\u00a0\u00a0<\/span><\/li>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will encourage my child in <\/span><span style=\"font-weight: 400\">positive attitudes<\/span><span style=\"font-weight: 400\"> toward the school <\/span><span style=\"font-weight: 400\">by my own conversation and attitude<\/span><em><span style=\"font-weight: 400\">.\u00a0\u00a0<\/span><\/em><\/li>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will <\/span><span style=\"font-weight: 400\">cooperate<\/span><span style=\"font-weight: 400\"> in training my child to respect school property and pay for any abuse or damages.\u00a0\u00a0<\/span><\/li>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will attend parent functions.\u00a0\u00a0<\/span><\/li>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will follow the school's communication policy concerning any problem or grievance.\u00a0 I will not discuss a school problem with friends or other parents until it has been dealt with through the proper channels (i.e., discussing it with the teacher, principal, or head of school as appropriate).<\/span><\/li>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will make prompt tuition payments and notify the business manager if a problem arises.\u00a0\u00a0<\/span><\/li>\r\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">I will give immediate attention to any academic concerns expressed by the teacher.<\/span><\/li>\r\n<\/ol>\r\n<p><span style=\"font-weight: 400\">We hereby certify that the information submitted in this application is both true and accurate.\u00a0 We understand that on admission, we agree to abide by <\/span><span style=\"font-weight: 400\">the above <\/span><span style=\"font-weight: 400\">Parent Commitment<\/span><span style=\"font-weight: 400\"> and <\/span><span style=\"font-weight: 400\">the guidelines in the student handbook<\/span><span style=\"font-weight: 400\">, as well as full agreement with the<\/span><span style=\"font-weight: 400\"> school\u2019s Statement of Faith or (Statement of Parent Support).<\/span><\/p><\/div><span class='rmform-error-message' id='rmform-richtext_1042-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-richtext-929' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='929'><div class=\"rmform-control \" ><p>&nbsp;<\/p>\r\n<p><span style=\"font-family: verdana, geneva, sans-serif\"><b>As parents we specifically agree to:<\/b> <i>(MUST be signed by both)<\/i><\/span><\/p>\r\n<ol>\r\n<li><span style=\"font-weight: 400\"><strong>Pay<\/strong> full tuition and fees as agreed upon by the parent and the school.<\/span><\/li>\r\n<li><strong>Participate<\/strong> in the school\u2019s two required fundraising events.\u00a0<\/li>\r\n<li><strong>Serve<\/strong> the required volunteer hours.<\/li>\r\n<li><strong>Support<\/strong> the school\u2019s personal electronic device policy.<\/li>\r\n<li><strong>Support<\/strong> the school\u2019s dress code policy.<\/li>\r\n<li>Hold our child(ren) accountable for promptness when arriving at school in the morning and passing from class to class throughout the day.<\/li>\r\n<li>Provision of a laptop and secured internet access for students with usage only in approved school settings and during appropriate class periods.<\/li>\r\n<li>Hold our child(ren) accountable for turning in assignments and projects on time, understanding penalties will be enforced when this is violated.<\/li>\r\n<\/ol><\/div><span class='rmform-error-message' id='rmform-richtext_929-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-991' class='rmform-col rmform-col-6'><div class='rmform-field' data-field-id='991'><label for=\"input_id_Textbox_991\" id=\"label_id_Textbox_991\" class=\"rmform-label\" >  Father's (or Guardian) Signature<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_991\" class=\"rmform-control \" aria-describedby=\"rm-note-991\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_991\" aria-labelledby=\"label_id_Textbox_991\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_991-error'><\/span><\/div><\/div><div id='rm-jqueryuidate-994' class='rmform-col rmform-col-6'><div class='rmform-field' data-field-id='994'><label for=\"input_id_jQueryUIDate_994\" id=\"label_id_jQueryUIDate_994\" class=\"rmform-label\" > Date<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"jQueryUIDate_994\" class=\"rmform-control datepicker\" aria-describedby=\"rm-note-994\" autocomplete=\"off\" readonly data-dateformat=\"mm\/dd\/yy\" data-fieldtype=\"jQueryUIDate\" aria-labelledby=\"label_id_jQueryUIDate_994\" id=\"input_id_jQueryUIDate_994\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-jqueryuidate_994-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-textbox-989' class='rmform-col rmform-col-6'><div class='rmform-field' data-field-id='989'><label for=\"input_id_Textbox_989\" id=\"label_id_Textbox_989\" class=\"rmform-label\" >  Mother's Signature<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"Textbox_989\" class=\"rmform-control \" aria-describedby=\"rm-note-989\" minlength=\"\" maxlength=\"\" value=\"\" id=\"input_id_Textbox_989\" aria-labelledby=\"label_id_Textbox_989\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-textbox_989-error'><\/span><\/div><\/div><div id='rm-jqueryuidate-995' class='rmform-col rmform-col-6'><div class='rmform-field' data-field-id='995'><label for=\"input_id_jQueryUIDate_995\" id=\"label_id_jQueryUIDate_995\" class=\"rmform-label\" > Date<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"text\" name=\"jQueryUIDate_995\" class=\"rmform-control datepicker\" aria-describedby=\"rm-note-995\" autocomplete=\"off\" readonly data-dateformat=\"mm\/dd\/yy\" data-fieldtype=\"jQueryUIDate\" aria-labelledby=\"label_id_jQueryUIDate_995\" id=\"input_id_jQueryUIDate_995\" placeholder=\"\" required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-jqueryuidate_995-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-imagev-942' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='942'><div class='rmrow'><figure class='rm-image-widget wp-caption imgv_shape_square' rmform-control ><img title='2025-2026 WTCS-qrcode' style=\"border:solid;border-color:#FFFFFF;border-width:5;\" src='https:\/\/www.wtcsnd.org\/wp-content\/uploads\/2024\/01\/2025-2026-WTCS-qrcode.png' \/><figcaption class='wp-caption-text'><\/figcaption><\/figure><\/div><span class='rmform-error-message' id='rmform-imagev_942-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-link-941' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='941'><a class=\"rmform-control \" href=\"https:\/\/www.paypal.com\/ncp\/payment\/YNUS8APBMMW9S\" target=\"_blank\" >  Please Use the Following QR Code or This Link to Pay Your Application Fee of $50 per student.<\/a><span class='rmform-error-message' id='rmform-link_941-error'><\/span><\/div><\/div><\/div><\/div><div class='rmform-row'><div class='rmform-row-field-wrap'  style='--rm-field-gutter: 10px;'><div id='rm-file-943' class='rmform-col rmform-col-12'><div class='rmform-field' data-field-id='943'><label for=\"input_id_File_943\" id=\"label_id_File_943\" class=\"rmform-label\" > Upload Payment Receipt here<span class='rmform-req-symbol'>*<\/span><\/label><input type=\"file\" name=\"File_943[]\" class=\"rmform-control \" aria-describedby=\"rm-note-943\" id=\"input_id_File_943\" aria-labelledby=\"label_id_File_943\" data-fieldtype=\"File\" multiple required aria-required=\"true\"  ><span class='rmform-error-message' id='rmform-file_943-error'><\/span><\/div><\/div><\/div><\/div><\/div><div id='rm-last-fields'><input type='hidden' name='form_id' value='21'><input type='hidden' name='form_no' value='1'><input type='hidden' name='rm_cond_hidden_fields' id='rm_cond_hidden_fields' value=''><input type='hidden' name='stat_id' value='12447'><\/div><div id='rm_form_submit_button' class='rm-form-btn-align-center'><input type='submit' id='rm-form-submit-btn' value='Submit'><\/div><\/form><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":11,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7467","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=\/wp\/v2\/pages\/7467","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7467"}],"version-history":[{"count":2,"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=\/wp\/v2\/pages\/7467\/revisions"}],"predecessor-version":[{"id":7537,"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=\/wp\/v2\/pages\/7467\/revisions\/7537"}],"wp:attachment":[{"href":"https:\/\/www.wtcsnd.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7467"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}