{"id":2350,"date":"2015-05-26T17:43:00","date_gmt":"2015-05-26T09:43:00","guid":{"rendered":"http:\/\/centre-stage.com\/home\/?page_id=2350"},"modified":"2021-09-04T14:43:16","modified_gmt":"2021-09-04T06:43:16","slug":"registration","status":"publish","type":"page","link":"https:\/\/centre-stage.com\/home\/registration\/","title":{"rendered":"Registration"},"content":{"rendered":"<p>Please fill out the form below to officially register your details with Centre Stage.<\/p>\n<p>Once we&#8217;ve received\u00a0them, our Admin team will be in touch to confirm the best possible class for you or your child and will help you to arrange a paid trial class.<\/p>\n<p>If you have any questions in the meantime, please don&#8217;t hesitate to give us a call on 6732 7211 (Portsdown Centre) or 6449 6211 (East Coast Centre)<\/p>\n<div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.4.2\" data-cf-form-id=\"CF600f95a857701\"><div id=\"caldera_notices_1\" data-spinner=\"https:\/\/centre-stage.com\/home\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF600f95a857701 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" role=\"form\" id=\"CF600f95a857701_1\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF600f95a857701-tmpl\" data-cfajax=\"CF600f95a857701\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"https:\/\/centre-stage.com\/home\/cf-api\/CF600f95a857701\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify\" name=\"_cf_verify\" value=\"b128834b1f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/home\/wp-json\/wp\/v2\/pages\/2350\" \/><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF600f95a857701\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF600f95a857701\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"2350\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Url<\/label><input type=\"text\" name=\"url\" value=\"\" autocomplete=\"off\">\r\n<\/div><div  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div role=\"field\" data-field-wrapper=\"fld_99587\" class=\"form-group\">\r\n\t<label id=\"fld_99587Label\" for=\"fld_99587_1\" class=\"control-label\">Location of Interest<\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_99587_1\" data-field=\"fld_99587\" class=\"form-control\" name=\"fld_99587\"   aria-labelledby=\"fld_99587Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"Centre Stage Portsdown (Woking Road)\" >Centre Stage Portsdown (Woking Road)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Centre Stage East Coast (Marine Parade Road)\" >Centre Stage East Coast (Marine Parade Road)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dulwich College Singapore (School CCA only)\" >Dulwich College Singapore (School CCA only)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Tanglin Trust School (School CCA only)\" >Tanglin Trust School (School CCA only)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dover Court International School (School CCA only)\" >Dover Court International School (School CCA only)<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><font size=\"+2\" color=black><b>Primary Contact<\/b><\/font>\n<br>\n<br><\/div><div role=\"field\" data-field-wrapper=\"fld_3687151\" class=\"form-group\">\r\n\t<label id=\"fld_3687151Label\" for=\"fld_3687151_1\" class=\"control-label\">Family Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_3687151\" class=\"form-control\" id=\"fld_3687151_1\" name=\"fld_3687151\" value=\"\" required=\"required\"  aria-labelledby=\"fld_3687151Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_3535154\" class=\"form-group\">\r\n\t<label id=\"fld_3535154Label\" for=\"fld_3535154_1\" class=\"control-label\">Given Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_3535154\" class=\"form-control\" id=\"fld_3535154_1\" name=\"fld_3535154\" value=\"\" required=\"required\"  aria-labelledby=\"fld_3535154Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_1233536\" class=\"form-group\">\r\n\t<label id=\"fld_1233536Label\" for=\"fld_1233536_1\" class=\"control-label\">Relationship To Student <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_1233536_1\" data-field=\"fld_1233536\" class=\"form-control\" name=\"fld_1233536\" required=\"required\"  aria-labelledby=\"fld_1233536Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"Mother\" >Mother<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Father\" >Father<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Guardian \" >Guardian <\/option>\n\t\t\t\t\t\t\t\t<option value=\"I am the student\" >I am the student<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_4258889\" class=\"form-group\">\r\n\t<label id=\"fld_4258889Label\" for=\"fld_4258889_1\" class=\"control-label\">Email <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"email\" data-field=\"fld_4258889\" class=\"form-control\" id=\"fld_4258889_1\" name=\"fld_4258889\" value=\"\" required=\"required\"  aria-labelledby=\"fld_4258889Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_5611456\" class=\"form-group\">\r\n\t<label id=\"fld_5611456Label\" for=\"fld_5611456_1\" class=\"control-label\">Mobile Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_5611456\" class=\"form-control\" id=\"fld_5611456_1\" name=\"fld_5611456\" value=\"\" required=\"required\"  aria-labelledby=\"fld_5611456Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_7922762\" class=\"form-group\">\r\n\t<label id=\"fld_7922762Label\" for=\"fld_7922762_1\" class=\"control-label\">Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_7922762\"  class=\"form-control\" rows=\"3\" id=\"fld_7922762_1\" name=\"fld_7922762\" required=\"required\"  aria-labelledby=\"fld_7922762Label\"><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_104086\" class=\"form-group\">\r\n\t<label id=\"fld_104086Label\" for=\"fld_104086_1\" class=\"control-label\">Postcode <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_104086\" class=\"form-control\" id=\"fld_104086_1\" name=\"fld_104086\" value=\"\" required=\"required\"  aria-labelledby=\"fld_104086Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_3678744\" class=\"form-group\">\r\n\t<label id=\"fld_3678744Label\" for=\"fld_3678744_1\" class=\"control-label\">Home Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_3678744\" class=\"form-control\" id=\"fld_3678744_1\" name=\"fld_3678744\" value=\"\" required=\"required\"  aria-labelledby=\"fld_3678744Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<div role=\"field\" data-field-wrapper=\"fld_8377198\" class=\"form-group\">\r\n\t<label id=\"fld_8377198Label\" for=\"fld_8377198_1\" class=\"control-label\">Occupation<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_8377198\" class=\"form-control\" id=\"fld_8377198_1\" name=\"fld_8377198\" value=\"\"   aria-labelledby=\"fld_8377198Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><font size=\"+2\" color=black><b>Student(s)<\/b><\/font>\n<br>\n<br><\/div><div role=\"field\" data-field-wrapper=\"fld_5342444\" class=\"form-group\">\r\n\t<label id=\"fld_5342444Label\" for=\"fld_5342444_1\" class=\"control-label\">Number of Students <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_5342444_1\" data-field=\"fld_5342444\" class=\"form-control\" name=\"fld_5342444\" required=\"required\"  aria-labelledby=\"fld_5342444Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"1\" >1<\/option>\n\t\t\t\t\t\t\t\t<option value=\"2\" >2<\/option>\n\t\t\t\t\t\t\t\t<option value=\"3\" >3<\/option>\n\t\t\t\t\t\t\t\t<option value=\"4\" >4<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div  class=\"row \"><div  class=\"col-sm-6  first_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_8505592_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_8351520_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_852275_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6130194_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9533827_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9814187_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6334308_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6010388_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6056851_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9182899_1\"><\/span><\/div><div  class=\"col-sm-6  last_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5912584_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9502707_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_1847593_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6910512_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_4269660_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9713275_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_4170351_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9244472_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_7076094_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6980277_1\"><\/span><\/div><\/div><div  class=\"row \"><div  class=\"col-sm-6  first_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6624765_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_1358453_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6101136_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_465331_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6334827_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_3476574_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_4072824_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5185549_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_1476980_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_8343530_1\"><\/span><\/div><div  class=\"col-sm-6  last_col\"><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_2547614_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_131773_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_7933_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_7570126_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6596536_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9081608_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5914004_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5945447_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_6634459_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9516091_1\"><\/span><\/div><\/div><div  class=\"row \"><div  class=\"col-sm-12  single\"><div role=\"field\" data-field-wrapper=\"fld_4075630\" class=\"form-group\">\r\n\t<label id=\"fld_4075630Label\" for=\"fld_4075630_1\" class=\"control-label\">Where did you hear about us? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_4075630_1\" data-field=\"fld_4075630\" class=\"form-control\" name=\"fld_4075630\" required=\"required\"  aria-labelledby=\"fld_4075630Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"Google Search\" >Google Search<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Friends\" >Friends<\/option>\n\t\t\t\t\t\t\t\t<option value=\"School Teacher\" >School Teacher<\/option>\n\t\t\t\t\t\t\t\t<option value=\"School Newsletter\" >School Newsletter<\/option>\n\t\t\t\t\t\t\t\t<option value=\"School Workshop\" >School Workshop<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Facebook\" >Facebook<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Instagram\" >Instagram<\/option>\n\t\t\t\t\t\t\t\t<option value=\"HoneyKids\" >HoneyKids<\/option>\n\t\t\t\t\t\t\t\t<option value=\"NMSG\" >NMSG<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Sassy Mama\" >Sassy Mama<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Expat Living\" >Expat Living<\/option>\n\t\t\t\t\t\t\t\t<option value=\"The Finder\" >The Finder<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Great New Places\" >Great New Places<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Time Out\" >Time Out<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Child\" >Singapore Child<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Not So Little Fair\" >Not So Little Fair<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Christmas Show @ MBS \" >Christmas Show @ MBS <\/option>\n\t\t\t\t\t\t\t\t<option value=\"Expat Choice\" >Expat Choice<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Today Got Class\" >Today Got Class<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Minor Inc\" >Minor Inc<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Little Day Out \" >Little Day Out <\/option>\n\t\t\t\t\t\t\t\t<option value=\"KinderPass\" >KinderPass<\/option>\n\t\t\t\t\t\t\t\t<option value=\"JTC \" >JTC <\/option>\n\t\t\t\t\t\t\t\t<option value=\"Other\" >Other<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_5492869_1\"><\/span><span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_9069346_1\"><\/span><\/div><\/div><div  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\">Please read our <a class=\"GeneratedLink\" href=\"https:\/\/centre-stage.com\/home\/terms-conditions\/\" target=\"_blank\"\">Terms & Conditions<\/a> and our <a class=\"GeneratedLink\" href=\"https:\/\/centre-stage.com\/home\/privacy-policy\/\" target=\"_blank\"\">Privacy Policy<\/a><\/div><div role=\"field\" data-field-wrapper=\"fld_5844917\" class=\"form-group\">\r\n\t\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5844917_1_opt1671626\"><input  type=\"checkbox\" data-label=\"I agree to the Terms and Conditions\" data-field=\"fld_5844917\" id=\"fld_5844917_1_opt1671626\" class=\"fld_5844917_1\" name=\"fld_5844917[opt1671626]\" value=\"I agree to the Terms and Conditions\" > I agree to the Terms and Conditions<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5844917_1_opt1160716\"><input  type=\"checkbox\" data-label=\"I agree to be contacted by CS in regards to this registration\" data-field=\"fld_5844917\" id=\"fld_5844917_1_opt1160716\" class=\"fld_5844917_1\" name=\"fld_5844917[opt1160716]\" value=\"I agree to be contacted by CS in regards to this registration\" > I agree to be contacted by CS in regards to this registration<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5844917_1_opt1120442\"><input  type=\"checkbox\" data-label=\"I agree to be contacted by CS with suggested programmes or events that may interest me\" data-field=\"fld_5844917\" id=\"fld_5844917_1_opt1120442\" class=\"fld_5844917_1\" name=\"fld_5844917[opt1120442]\" value=\"I agree to be contacted by CS with suggested programmes or events that may interest me\" > I agree to be contacted by CS with suggested programmes or events that may interest me<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div class=\"\"><\/div><\/div><\/div><div  class=\"row  last_row\"><div  class=\"col-sm-12  single\"><script>\t\n\tjQuery( function($){\n\n\t\t$(document).on('click dblclick', '#fld_3963698_1', function( e ){\n\t\t\t$('#fld_3963698_1_btn').val( e.type ).trigger('change');\n\t\t});\n\n\t});\n<\/script>\n<span class=\"caldera-forms-conditional-field\" role=\"region\" aria-live=\"polite\" id=\"conditional_fld_3963698_1\"><\/span><\/div><\/div><\/form>\r\n<\/div>\r\n<script type=\"text\/javascript\">\r\nif( typeof caldera_conditionals === \"undefined\" ){ var caldera_conditionals = {}; }caldera_conditionals.CF600f95a857701_1 = 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agree to the Terms and Conditions\",\"label\":\"I agree to the Terms and Conditions\"}}}}};\r\n<\/script>\r\n<script type=\"text\/html\" id=\"conditional-fld_8505592_1-tmpl\">\r\n<div class=\"\"><br><font size=\"+1\" color=black><b>Student #1<\/b><\/font>\n<br>\n<\/div><\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_8351520_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_8351520\" class=\"form-group\">\r\n\t<label id=\"fld_8351520Label\" for=\"fld_8351520_1\" class=\"control-label\">Given Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_8351520\" class=\"form-control\" id=\"fld_8351520_1\" name=\"fld_8351520\" value=\"\" required=\"required\"  aria-labelledby=\"fld_8351520Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_852275_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_852275\" class=\"form-group\">\r\n\t<label id=\"fld_852275Label\" for=\"fld_852275_1\" class=\"control-label\">Family Name<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_852275\" class=\"form-control\" id=\"fld_852275_1\" name=\"fld_852275\" value=\"\"   aria-labelledby=\"fld_852275Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6130194_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6130194\" class=\"form-group\">\r\n\t<label id=\"fld_6130194Label\" for=\"fld_6130194_1\" class=\"control-label\">Gender <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Female\" for=\"fld_6130194_1_opt1050912\"><input type=\"radio\" id=\"fld_6130194_1_opt1050912\" data-field=\"fld_6130194\" class=\"fld_6130194_1 option-required\" name=\"fld_6130194\" value=\"Female\"  required=\"required\"> Female<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Male\" for=\"fld_6130194_1_opt1244544\"><input type=\"radio\" id=\"fld_6130194_1_opt1244544\" data-field=\"fld_6130194\" class=\"fld_6130194_1 option-required\" name=\"fld_6130194\" value=\"Male\"  required=\"required\"> Male<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9533827_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9533827\" class=\"form-group\">\r\n\t<label id=\"fld_9533827Label\" for=\"fld_9533827_1\" class=\"control-label\">Date Of Birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" data-field=\"fld_9533827\" class=\"form-control  is-cfdatepicker\" id=\"fld_9533827_1\"  data-date-format=\"dd-mm-yyyy\"  data-date-start-view=\"month\" data-date-autoclose=\"true\" name=\"fld_9533827\" value=\"\" required=\"required\"  aria-labelledby=\"fld_9533827Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9814187_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9814187\" class=\"form-group\">\r\n\t<label id=\"fld_9814187Label\" for=\"fld_9814187_1\" class=\"control-label\">School <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_9814187_1\" data-field=\"fld_9814187\" class=\"form-control\" name=\"fld_9814187\" required=\"required\"  aria-labelledby=\"fld_9814187Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"UWCSEA (Dover) CCA\" >UWCSEA (Dover) CCA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Local School \" >Local School <\/option>\n\t\t\t\t\t\t\t\t<option value=\"Australian International School (AIS)\" >Australian International School (AIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Brighton College Singapore\" >Brighton College Singapore<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Canadian International School (CIS)\" >Canadian International School (CIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Chinese International School Singapore (CNIS)\" >Chinese International School Singapore (CNIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dover Court International School (DCIS)\" >Dover Court International School (DCIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dulwich College Singapore (DCSG)\" >Dulwich College Singapore (DCSG)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"DPS International School Singapore (DPSIS)\" >DPS International School Singapore (DPSIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"EtonHouse International School\" >EtonHouse International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"GEMS World Academy (GWA)\" >GEMS World Academy (GWA)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"German European School Singapore (GESS)\" >German European School Singapore (GESS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Insworld School\" >Insworld School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Integrated International School (IIS)\" >Integrated International School (IIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International Community School (ICS)\" >International Community School (ICS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"ISS International School\" >ISS International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International French School (IFS)\" >International French School (IFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Marlborough College Malaysia (MCM)\" >Marlborough College Malaysia (MCM)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Nexus International School Singapore (NISS)\" >Nexus International School Singapore (NISS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"One World International School (OWIS)\" >One World International School (OWIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Overseas Family School (OFS)\" >Overseas Family School (OFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Raffles American School Malaysia (SJS)\" >Raffles American School Malaysia (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore American School (SAS)\" >Singapore American School (SAS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Japanese School (SJS)\" >Singapore Japanese School (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Korean School (SKIS)\" >Singapore Korean School (SKIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"SOTA\" >SOTA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"St Joseph&#039;s International School (SJI)\" >St Joseph&#039;s International School (SJI)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Stamford American International School (SAIS)\" >Stamford American International School (SAIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Tanglin Trust School (TTS)\" >Tanglin Trust School (TTS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (Dover)\" >UWCSEA (Dover)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (East)\" >UWCSEA (East)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Other\" >Other<\/option>\n\t\t\t\t\t\t\t\t<option value=\"None\" >None<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6334308_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6334308\" class=\"form-group\">\r\n\t<label id=\"fld_6334308Label\" for=\"fld_6334308_1\" class=\"control-label\">Course(s) of Interest <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt2041463\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"NEW! Improv (6-12)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt2041463\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt2041463]\" value=\"NEW! Improv (6-12)\" > NEW! Improv (6-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt518310\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Baby Stage (0.5-1.5)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt518310\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt518310]\" value=\"Baby Stage (0.5-1.5)\" > Baby Stage (0.5-1.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt1238428\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Drama Tots (2.5-3.5)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt1238428\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt1238428]\" value=\"Drama Tots (2.5-3.5)\" > Drama Tots (2.5-3.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt13433119\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Creative Drama (3.5-12)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt13433119\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt13433119]\" value=\"Creative Drama (3.5-12)\" > Creative Drama (3.5-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt1237136\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Musical Theatre Minis (3-5)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt1237136\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt1237136]\" value=\"Musical Theatre Minis (3-5)\" > Musical Theatre Minis (3-5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt19416302\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Musical Theatre Junior (5-7)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt19416302\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt19416302]\" value=\"Musical Theatre Junior (5-7)\" > Musical Theatre Junior (5-7)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt1748341\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Musical Theatre Intermediate (8-12)\" 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data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Singing (8+)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt5457503\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt5457503]\" value=\"Singing (8+)\" > Singing (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt7104885\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Ballet (2.5+)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt7104885\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt7104885]\" value=\"Ballet (2.5+)\" > Ballet (2.5+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt7561634\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Contemporary (8+)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt7561634\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt7561634]\" value=\"Contemporary (8+)\" > Contemporary (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt9198751\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Jazz (8+)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt9198751\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt9198751]\" value=\"Jazz (8+)\" > Jazz (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt10182958\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Tap (8+)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt10182958\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt10182958]\" value=\"Tap (8+)\" > Tap (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt11300671\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Musical Theatre Dance (8+)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt11300671\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt11300671]\" value=\"Musical Theatre Dance (8+)\" > Musical Theatre Dance (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt25717882\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Trinity (8-18)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt25717882\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt25717882]\" value=\"Trinity (8-18)\" > Trinity (8-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt1186718\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Direct School Admissions (11)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt1186718\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt1186718]\" value=\"Direct School Admissions (11)\" > Direct School Admissions (11)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt15515757\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"On Stage! Acting (8-12)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt15515757\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt15515757]\" value=\"On Stage! Acting (8-12)\" > On Stage! Acting (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt15770642\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"On Stage! Musical Theatre (8-12)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt15770642\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt15770642]\" value=\"On Stage! Musical Theatre (8-12)\" > On Stage! Musical Theatre (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt17014956\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Theatre Workshop Acting (13-18)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt17014956\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt17014956]\" value=\"Theatre Workshop Acting (13-18)\" > Theatre Workshop Acting (13-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt18104075\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Theatre Workshop MT (13-18)\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt18104075\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt18104075]\" value=\"Theatre Workshop MT (13-18)\" > Theatre Workshop MT (13-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt1126977\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Just Dance\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt1126977\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt1126977]\" value=\"Just Dance\" > Just Dance<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt21022718\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Holiday Camps\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt21022718\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt21022718]\" value=\"Holiday Camps\" > Holiday Camps<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_6334308_1_opt20366236\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_6334308_1\" data-parsley-multiple=\"fld_6334308_1\" type=\"checkbox\" data-label=\"Private Coaching\" data-field=\"fld_6334308\" id=\"fld_6334308_1_opt20366236\" class=\"fld_6334308_1 option-required\" name=\"fld_6334308[opt20366236]\" value=\"Private Coaching\" > Private Coaching<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6010388_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6010388\" class=\"form-group\">\r\n\t<label id=\"fld_6010388Label\" for=\"fld_6010388_1\" class=\"control-label\">Medical Information <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_6010388\"  class=\"form-control\" rows=\"2\" id=\"fld_6010388_1\" name=\"fld_6010388\" required=\"required\"  aria-labelledby=\"fld_6010388Label\"><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6056851_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6056851\" class=\"form-group\">\r\n\t<label id=\"fld_6056851Label\" for=\"fld_6056851_1\" class=\"control-label\">Language Information <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_6056851\"  class=\"form-control\" rows=\"2\" id=\"fld_6056851_1\" name=\"fld_6056851\" required=\"required\"  aria-labelledby=\"fld_6056851Label\"><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9182899_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9182899\" class=\"form-group\">\r\n\t<label id=\"fld_9182899Label\" for=\"fld_9182899_1\" class=\"control-label\">Any additional comments or specific class requests? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_9182899\"  class=\"form-control\" rows=\"2\" id=\"fld_9182899_1\" name=\"fld_9182899\" required=\"required\"  aria-labelledby=\"fld_9182899Label\" aria-describedby=\"fld_9182899Caption\"><\/textarea>\n\t\t<span id=\"fld_9182899Caption\" class=\"help-block\">Let us know here if you've already spoken to a member of the team and they've recommended a specific class to you...<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_5912584_1-tmpl\">\r\n<div class=\"\"><br><font size=\"+1\" color=black><b>Student #2<\/b><\/font>\n<br>\n<\/div><\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9502707_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9502707\" class=\"form-group\">\r\n\t<label id=\"fld_9502707Label\" for=\"fld_9502707_1\" class=\"control-label\">Given Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_9502707\" class=\"form-control\" id=\"fld_9502707_1\" name=\"fld_9502707\" value=\"\" required=\"required\"  aria-labelledby=\"fld_9502707Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_1847593_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_1847593\" class=\"form-group\">\r\n\t<label id=\"fld_1847593Label\" for=\"fld_1847593_1\" class=\"control-label\">Family Name<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_1847593\" class=\"form-control\" id=\"fld_1847593_1\" name=\"fld_1847593\" value=\"\"   aria-labelledby=\"fld_1847593Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6910512_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6910512\" class=\"form-group\">\r\n\t<label id=\"fld_6910512Label\" for=\"fld_6910512_1\" class=\"control-label\">Gender <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Female\" for=\"fld_6910512_1_opt1385898\"><input type=\"radio\" id=\"fld_6910512_1_opt1385898\" data-field=\"fld_6910512\" class=\"fld_6910512_1 option-required\" name=\"fld_6910512\" value=\"Female\"  required=\"required\"> Female<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Male\" for=\"fld_6910512_1_opt1257130\"><input type=\"radio\" id=\"fld_6910512_1_opt1257130\" data-field=\"fld_6910512\" class=\"fld_6910512_1 option-required\" name=\"fld_6910512\" value=\"Male\"  required=\"required\"> Male<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_4269660_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_4269660\" class=\"form-group\">\r\n\t<label id=\"fld_4269660Label\" for=\"fld_4269660_1\" class=\"control-label\">Date Of Birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" data-field=\"fld_4269660\" class=\"form-control  is-cfdatepicker\" id=\"fld_4269660_1\"  data-date-format=\"dd-mm-yyyy\"  data-date-start-view=\"month\" data-date-autoclose=\"true\" name=\"fld_4269660\" value=\"\" required=\"required\"  aria-labelledby=\"fld_4269660Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9713275_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9713275\" class=\"form-group\">\r\n\t<label id=\"fld_9713275Label\" for=\"fld_9713275_1\" class=\"control-label\">School <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_9713275_1\" data-field=\"fld_9713275\" class=\"form-control\" name=\"fld_9713275\" required=\"required\"  aria-labelledby=\"fld_9713275Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"UWCSEA (Dover) CCA\" >UWCSEA (Dover) CCA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Local School \" >Local School <\/option>\n\t\t\t\t\t\t\t\t<option value=\"Australian International School (AIS)\" >Australian International School (AIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Brighton College Singapore\" >Brighton College Singapore<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Canadian International School (CIS)\" >Canadian International School (CIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Chinese International School Singapore (CNIS)\" >Chinese International School Singapore (CNIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dover Court International School (DCIS)\" >Dover Court International School (DCIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dulwich College Singapore (DCSG)\" >Dulwich College Singapore (DCSG)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"DPS International School Singapore (DPSIS)\" >DPS International School Singapore (DPSIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"EtonHouse International School\" >EtonHouse International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"GEMS World Academy (GWA)\" >GEMS World Academy (GWA)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"German European School Singapore (GESS)\" >German European School Singapore (GESS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Insworld School\" >Insworld School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Integrated International School (IIS)\" >Integrated International School (IIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International Community School (ICS)\" >International Community School (ICS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"ISS International School\" >ISS International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International French School (IFS)\" >International French School (IFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Marlborough College Malaysia (MCM)\" >Marlborough College Malaysia (MCM)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Nexus International School Singapore (NISS)\" >Nexus International School Singapore (NISS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"One World International School (OWIS)\" >One World International School (OWIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Overseas Family School (OFS)\" >Overseas Family School (OFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Raffles American School Malaysia (SJS)\" >Raffles American School Malaysia (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore American School (SAS)\" >Singapore American School (SAS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Japanese School (SJS)\" >Singapore Japanese School (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Korean School (SKIS)\" >Singapore Korean School (SKIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"SOTA\" >SOTA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"St Joseph&#039;s International School (SJI)\" >St Joseph&#039;s International School (SJI)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Stamford American International School (SAIS)\" >Stamford American International School (SAIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Tanglin Trust School (TTS)\" >Tanglin Trust School (TTS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (Dover)\" >UWCSEA (Dover)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (East)\" >UWCSEA (East)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Other\" >Other<\/option>\n\t\t\t\t\t\t\t\t<option value=\"None\" >None<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_4170351_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_4170351\" class=\"form-group\">\r\n\t<label id=\"fld_4170351Label\" for=\"fld_4170351_1\" class=\"control-label\">Course(s) Of Interest <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt1633066\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"NEW! Improv (6-12)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt1633066\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt1633066]\" value=\"NEW! Improv (6-12)\" > NEW! Improv (6-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt301715\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Baby Stage (0.5-1.5)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt301715\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt301715]\" value=\"Baby Stage (0.5-1.5)\" > Baby Stage (0.5-1.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt1638359\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Drama Tots (2.5-3.5)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt1638359\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt1638359]\" value=\"Drama Tots (2.5-3.5)\" > Drama Tots (2.5-3.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt4055114\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Creative Drama (3.5-12)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt4055114\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt4055114]\" value=\"Creative Drama (3.5-12)\" > Creative Drama (3.5-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt4913412\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Musical Theatre Minis (3-5)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt4913412\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt4913412]\" value=\"Musical Theatre Minis (3-5)\" > Musical Theatre Minis (3-5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt5796004\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Musical Theatre Junior (5-7)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt5796004\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt5796004]\" value=\"Musical Theatre Junior (5-7)\" > Musical Theatre Junior (5-7)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt6653266\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Musical Theatre Intermediate (8-12)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt6653266\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt6653266]\" value=\"Musical Theatre Intermediate (8-12)\" > Musical Theatre Intermediate (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt2013696\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Musical Theatre Seniors (12+)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt2013696\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt2013696]\" value=\"Musical Theatre Seniors (12+)\" > Musical Theatre Seniors (12+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt8674699\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Singing (8+)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt8674699\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt8674699]\" value=\"Singing (8+)\" > Singing (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt9844096\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Ballet (2.5+)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt9844096\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt9844096]\" value=\"Ballet (2.5+)\" > Ballet (2.5+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt13256635\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Contemporary (8+)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt13256635\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt13256635]\" value=\"Contemporary (8+)\" > Contemporary (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt13820695\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Jazz (8+)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt13820695\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt13820695]\" value=\"Jazz (8+)\" > Jazz (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt15117765\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Tap (8+)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt15117765\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt15117765]\" value=\"Tap (8+)\" > Tap (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt16574140\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Musical Theatre Dance (8+)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt16574140\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt16574140]\" value=\"Musical Theatre Dance (8+)\" > Musical Theatre Dance (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt17633688\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Trinity (8-18)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt17633688\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt17633688]\" value=\"Trinity (8-18)\" > Trinity (8-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt1507688\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Direct School Admissions (11)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt1507688\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt1507688]\" value=\"Direct School Admissions (11)\" > Direct School Admissions (11)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt18384614\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"On Stage! Acting (8-12)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt18384614\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt18384614]\" value=\"On Stage! Acting (8-12)\" > On Stage! Acting (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt19479595\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"On Stage! Musical Theatre (8-12)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt19479595\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt19479595]\" value=\"On Stage! Musical Theatre (8-12)\" > On Stage! Musical Theatre (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt21701694\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Theatre Workshop Acting (13-18)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt21701694\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt21701694]\" value=\"Theatre Workshop Acting (13-18)\" > Theatre Workshop Acting (13-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt22848938\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Theatre Workshop MT (13-18)\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt22848938\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt22848938]\" value=\"Theatre Workshop MT (13-18)\" > Theatre Workshop MT (13-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt1722134\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Just Dance\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt1722134\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt1722134]\" value=\"Just Dance\" > Just Dance<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt26344873\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Holiday Camps\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt26344873\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt26344873]\" value=\"Holiday Camps\" > Holiday Camps<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4170351_1_opt29086604\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4170351_1\" data-parsley-multiple=\"fld_4170351_1\" type=\"checkbox\" data-label=\"Private Coaching\" data-field=\"fld_4170351\" id=\"fld_4170351_1_opt29086604\" class=\"fld_4170351_1 option-required\" name=\"fld_4170351[opt29086604]\" value=\"Private Coaching\" > Private Coaching<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9244472_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9244472\" class=\"form-group\">\r\n\t<label id=\"fld_9244472Label\" for=\"fld_9244472_1\" class=\"control-label\">Medical Information <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_9244472\"  class=\"form-control\" rows=\"2\" id=\"fld_9244472_1\" name=\"fld_9244472\" required=\"required\"  aria-labelledby=\"fld_9244472Label\"><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_7076094_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_7076094\" class=\"form-group\">\r\n\t<label id=\"fld_7076094Label\" for=\"fld_7076094_1\" class=\"control-label\">Language Information <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_7076094\"  class=\"form-control\" rows=\"2\" id=\"fld_7076094_1\" name=\"fld_7076094\" required=\"required\"  aria-labelledby=\"fld_7076094Label\"><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6980277_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6980277\" class=\"form-group\">\r\n\t<label id=\"fld_6980277Label\" for=\"fld_6980277_1\" class=\"control-label\">Any additional comments or specific class requests? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_6980277\"  class=\"form-control\" rows=\"2\" id=\"fld_6980277_1\" name=\"fld_6980277\" required=\"required\"  aria-labelledby=\"fld_6980277Label\" aria-describedby=\"fld_6980277Caption\"><\/textarea>\n\t\t<span id=\"fld_6980277Caption\" class=\"help-block\">Let us know here if you've already spoken to a member of the team and they've recommended a specific class to you...<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6624765_1-tmpl\">\r\n<div class=\"\"><br><font size=\"+1\" color=black><b>Student #3<\/b><\/font>\n<br><\/div><\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_1358453_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_1358453\" class=\"form-group\">\r\n\t<label id=\"fld_1358453Label\" for=\"fld_1358453_1\" class=\"control-label\">Given Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_1358453\" class=\"form-control\" id=\"fld_1358453_1\" name=\"fld_1358453\" value=\"\" required=\"required\"  aria-labelledby=\"fld_1358453Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6101136_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6101136\" class=\"form-group\">\r\n\t<label id=\"fld_6101136Label\" for=\"fld_6101136_1\" class=\"control-label\">Family Name<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_6101136\" class=\"form-control\" id=\"fld_6101136_1\" name=\"fld_6101136\" value=\"\"   aria-labelledby=\"fld_6101136Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_465331_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_465331\" class=\"form-group\">\r\n\t<label id=\"fld_465331Label\" for=\"fld_465331_1\" class=\"control-label\">Gender <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Female\" for=\"fld_465331_1_opt1366055\"><input type=\"radio\" id=\"fld_465331_1_opt1366055\" data-field=\"fld_465331\" class=\"fld_465331_1 option-required\" name=\"fld_465331\" value=\"Female\"  required=\"required\"> Female<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Male\" for=\"fld_465331_1_opt2048847\"><input type=\"radio\" id=\"fld_465331_1_opt2048847\" data-field=\"fld_465331\" class=\"fld_465331_1 option-required\" name=\"fld_465331\" value=\"Male\"  required=\"required\"> Male<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6334827_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6334827\" class=\"form-group\">\r\n\t<label id=\"fld_6334827Label\" for=\"fld_6334827_1\" class=\"control-label\">Date Of Birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" data-field=\"fld_6334827\" class=\"form-control  is-cfdatepicker\" id=\"fld_6334827_1\"  data-date-format=\"dd-mm-yyyy\"  data-date-start-view=\"month\" data-date-autoclose=\"true\" name=\"fld_6334827\" value=\"\" required=\"required\"  aria-labelledby=\"fld_6334827Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_3476574_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_3476574\" class=\"form-group\">\r\n\t<label id=\"fld_3476574Label\" for=\"fld_3476574_1\" class=\"control-label\">School <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_3476574_1\" data-field=\"fld_3476574\" class=\"form-control\" name=\"fld_3476574\" required=\"required\"  aria-labelledby=\"fld_3476574Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"UWCSEA (Dover) CCA\" >UWCSEA (Dover) CCA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Local School \" >Local School <\/option>\n\t\t\t\t\t\t\t\t<option value=\"Australian International School (AIS)\" >Australian International School (AIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Brighton College Singapore\" >Brighton College Singapore<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Canadian International School (CIS)\" >Canadian International School (CIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Chinese International School Singapore (CNIS)\" >Chinese International School Singapore (CNIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dover Court International School (DCIS)\" >Dover Court International School (DCIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dulwich College Singapore (DCSG)\" >Dulwich College Singapore (DCSG)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"DPS International School Singapore (DPSIS)\" >DPS International School Singapore (DPSIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"EtonHouse International School\" >EtonHouse International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"GEMS World Academy (GWA)\" >GEMS World Academy (GWA)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"German European School Singapore (GESS)\" >German European School Singapore (GESS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Insworld School\" >Insworld School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Integrated International School (IIS)\" >Integrated International School (IIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International Community School (ICS)\" >International Community School (ICS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"ISS International School\" >ISS International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International French School (IFS)\" >International French School (IFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Marlborough College Malaysia (MCM)\" >Marlborough College Malaysia (MCM)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Nexus International School Singapore (NISS)\" >Nexus International School Singapore (NISS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"One World International School (OWIS)\" >One World International School (OWIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Overseas Family School (OFS)\" >Overseas Family School (OFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Raffles American School Malaysia (SJS)\" >Raffles American School Malaysia (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore American School (SAS)\" >Singapore American School (SAS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Japanese School (SJS)\" >Singapore Japanese School (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Korean School (SKIS)\" >Singapore Korean School (SKIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"SOTA\" >SOTA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"St Joseph&#039;s International School (SJI)\" >St Joseph&#039;s International School (SJI)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Stamford American International School (SAIS)\" >Stamford American International School (SAIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Tanglin Trust School (TTS)\" >Tanglin Trust School (TTS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (Dover)\" >UWCSEA (Dover)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (East)\" >UWCSEA (East)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Other\" >Other<\/option>\n\t\t\t\t\t\t\t\t<option value=\"None\" >None<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_4072824_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_4072824\" class=\"form-group\">\r\n\t<label id=\"fld_4072824Label\" for=\"fld_4072824_1\" class=\"control-label\">Course(s) of Interest <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt1418536\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"NEW! Improv (6-12)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt1418536\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt1418536]\" value=\"NEW! Improv (6-12)\" > NEW! Improv (6-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt180876\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Baby Stage (0.5-1.5)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt180876\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt180876]\" value=\"Baby Stage (0.5-1.5)\" > Baby Stage (0.5-1.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt1672216\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Drama Tots (2.5-3.5)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt1672216\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt1672216]\" value=\"Drama Tots (2.5-3.5)\" > Drama Tots (2.5-3.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt4192709\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Creative Drama (3.5-12)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt4192709\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt4192709]\" value=\"Creative Drama (3.5-12)\" > Creative Drama (3.5-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt5037505\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Musical Theatre Minis (3-5)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt5037505\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt5037505]\" value=\"Musical Theatre Minis (3-5)\" > Musical Theatre Minis (3-5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt5278120\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Musical Theatre Junior (5-7)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt5278120\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt5278120]\" value=\"Musical Theatre Junior (5-7)\" > Musical Theatre Junior (5-7)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt6758662\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Musical Theatre Intermediate (8-12)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt6758662\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt6758662]\" value=\"Musical Theatre Intermediate (8-12)\" > Musical Theatre Intermediate (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt1993442\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Musical Theatre Senior (12+)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt1993442\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt1993442]\" value=\"Musical Theatre Senior (12+)\" > Musical Theatre Senior (12+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt8559380\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Singing (8+)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt8559380\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt8559380]\" value=\"Singing (8+)\" > Singing (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt10318866\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Ballet (2.5+)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt10318866\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt10318866]\" value=\"Ballet (2.5+)\" > Ballet (2.5+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt13389763\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Contemporary (8+)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt13389763\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt13389763]\" value=\"Contemporary (8+)\" > Contemporary (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt14149844\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Jazz (8+)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt14149844\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt14149844]\" value=\"Jazz (8+)\" > Jazz (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt15150628\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Tap (8+)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt15150628\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt15150628]\" value=\"Tap (8+)\" > Tap (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt15943483\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Musical Theatre Dance (8+)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt15943483\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt15943483]\" value=\"Musical Theatre Dance (8+)\" > Musical Theatre Dance (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt17377745\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Trinity (8-18)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt17377745\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt17377745]\" value=\"Trinity (8-18)\" > Trinity (8-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt1139586\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Direct School Admissions (11)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt1139586\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt1139586]\" value=\"Direct School Admissions (11)\" > Direct School Admissions (11)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt18658660\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"On Stage! Acting (8-12)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt18658660\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt18658660]\" value=\"On Stage! Acting (8-12)\" > On Stage! Acting (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt19170174\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"On Stage! Musical Theatre (8-12)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt19170174\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt19170174]\" value=\"On Stage! Musical Theatre (8-12)\" > On Stage! Musical Theatre (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt21393207\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Theatre Workshop Acting (13-18)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt21393207\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt21393207]\" value=\"Theatre Workshop Acting (13-18)\" > Theatre Workshop Acting (13-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt22408067\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Theatre Workshop MT (13-18)\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt22408067\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt22408067]\" value=\"Theatre Workshop MT (13-18)\" > Theatre Workshop MT (13-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt1222799\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Just Dance\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt1222799\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt1222799]\" value=\"Just Dance\" > Just Dance<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt26934498\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Holiday Camps\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt26934498\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt26934498]\" value=\"Holiday Camps\" > Holiday Camps<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_4072824_1_opt29035690\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_4072824_1\" data-parsley-multiple=\"fld_4072824_1\" type=\"checkbox\" data-label=\"Private Coaching\" data-field=\"fld_4072824\" id=\"fld_4072824_1_opt29035690\" class=\"fld_4072824_1 option-required\" name=\"fld_4072824[opt29035690]\" value=\"Private Coaching\" > Private Coaching<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_5185549_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_5185549\" class=\"form-group\">\r\n\t<label id=\"fld_5185549Label\" for=\"fld_5185549_1\" class=\"control-label\">Medical Information <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_5185549\"  class=\"form-control\" rows=\"2\" id=\"fld_5185549_1\" name=\"fld_5185549\" required=\"required\"  aria-labelledby=\"fld_5185549Label\"><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_1476980_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_1476980\" class=\"form-group\">\r\n\t<label id=\"fld_1476980Label\" for=\"fld_1476980_1\" class=\"control-label\">Language Information <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_1476980\"  class=\"form-control\" rows=\"2\" id=\"fld_1476980_1\" name=\"fld_1476980\" required=\"required\"  aria-labelledby=\"fld_1476980Label\"><\/textarea>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_8343530_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_8343530\" class=\"form-group\">\r\n\t<label id=\"fld_8343530Label\" for=\"fld_8343530_1\" class=\"control-label\">Any additional comments or specific class requests? <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_8343530\"  class=\"form-control\" rows=\"2\" id=\"fld_8343530_1\" name=\"fld_8343530\" required=\"required\"  aria-labelledby=\"fld_8343530Label\" aria-describedby=\"fld_8343530Caption\"><\/textarea>\n\t\t<span id=\"fld_8343530Caption\" class=\"help-block\">Let us know here if you've already spoken to a member of the team and they've recommended a specific class to you...<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_2547614_1-tmpl\">\r\n<div class=\"\"><br><font size=\"+1\" color=black><b>Student #4<\/b><\/font>\n<br><\/div><\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_131773_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_131773\" class=\"form-group\">\r\n\t<label id=\"fld_131773Label\" for=\"fld_131773_1\" class=\"control-label\">Given Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_131773\" class=\"form-control\" id=\"fld_131773_1\" name=\"fld_131773\" value=\"\" required=\"required\"  aria-labelledby=\"fld_131773Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_7933_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_7933\" class=\"form-group\">\r\n\t<label id=\"fld_7933Label\" for=\"fld_7933_1\" class=\"control-label\">Family Name<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_7933\" class=\"form-control\" id=\"fld_7933_1\" name=\"fld_7933\" value=\"\"   aria-labelledby=\"fld_7933Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_7570126_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_7570126\" class=\"form-group\">\r\n\t<label id=\"fld_7570126Label\" for=\"fld_7570126_1\" class=\"control-label\">Gender <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Female\" for=\"fld_7570126_1_opt1827454\"><input type=\"radio\" id=\"fld_7570126_1_opt1827454\" data-field=\"fld_7570126\" class=\"fld_7570126_1 option-required\" name=\"fld_7570126\" value=\"Female\"  required=\"required\"> Female<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"radio\">\n\t\t\t\t\t\t\t\t<label data-label=\"Male\" for=\"fld_7570126_1_opt1547694\"><input type=\"radio\" id=\"fld_7570126_1_opt1547694\" data-field=\"fld_7570126\" class=\"fld_7570126_1 option-required\" name=\"fld_7570126\" value=\"Male\"  required=\"required\"> Male<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_6596536_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_6596536\" class=\"form-group\">\r\n\t<label id=\"fld_6596536Label\" for=\"fld_6596536_1\" class=\"control-label\">Date Of Birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" data-field=\"fld_6596536\" class=\"form-control  is-cfdatepicker\" id=\"fld_6596536_1\"  data-date-format=\"dd-mm-yyyy\"  data-date-start-view=\"month\" data-date-autoclose=\"true\" name=\"fld_6596536\" value=\"\" required=\"required\"  aria-labelledby=\"fld_6596536Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9081608_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9081608\" class=\"form-group\">\r\n\t<label id=\"fld_9081608Label\" for=\"fld_9081608_1\" class=\"control-label\">School <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select id=\"fld_9081608_1\" data-field=\"fld_9081608\" class=\"form-control\" name=\"fld_9081608\" required=\"required\"  aria-labelledby=\"fld_9081608Label\">\n\t\t<option value=\"\"><\/option>\t\t\t\t<option value=\"UWCSEA (Dover) CCA\" >UWCSEA (Dover) CCA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Local School \" >Local School <\/option>\n\t\t\t\t\t\t\t\t<option value=\"Australian International School (AIS)\" >Australian International School (AIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Brighton College Singapore\" >Brighton College Singapore<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Canadian International School (CIS)\" >Canadian International School (CIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Chinese International School Singapore (CNIS)\" >Chinese International School Singapore (CNIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dover Court International School (DCIS)\" >Dover Court International School (DCIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Dulwich College Singapore (DCSG)\" >Dulwich College Singapore (DCSG)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"DPS International School Singapore (DPSIS)\" >DPS International School Singapore (DPSIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"EtonHouse International School\" >EtonHouse International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"GEMS World Academy (GWA)\" >GEMS World Academy (GWA)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"German European School Singapore (GESS)\" >German European School Singapore (GESS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Insworld School\" >Insworld School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Integrated International School (IIS)\" >Integrated International School (IIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International Community School (ICS)\" >International Community School (ICS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"ISS International School\" >ISS International School<\/option>\n\t\t\t\t\t\t\t\t<option value=\"International French School (IFS)\" >International French School (IFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Marlborough College Malaysia (MCM)\" >Marlborough College Malaysia (MCM)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Nexus International School Singapore (NISS)\" >Nexus International School Singapore (NISS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"One World International School (OWIS)\" >One World International School (OWIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Overseas Family School (OFS)\" >Overseas Family School (OFS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Raffles American School Malaysia (SJS)\" >Raffles American School Malaysia (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore American School (SAS)\" >Singapore American School (SAS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Japanese School (SJS)\" >Singapore Japanese School (SJS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Singapore Korean School (SKIS)\" >Singapore Korean School (SKIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"SOTA\" >SOTA<\/option>\n\t\t\t\t\t\t\t\t<option value=\"St Joseph&#039;s International School (SJI)\" >St Joseph&#039;s International School (SJI)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Stamford American International School (SAIS)\" >Stamford American International School (SAIS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Tanglin Trust School (TTS)\" >Tanglin Trust School (TTS)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (Dover)\" >UWCSEA (Dover)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"UWCSEA (East)\" >UWCSEA (East)<\/option>\n\t\t\t\t\t\t\t\t<option value=\"Other\" >Other<\/option>\n\t\t\t\t\t\t\t\t<option value=\"None\" >None<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_5914004_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_5914004\" class=\"form-group\">\r\n\t<label id=\"fld_5914004Label\" for=\"fld_5914004_1\" class=\"control-label\">Course(s) of Interest <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt1739445\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"NEW! Improv (6-12)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt1739445\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt1739445]\" value=\"NEW! Improv (6-12)\" > NEW! Improv (6-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt282670\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Baby Stage (0.5-1.5)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt282670\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt282670]\" value=\"Baby Stage (0.5-1.5)\" > Baby Stage (0.5-1.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt1667966\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Drama Tots (2.5-3.5)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt1667966\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt1667966]\" value=\"Drama Tots (2.5-3.5)\" > Drama Tots (2.5-3.5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt4076549\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Creative Drama (3.5-12)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt4076549\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt4076549]\" value=\"Creative Drama (3.5-12)\" > Creative Drama (3.5-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt4475249\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Musical Theatre Minis (3-5)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt4475249\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt4475249]\" value=\"Musical Theatre Minis (3-5)\" > Musical Theatre Minis (3-5)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt5703189\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Musical Theatre Junior (5-7)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt5703189\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt5703189]\" value=\"Musical Theatre Junior (5-7)\" > Musical Theatre Junior (5-7)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt6541447\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Musical Theatre Intermediate (8-12)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt6541447\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt6541447]\" value=\"Musical Theatre Intermediate (8-12)\" > Musical Theatre Intermediate (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt1118265\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Musical Theatre Senior (12+)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt1118265\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt1118265]\" value=\"Musical Theatre Senior (12+)\" > Musical Theatre Senior (12+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt9275781\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Singing (8+)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt9275781\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt9275781]\" value=\"Singing (8+)\" > Singing (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt9840107\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Ballet (2.5+)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt9840107\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt9840107]\" value=\"Ballet (2.5+)\" > Ballet (2.5+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt13329825\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Contemporary (8+)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt13329825\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt13329825]\" value=\"Contemporary (8+)\" > Contemporary (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt14505716\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Jazz (8+)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt14505716\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt14505716]\" value=\"Jazz (8+)\" > Jazz (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt14935207\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Tap (8+)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt14935207\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt14935207]\" value=\"Tap (8+)\" > Tap (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt16004664\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Musical Theatre Dance (8+)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt16004664\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt16004664]\" value=\"Musical Theatre Dance (8+)\" > Musical Theatre Dance (8+)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt16983771\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Trinity (8-18)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt16983771\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt16983771]\" value=\"Trinity (8-18)\" > Trinity (8-18)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt1989401\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"Direct School Admissions (11)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt1989401\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt1989401]\" value=\"Direct School Admissions (11)\" > Direct School Admissions (11)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt18634789\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"On Stage! Acting (8-12)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt18634789\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt18634789]\" value=\"On Stage! Acting (8-12)\" > On Stage! Acting (8-12)<\/label>&nbsp;\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"checkbox\">\n\t\t\t\t\t\t\t\t<label for=\"fld_5914004_1_opt19495489\"><input data-parsley-required=\"true\" data-parsley-group=\"fld_5914004_1\" data-parsley-multiple=\"fld_5914004_1\" type=\"checkbox\" data-label=\"On Stage! Musical Theatre (8-12)\" data-field=\"fld_5914004\" id=\"fld_5914004_1_opt19495489\" class=\"fld_5914004_1 option-required\" name=\"fld_5914004[opt19495489]\" value=\"On Stage! Musical Theatre (8-12)\" > On Stage! 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<span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ff2222;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<textarea  data-field=\"fld_9516091\"  class=\"form-control\" rows=\"2\" id=\"fld_9516091_1\" name=\"fld_9516091\" required=\"required\"  aria-labelledby=\"fld_9516091Label\" aria-describedby=\"fld_9516091Caption\"><\/textarea>\n\t\t<span id=\"fld_9516091Caption\" class=\"help-block\">Let us know here if you've already spoken to a member of the team and they've recommended a specific class to you...<\/span>\r\n\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_5492869_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_5492869\" class=\"form-group\">\r\n\t<label id=\"fld_5492869Label\" for=\"fld_5492869_1\" class=\"control-label\">If other, please specify<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_5492869\" class=\"form-control\" id=\"fld_5492869_1\" name=\"fld_5492869\" value=\"\"   aria-labelledby=\"fld_5492869Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_9069346_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_9069346\" class=\"form-group\">\r\n\t<label id=\"fld_9069346Label\" for=\"fld_9069346_1\" class=\"control-label\">Please specify<\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\"   data-field=\"fld_9069346\" class=\"form-control\" id=\"fld_9069346_1\" name=\"fld_9069346\" value=\"\"   aria-labelledby=\"fld_9069346Label\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/script>\r\n\r\n<script type=\"text\/html\" id=\"conditional-fld_3963698_1-tmpl\">\r\n<div role=\"field\" data-field-wrapper=\"fld_3963698\" class=\"form-group\">\r\n<div class=\"\">\r\n<input data-field=\"fld_3963698\"  class=\"btn btn-default\" type=\"submit\" name=\"fld_3963698_btn\" value=\"Send\" id=\"fld_3963698_1\"  aria-labelledby=\"fld_3963698Label\">\n<\/div>\r\n<\/div>\r\n<input class=\"button_trigger_1\" type=\"hidden\" data-field=\"fld_3963698\" id=\"fld_3963698_1_btn\" name=\"fld_3963698\" value=\"\">\n<\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Please fill out the form below to officially register your details with Centre Stage. 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