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<form class="userform-form" action="" method="post" name="form_6774365" id="6774365" accept-charset="utf-8"><input type="hidden" name="formID" value="6774365" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Parent Name:<span class="form-required">*</span> </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q1_fullName[first]" id="first_1" autocomplete="given-name" />  <label class="form-sub-label" for="first_1" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q1_fullName[last]" id="last_1" autocomplete="family-name" />  <label class="form-sub-label" for="last_1" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Parent E-Mail:<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_3" name="q3_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_4"><div class="form-label-left form-label-hidden" id="label_4"></div><div id="cid_4" class="form-input"> <div class="form-single-column form-checkbox-item"><input name="optin" value="true" type="checkbox" class="form-checkbox" id="input_4" /><label id="label_input_4" for="input_4">I would like to receive news and updates from Chabad at Monterra by email. I understand that information I provide to Chabad at Monterra will be used according to its <a href="/4026210" target="_blank">Privacy Policy</a> and I can unsubscribe at any time.</label></div> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> Parent Phone:<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q6_phoneNumber[full]" id="input_6_full" autocomplete="tel" />  <label class="form-sub-label" for="input_6_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> CTeen #1 Name:<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q7_fullName7[first]" id="first_7" autocomplete="given-name" />  <label class="form-sub-label" for="first_7" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q7_fullName7[last]" id="last_7" autocomplete="family-name" />  <label class="form-sub-label" for="last_7" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> CTeen #1 E-Mail: </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_8" name="q8_email8" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> CTeen #1 Phone: </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox" type="tel" name="q9_phoneNumber9[full]" id="input_9_full" autocomplete="tel" />  <label class="form-sub-label" for="input_9_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> Grade:<span class="form-required">*</span> </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_13" name="q13_input13"><option value=""></option><option value="9th">9th</option><option value="10th">10th</option><option value="11th">11th</option><option value="12th">12th</option></select> </div></li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> School:<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_14" name="q14_input14" size="20" value="" /> </div></li><li class="form-line" id="id_21"><div class="form-label-left" id="label_21"><label for="input_21"> CTeen #2 Name: </label><label class="label-message" for="input_21"> </label></div><div id="cid_21" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q21_fullName21[first]" id="first_21" autocomplete="given-name" />  <label class="form-sub-label" for="first_21" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="15" name="q21_fullName21[last]" id="last_21" autocomplete="family-name" />  <label class="form-sub-label" for="last_21" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_22"><div class="form-label-left" id="label_22"><label for="input_22"> CTeen #2 E-Mail: </label><label class="label-message" for="input_22"> </label></div><div id="cid_22" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_22" name="q22_email22" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_23"><div class="form-label-left" id="label_23"><label for="input_23"> CTeen #2 Phone: </label><label class="label-message" for="input_23"> </label></div><div id="cid_23" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox" type="tel" name="q23_phoneNumber23[full]" id="input_23_full" autocomplete="tel" />  <label class="form-sub-label" for="input_23_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_24"><div class="form-label-left" id="label_24"><label for="input_24"> Grade: </label><label class="label-message" for="input_24"> </label></div><div id="cid_24" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_24" name="q24_input24"><option value=""></option><option value="9th">9th</option><option value="10th">10th</option><option value="11th">11th</option><option value="12th">12th</option></select> </div></li><li class="form-line" id="id_25"><div class="form-label-left" id="label_25"><label for="input_25"> School: </label><label class="label-message" for="input_25"> </label></div><div id="cid_25" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_25" name="q25_input25" size="20" value="" /> </div></li><li id="cid_27" class="form-input-wide"> <div class="form-header-group"><h2 id="header_27" class="form-header">Payment:</h2><div id="subHeader_27" class="form-subHeader">Please make sure to click the appropriate rate. The member rate is good for members of Chabad at Monterra and Chabad of SWB. If you click the member rate and you are not a member, your rate will be adjusted accordingly.</div></div> </li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> Program Pricing:<span class="form-required">*</span> </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_10" name="q10_input10"><option value=""></option><option value="1 CTeen - Non Chabad-Member ($25)">1 CTeen - Non Chabad-Member ($25)</option><option value="2 CTeen - Non Chabad-Members ($50)">2 CTeen - Non Chabad-Members ($50)</option><option value="3 CTeen - Non Chabad-Members ($75)">3 CTeen - Non Chabad-Members ($75)</option><option value="1 CTeen - Chabad Member ($18)">1 CTeen - Chabad Member ($18)</option><option value="2 CTeen - Chabad Members ($36)">2 CTeen - Chabad Members ($36)</option><option value="3 CTeen - Chabad Members ($72)">3 CTeen - Chabad Members ($72)</option></select> </div></li><li class="form-line" id="id_26"><div class="form-label-left" id="label_26"><label for="input_26"> YES! I would love to donate towards this event! </label><label class="label-message" for="input_26"> </label></div><div id="cid_26" class="form-input"> <div class="form-multiple-column" data-columns="3"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_26_0" name="q26_input26" value="54" /><label for="input_26_0"><span>$54</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_26_1" name="q26_input26" value="108" /><label for="input_26_1"><span>$108</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_26_2" name="q26_input26" value="162" /><label for="input_26_2"><span>$162</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_26_3" name="q26_input26" value="216" /><label for="input_26_3"><span>$216</span></label></span><span 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/></span><br /></span></div> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Total </label></div><div id="cid_12" class="form-input"> <div id="total_amount">$0.00 </div><div class="form-single-column form-checkbox-item" id="div_offset_gift_12" style="padding-top: 10px">		<input type="checkbox" id="input_12" class="form-checkbox" name="q12_offsetGiftPercent" value="3" />		<label id="label_12" for="input_12">Yes, I'd like to donate the cost of processing this transaction by adding 3%</label>        <input type="hidden" id="hidden_12" name="q12_offsetGiftAmount" />		<div class="clearfix"></div>        </div> </div></li><li class="form-line" id="id_11"><div class="form-label-left" id="label_11"><label for="input_11"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_11_creditCard" name="q11_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_11_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_11_paypal" name="q11_payment[payment_method]" value="paypal" onclick="BuildSource.paypal(this)" /><label for="input_11_paypal">Paypal</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_11_other" name="q11_payment[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_11_other">Zelle: Rabbi@jewishmonterra.com / 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