{"id":13581,"date":"2018-12-04T00:52:23","date_gmt":"2018-12-04T00:52:23","guid":{"rendered":"https:\/\/crdg.hawaii.edu\/summerprograms\/?page_id=13581"},"modified":"2025-12-11T14:06:03","modified_gmt":"2025-12-12T00:06:03","slug":"student-registration","status":"publish","type":"page","link":"https:\/\/crdg.hawaii.edu\/summerprograms\/student-registration\/","title":{"rendered":"Student Registration"},"content":{"rendered":"\n\n\t<h3><strong>Thank you for registering for COE Summer Programs.<\/strong><\/h3>\n<strong>1. Complete and submit this form<br \/>\n<\/strong><strong>2. Return to your cart to complete your registration<\/strong>\n<hr \/>\n\n\t<p><b><!--noptimize--><div class=\"rmagic rm_theme_matchmytheme rm_layout_label_left\"><style><\/style><style><\/style><div class=\"rmcontent\"><pre class='rm-pre-wrapper-for-script-tags'><script>\r\n        \r\n   \/*form specific onload functionality*\/\r\njQuery(document).ready(function () {\r\nif(jQuery(\"#form_18_1 [name='rm_payment_method']\").length>0 && jQuery(\"#form_18_1 [name='rm_payment_method']:checked\").val()=='stripe'){jQuery('#rm_stripe_fields_container_18_1').show();}\r\n\r\n    jQuery('[data-rm-unique=\"1\"]').change(function(event) {\r\n        rm_unique_field_check(jQuery(this));\r\n    });\r\n    \r\n   });\r\n                \r\nif (typeof window['rm_multipage'] == 'undefined') {\r\n\r\n    rm_multipage = {\r\n        global_page_no_form_18_1: 1\r\n    };\r\n\r\n}\r\nelse\r\n rm_multipage.global_page_no_form_18_1 = 1;\r\n\r\nfunction gotonext_form_18_1(){\r\n        \/* Making sure action attribute is empty *\/\r\n        jQuery(\"form.rmagic-form\").attr(\"action\",\"\");\r\n        var maxpage = 6 ;\r\n                jQuery.validator.setDefaults({errorClass: 'rm-form-field-invalid-msg',\n                                        ignore:':hidden,.ignore,:not(:visible),.rm_untouched',wrapper:'div',\n                                       errorPlacement: function(error, element) {\n                                                            \/\/error.appendTo(element.closest('.rminput'));\n                                                            error.appendTo(element.closest('div'));\n                                                          },\n                                      rules: {        \n        password: {\n            required: true,\n            minlength: 7\n        },\n        password_confirmation: {\n            required: true,\n            equalTo: \"#rm_reg_form_pw_18_1\"\n        },\n        email_confirmation: {\n            required: true,\n            equalTo: \"#rm_reg_form_email_18_1\"\n        }\n            },\n        messages: {\n        password_confirmation: {\n            equalTo: \"Your passwords do not match. Please check again.\"\n        },\n        email_confirmation: {\n            equalTo: \"Emails do not match\"\n        }\n            }\n                                    });        \r\n        \r\n        var jq_prev_button = jQuery(\"#rm_prev_form_page_button_18_1\");\r\n        var jq_next_button = jQuery(\"#rm_next_form_page_button_18_1\");\r\n        \r\n        var next_label = jq_next_button.data(\"label-next\");\r\n        var payment_method = jQuery('[name=rm_payment_method]:checked').val();\r\n        var form_object= jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1).closest(\"form\");\r\n        var submit_btn= form_object.find(\"[type=submit]:not(.rm_noscript_btn)\");\r\n        var sub_label = submit_btn.data(\"label-sub\");\r\n        form_object.find('input.rm_price_field_quantity').each(function() {\r\n            if(typeof jQuery(this).attr('min') == 'undefined') {\r\n                jQuery(this).attr('min', 0);\r\n            }\r\n        });\r\n        if(form_object.find('.rm_privacy_cb').is(':visible') && !form_object.find('.rm_privacy_cb').prop('checked')){\r\n             \/\/form_object.find('.rm_privacy_cb').trigger('change');\r\n             form_object.find('.rm_privacy_cb').focus();\r\n             form_object.find('.rm_privacy_cb').parent().parent().siblings('div.rm-form-error-message').show();\r\n             return false;\r\n        } \r\n        if(typeof payment_method == 'undefined' || payment_method != 'stripe')\r\n        {            \r\n            elements_to_validate = jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1+\" :input\").not('#rm_stripe_fields_container_18_1 :input');\r\n        }\r\n        else\r\n            var elements_to_validate = jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1+\" :input\");\r\n        \r\n        if(elements_to_validate.length > 0)\r\n        {\r\n            var valid = elements_to_validate.valid();\r\n            elements_to_validate.each(function(){\r\n            var if_mobile= jQuery(this).attr('data-mobile-intel-field');\r\n                if(if_mobile){\r\n                    var tel_error = rm_toggle_tel_error(this.dataset.validnumber,jQuery(this),jQuery(this).data('error-message'));\r\n                    if(tel_error){\r\n                        valid= false;\r\n                    }\r\n                    else\r\n                    {\r\n                        jQuery(this).val(this.dataset.fullnumber);\r\n                    }\r\n                }\r\n            });\r\n\r\n            if(!valid)\r\n            {   \r\n                setTimeout(function(){ submit_btn.prop('disabled',false); }, 1000);\r\n                var error_element= jQuery(document).find(\"input.rm-form-field-invalid-msg\")[0];\r\n                if(error_element){\r\n                    error_element.focus();\r\n                }\r\n                return false;\r\n            }\r\n            else{\r\n                if(maxpage==rm_multipage.global_page_no_form_18_1){\r\n                    return true;\r\n                }\r\n            }\r\n           \r\n        } else{\r\n            if(maxpage==rm_multipage.global_page_no_form_18_1){\r\n                    return true;\r\n            }\r\n        }\r\n        \r\n        \/* Server validation for Username and Email field *\/\r\n        for(var i=0;i<rm_validation_attr.length;i++){\r\n            var validation_flag= true;\r\n            jQuery(\"[\" + rm_validation_attr[i] + \"=0]\").each(function(){\r\n               validation_flag= false;\r\n               return false;\r\n            });\r\n            \r\n           \r\n            if(!validation_flag)\r\n              return;\r\n        }\r\n        \r\n       \r\n        rm_multipage.global_page_no_form_18_1++;\r\n        if(rm_multipage.global_page_no_form_18_1>=maxpage){\r\n            submit_btn.prop('value',sub_label);\r\n            submit_btn.addClass('rm-submit-btn-show');\r\n        }\r\n        else{\r\n            submit_btn.prop('value','Next');\r\n            submit_btn.removeClass('rm-submit-btn-show');\r\n        }\r\n       \r\n        \/*skip blank form pages*\/\r\n        \/*while(jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1+\" :input\").length == 0)\r\n        {\r\n            if(maxpage <= rm_multipage.global_page_no_form_18_1)\r\n            {\r\n                    if(jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1+\" :input\").length == 0){\r\n                        jq_next_button.prop('type','submit');\r\n                        jq_prev_button.prop('disabled',true);\r\n                        return;\r\n                    }        \r\n                    else\r\n                        break;\r\n            }    \r\n           rm_multipage.global_page_no_form_18_1++;\t\t       \r\n        }*\/\r\n          \t\t\r\n\tif(rm_multipage.global_page_no_form_18_1 >= maxpage){\r\n            jq_next_button.attr(\"value\", sub_label);\r\n        }\r\n\tif(maxpage < rm_multipage.global_page_no_form_18_1)\r\n\t{\r\n\t\trm_multipage.global_page_no_form_18_1 = maxpage;\r\n\t\tjq_next_button.prop('type','submit');\r\n                jq_prev_button.prop('disabled',true);\r\n\t}\r\n        \r\n\tjQuery(\".rmformpage_form_18_1\").each(function (){\r\n        \r\n\t\tvar visibledivid = \"rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1;\r\n\t\tvar current_page= jQuery(this);\r\n                    if(jQuery(this).attr('id') == visibledivid){\r\n                        setTimeout(function(){ \/\/ Delaying field show to skip validation for untouched fields\r\n                            current_page.show();\r\n                            current_page.find(':input').addClass('rm_untouched');\r\n                            setTimeout(function(){ current_page.find(':input').removeClass('rm_untouched'); }, 1000);\r\n                        },100);\r\n                }\r\n\t\telse\r\n                    current_page.hide();  \r\n        });         \r\n        \r\n        jQuery('.rmformpage_form_18_1').find(':input').filter(':visible').eq(0).focus();\r\n        jQuery('#rmagic-progressbar').animate({\r\n            scrollTop: (jQuery('.rmformpage_form_18_1').first().offset().top)\r\n        },500);\r\n        \r\n        jQuery('ul#rmagic-progressbar').children('li').each(function(index) {\r\n            if(!jQuery(this).hasClass('active')) {\r\n                jQuery(this).addClass('active');\r\n                return false;\r\n            }\r\n        });\r\n    \r\n        jq_prev_button.prop('disabled',false);\r\n        rmInitGoogleApi();\r\n        \r\n        setTimeout(function(){ submit_btn.prop('disabled',false); }, 1000);\r\n        \r\n        if(jq_prev_button.length > 0 && rm_multipage.global_page_no_form_18_1>=1){\r\n            jq_prev_button.show();\r\n        }\r\n        \r\n        if(rm_multipage.global_page_no_form_18_1 == maxpage){\r\n            return false;\r\n        }\r\n        \r\n        if(maxpage=='1'){\r\n            return true;\r\n        }\r\n        return false;\r\n           \r\n}\r\n    <\/script><\/pre><pre class='rm-pre-wrapper-for-script-tags'><script>\r\nfunction gotoprev_form_18_1(){\r\n\t\r\n\tvar maxpage = 6 ;\r\n        var jq_prev_button = jQuery(\"#rm_prev_form_page_button_18_1\");\r\n        var jq_next_button = jQuery(\"#rm_next_form_page_button_18_1\");\r\n        \/\/var sub_label = jq_next_button.data(\"label-sub\");\r\n        var next_label = jq_next_button.data(\"label-next\");\r\n        var form_object= jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1).closest(\"form\");\r\n        var submit_btn= form_object.find(\"[type=submit]:not(.rm_noscript_btn)\");\r\n        var sub_label = submit_btn.data(\"label-sub\");\r\n        \/*\r\n        if(form_object.find('.rm_privacy_cb').is(':visible') && !form_object.find('.rm_privacy_cb').prop('checked')){\r\n            \/\/form_object.find('.rm_privacy_cb').trigger('change');\r\n            form_object.find('.rm_privacy_cb').focus();\r\n            form_object.find('.rm_privacy_cb').parent().parent().siblings('div.rm-form-error-message').show();\r\n            return false;\r\n        }\r\n        *\/\r\n\trm_multipage.global_page_no_form_18_1--;\r\n        jq_next_button.attr('type','button');        \r\n        \r\n        if(maxpage==rm_multipage.global_page_no_form_18_1){\r\n            submit_btn.prop('value',sub_label);\r\n            submit_btn.addClass('rm-submit-btn-show');\r\n        }\r\n        else{\r\n            submit_btn.prop('value','Next');\r\n            submit_btn.removeClass('rm-submit-btn-show');\r\n        }\r\n        \/*skip blank form pages*\/\r\n        while(jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1+\" :input,.rm-total-price \").length == 0)\r\n        {\r\n            if(1 >= rm_multipage.global_page_no_form_18_1)\r\n            {\r\n                    if(jQuery(\"#rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1+\" :input,.rm-total-price \").length == 0){\r\n                        rm_multipage.global_page_no_form_18_1 = 1;\r\n                        \/\/jq_prev_button.prop('disabled',true);\r\n                        return;\r\n                    }        \r\n                    else\r\n                        break;\r\n            }\r\n        \r\n            rm_multipage.global_page_no_form_18_1--;\r\n        }\r\n        \r\n        if(rm_multipage.global_page_no_form_18_1 <= maxpage-1)\r\n            jq_next_button.attr(\"value\", next_label);\r\n            \r\n\tjQuery(\".rmformpage_form_18_1\").each(function (){\r\n\t\tvar visibledivid = \"rm_form_page_form_18_1_\"+rm_multipage.global_page_no_form_18_1;\r\n\t\tif(jQuery(this).attr('id') == visibledivid){\r\n\t\t\tjQuery(this).show();\r\n                }\r\n\t\telse\r\n\t\t\tjQuery(this).hide();\r\n\t});\r\n        jQuery('.rmformpage_form_18_1').find(':input').filter(':visible').eq(0).focus();\r\n        if(rm_multipage.global_page_no_form_18_1 <= 1)\r\n        {\r\n            rm_multipage.global_page_no_form_18_1 = 1;\r\n           \/\/ jq_prev_button.prop('disabled',true);\r\n        }\r\n        jQuery('#rmagic-progressbar').animate({\r\n            scrollTop: (jQuery('.rmformpage_form_18_1').first().offset().top)\r\n        },500);\r\n        \r\n        jQuery('ul#rmagic-progressbar').children('li').each(function(index) {\r\n            if(!jQuery(this).next().hasClass('active')) {\r\n                jQuery(this).removeClass('active');\r\n                return false;\r\n            }\r\n        });\r\n        \r\n        if(rm_multipage.global_page_no_form_18_1==1){\r\n            jq_prev_button.hide();\r\n            submit_btn.prop('disabled',false);\r\n        }\r\n}\r\n         \r\n<\/script>\r\n    <script src=\"\/\/www.youtube.com\/player_api\"><\/script>\r\n    <script>\r\n    var players = [];\r\n    function onYouTubePlayerAPIReady() {\r\n        \/\/ create the global player from the specific iframe (#video)\r\n        var pre_id = '';\r\n        jQuery(\".allow-autoplay\").each(function(){\r\n            if(pre_id!=jQuery(this).attr(\"id\")){\r\n                players.push(new YT.Player(jQuery(this).attr(\"id\")));\r\n            }\r\n            pre_id = jQuery(this).attr(\"id\");\r\n        });\r\n    }\r\n    jQuery(document).ready(function(){\r\n        var videosArr = [];\r\n        var pre_id = '';\r\n        jQuery(\".allow-autoplay\").each(function(i){\r\n            if(pre_id!=jQuery(this).attr(\"id\")){\r\n                videosArr[jQuery(this).attr(\"id\")] = i;\r\n            }\r\n            pre_id = jQuery(this).attr(\"id\");\r\n        });\r\n        jQuery('.buttonarea input').click(function(){\r\n            setTimeout(function(){\r\n                jQuery(\".rmformpage_form_18_1\").each(function(){\r\n                    if(jQuery(this).css('display')=='block'){\r\n                        var page_video_id= jQuery(this).attr(\"id\");\r\n                        if(jQuery('#'+page_video_id+' .allow-autoplay').length){\r\n                            players[videosArr[jQuery('#'+page_video_id+' .allow-autoplay').attr('id')]].playVideo();\r\n                        }\r\n                    }\r\n                });\r\n            }, 300);\r\n        });\r\n    });\r\n    <\/script> \r\n   <\/pre><style type=\"text\/css\">label span.required { color: #B94A48; }span.help-inline, span.help-block { color: #888; font-size: .9em; font-style: italic; }<\/style><form novalidate onsubmit=\"return gotonext_form_18_1()\" autocomplete=\"off\" action id=\"form_18_1\" method=\"post\" class=\"rmagic-form rmagic-form-btn-center form-vertical\" name=\"rm_form\" number=\"1\"><fieldset><input type=\"hidden\" name=\"rm_form_sub_id\" value=form_18_1><input type=\"hidden\" name=\"rm_form_sub_no\" value=1><input type=\"hidden\" name=\"rm_cond_hidden_fields\" id=\"rm_cond_hidden_fields\" value=\"\"><div id=\"rm_stat_container\" style=\"display:none\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-1\" style=\"\">RM_Stats<\/label><div class=\"rminput\"><input type=\"text\" name=\"stat_id\" value=\"__uninit\" style=\"display:none\" id=\"form_18_1-element-1\"\/><\/div><\/div><\/div><ul id=\"rmagic-progressbar\"><li class=\"active\"><span class=\"rm-progressbar-counter\"><\/span><span class=\"rm-form-page-name\">General Info<\/span><\/li><li><span class=\"rm-progressbar-counter\"><\/span><span class=\"rm-form-page-name\">Student Info<\/span><\/li><li><span class=\"rm-progressbar-counter\"><\/span><span class=\"rm-form-page-name\">Emergency Info<\/span><\/li><li><span class=\"rm-progressbar-counter\"><\/span><span class=\"rm-form-page-name\">Digital Device Agreement<\/span><\/li><li><span class=\"rm-progressbar-counter\"><\/span><span class=\"rm-form-page-name\">Release Agreement<\/span><\/li><li><span class=\"rm-progressbar-counter\"><\/span><span class=\"rm-form-page-name\">Survey Info (optional)<\/span><\/li><\/ul><div class=\"rm-multi-page-form rmformpage_form_18_1\" id=\"rm_form_page_form_18_1_1\"><fieldset class='rmfieldset'><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><h1 class=\"rm_form_field_type_heading\">Create or Log In to Account<\/h1><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><div class=\"rminput\"><div  class=\"rm_form_field_type_richtext hide-for-logged-in\"><p>Already have an account? Please log in first before completing the registration form: [wm_button url=\"https:\/\/crdg.hawaii.edu\/summerprograms\/rm_login\/\" color=\"info\" size=\"m\" icon=\"\" class=\"\"]Log in to your existing account[\/wm_button]<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row hide-for-logged-in\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><div class=\"rminput\"><div  class=\"rm_form_field_type_richtext\"><p><span style=\"color: #0000ff\"><strong>CREATE NEW ACCOUNT<\/strong><\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_reg_form_email_18_1\" style=\"\">Email<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"email\" name=\"Email_926\" placeholder=\"Your email address\" required id=\"rm_reg_form_email_18_1\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row hide-for-logged-in\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-44\" style=\"\">Username<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"username\" placeholder=\"Select a username\" required id=\"form_18_1-element-44\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row hide-for-logged-in\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_reg_form_pw_18_1\" style=\"\">Password<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"password\" name=\"pwd\" placeholder=\"Set your password\" required id=\"rm_reg_form_pw_18_1\" data-confirmpasspos=\"right\" minlength=\"7\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Password must be at least 7 characters long.<\/div><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_reg_form_pw_reentry\" style=\"\">Enter password again<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"password\" name=\"password_confirmation\" placeholder=\"Repeat your password\" required id=\"rm_reg_form_pw_reentry\" data-confirmpasspos=\"right\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Password must be at least 7 characters long.<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><h1 class=\"rm_form_field_type_heading\">Parent or Guardian Contact Information<\/h1><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-68\" style=\"\">Primary Parent: First Name<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_930\" placeholder=\"Parent #1 First Name\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-68\"\/><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-71\" style=\"\">Primary Parent: Last Name<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_931\" placeholder=\"Parent #1 Last Name\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-71\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-78\" style=\"\">Relationship to Student<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><select name=\"Select_932\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-78\"><option value=\"\"><\/option><option value=\"Mother\">Mother<\/option><option value=\"Father\">Father<\/option><option value=\"Grandmother\">Grandmother<\/option><option value=\"Grandfather\">Grandfather<\/option><option value=\"Guardian\">Guardian<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-81\" style=\"\">Email<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"email\" name=\"SecEmail_933\" placeholder=\"Enter Email\" required required_max_range required_min_range field_validation custom_validation id=\"form_18_1-element-81\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_mobile_934_18_1\" style=\"\">Primary Phone<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Mobile_934\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"rm_mobile_934_18_1\" data-error-message=\"This does not appears to be a valid phone number.\" data-mobile-intel-field=\"1\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Please list a phone number where we can reach you during the program.<\/div><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_mobile_935_18_1\" style=\"\">Alternate Phone<\/label><div class=\"rminput\"><input type=\"text\" name=\"Mobile_935\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"rm_mobile_935_18_1\" data-error-message=\"This does not appears to be a valid phone number.\" data-mobile-intel-field=\"1\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Please list a phone number where we can reach you during the program.<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-12\"> <div class=\"rmrow rm-full-width\"><hr class=\"rm_divider\" width=\"100%\" size=\"8\" align=\"center\"><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-105\" style=\"\">Second Parent: First Name<\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_937\" placeholder=\"Parent #2 First Name\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-105\"\/><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-108\" style=\"\">Second Parent: Last Name<\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_938\" placeholder=\"Parent #2 Last Name\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-108\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-115\" style=\"\">Relationship to Student<\/label><div class=\"rminput\"><select name=\"Select_939\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-115\"><option value=\"\"><\/option><option value=\"Mother\">Mother<\/option><option value=\"Father\">Father<\/option><option value=\"Grandmother\">Grandmother<\/option><option value=\"Grandfather\">Grandfather<\/option><option value=\"Guardian\">Guardian<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-118\" style=\"\">Email<\/label><div class=\"rminput\"><input type=\"email\" name=\"SecEmail_940\" placeholder=\"Enter Email\" required_max_range required_min_range field_validation custom_validation id=\"form_18_1-element-118\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_mobile_941_18_1\" style=\"\">Primary Phone<\/label><div class=\"rminput\"><input type=\"text\" name=\"Mobile_941\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"rm_mobile_941_18_1\" data-error-message=\"This does not appears to be a valid phone number.\" data-mobile-intel-field=\"1\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Please list a phone number where we can reach you during the program.<\/div><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_mobile_942_18_1\" style=\"\">Alternate Phone<\/label><div class=\"rminput\"><input type=\"text\" name=\"Mobile_942\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"rm_mobile_942_18_1\" data-error-message=\"This does not appears to be a valid phone number.\" data-mobile-intel-field=\"1\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Please list a phone number where we can reach you during the program.<\/div><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div><div class=\"rm_form_page rmformpage_form_18_1\" id=\"rm_form_page_form_18_1_2\" style=\"display:none\"><fieldset class='rmfieldset'><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-139\" style=\"\">Has your child previously enrolled in COE (CRDG) Summer Programs?<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><ul class=\"rmradio\" \"><li> <input id=\"form_18_1-element-139-0\" type=\"radio\" name=\"Radio_943\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"Yes\"\/><label for=\"form_18_1-element-139-0\"> Yes<\/label> <\/li> <li> <input id=\"form_18_1-element-139-1\" type=\"radio\" name=\"Radio_943\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"No\"\/><label for=\"form_18_1-element-139-1\"> No<\/label> <\/li> <\/ul><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-146\" style=\"\">First Name<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_944\" placeholder=\"Student First Name\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-146\"\/><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-149\" style=\"\">Last Name<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_945\" placeholder=\"Student Last Name\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-149\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-156\" style=\"\">Nickname<\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_946\" placeholder=\"Preferred name if different from first name\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-156\"\/><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">This name will be used on forms and student ID<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-163\" style=\"\">Birth Date<\/label><div class=\"rminput\"><input type=\"text\" autocomplete=\"off\" readonly=\"1\" name=\"Bdate_947\" placeholder=\"Birth Date\" required_max_range required_min_range field_validation custom_validation date_format=\"mm\/dd\/yy\" data-dateformat=\"mm\/dd\/yy\" id=\"form_18_1-element-163\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-170\" style=\"\">Gender (Pronouns)<\/label><div class=\"rminput\"><select name=\"Select_975\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-170\"><option value=\"\">Select an option<\/option><option value=\"He\/Him\">He\/Him<\/option><option value=\"She\/Her\">She\/Her<\/option><option value=\"They\/Them\">They\/Them<\/option><option value=\"Other\/Prefer not to say\">Other\/Prefer not to say<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"autocompleteAddress_948\" style=\"\">Mailing Address<\/label><div class=\"rminput\">\r\n        <div id=\"address\" class=\"rm_address_type_ca\">\r\n            <div class=\"rm_ad_container\">       \r\n                                                    <div class=\"slimField rm-address-fw\">\r\n                                <input type=\"text\"  class=\"field\" id=\"Address_948_address1\"\r\n                                placeholder=\"\"\r\n                                required                                name=\"Address_948[address1]\" value=\"\" ><\/input>\r\n\r\n                                                                    <div class=\"label\">Address Line 1                                        \r\n                                    <sup class=\"address_req required\">&nbsp;*<\/sup>\r\n                                 \r\n                                    \r\n                                    <\/div>\r\n                                 \r\n                           \r\n                            <\/div>\r\n                                                \r\n                                                    <div class=\"wideField rm-semi-field rm-address-fw\" colspan=\"2\">\r\n                                <input type=\"text\"  class=\"field\" id=\"Address_948_route\"\r\n                                                                              placeholder=\"\"\r\n                                       name=\"Address_948[address2]\" value=\"\" ><\/input>\r\n                                                                    <div class=\"label\">Address Line 2                                      \r\n                                    \r\n                                    <\/div>\r\n                                    \r\n                            \r\n                            <\/div>\r\n                                    <\/div>\r\n            \r\n                        \r\n            <div class=\"rm_ad_container\">\r\n                                            <div class=\"wideField rm-alone rm-address-hw\" colspan=\"3\">\r\n                            <input type=\"text\" class=\"\" name=\"Address_948[city]\" \r\n                                   id=\"Address_948_locality\" name=\"Address_948[city]\"                      \r\n                                   required                                   placeholder=\"\"\r\n                                   value=\"\" \/>    \r\n                                                            <div class=\"label\">City                                    \r\n                                <sup class=\"address_req required\">&nbsp;*<\/sup>\r\n                                                               \r\n                                <\/div>\r\n                                                     \r\n                        <\/div>\r\n                                        \r\n                                                                        <div class=\"slimField rm-address-hw\">\r\n                                <input type=\"text\"  class=\"field\" id=\"Address_948_administrative_area_level_1\"  \r\n                                        required                                        placeholder=\"\"\r\n                                       name=\"Address_948[state]\" value=\"\" \/>\r\n                                                                    <div class=\"label\">State or Region                                        \r\n                                    <sup class=\"address_req required\">&nbsp;*<\/sup>\r\n                                 \r\n                                    <\/div>\r\n                                                          \r\n                            <\/div>\r\n                                            \r\n                \r\n                        \r\n                                                \r\n                \r\n                                 <\/div>\r\n            \r\n            <div class=\"rm_ad_container\">\r\n                                                                        <div  class=\"wideField rm-alone rm-address-hw\" colspan=\"3\">\r\n                                <select  id=\"Address_948_country\" required                                        name=\"Address_948[country]\" class=\"\" >\r\n                                                                        <option value=\"\"><\/option>\r\n                                                                                     \r\n                                                 <option>Afghanistan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Aland Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Albania<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Algeria<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>American Samoa<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Andorra<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Angola<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Anguilla<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Antarctica<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Antigua and Barbuda<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Argentina<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Armenia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Aruba<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Australia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Austria<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Azerbaijan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bahamas, The<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bahrain<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bangladesh<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Barbados<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Belarus<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Belgium<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Belize<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Benin<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bermuda<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bhutan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bolivia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bosnia and Herzegovina<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Botswana<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bouvet Island<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Brazil<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>British Indian Ocean Territory<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Brunei Darussalam<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Bulgaria<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Burkina Faso<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Burundi<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cambodia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cameroon<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Canada<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cape Verde<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cayman Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Central African Republic<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Chad<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Chile<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>China<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Christmas Island<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cocos (Keeling) Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Colombia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Comoros<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Congo<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Congo, The Democratic Republic Of The<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cook Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Costa Rica<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cote D&#039;ivoire<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Croatia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cuba<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Cyprus<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Czech Republic<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Denmark<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Djibouti<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Dominica<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Dominican Republic<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Ecuador<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Egypt<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>El Salvador<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Equatorial Guinea<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Eritrea<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Estonia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Ethiopia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Falkland Islands (Malvinas)<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Faroe Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Fiji<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Finland<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>France<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>French Guiana<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>French Polynesia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>French Southern Territories<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Gabon<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Gambia, The<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Georgia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Germany<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Ghana<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Gibraltar<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Greece<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Greenland<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Grenada<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Guadeloupe<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Guam<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Guatemala<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Guernsey<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Guinea<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Guinea-Bissau<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Guyana<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Haiti<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Heard Island and the McDonald Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Holy See<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Honduras<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Hong Kong<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Hungary<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Iceland<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>India<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Indonesia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Iraq<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Iran<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Ireland<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Isle Of Man<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Israel<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Italy<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Jamaica<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Japan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Jersey<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Jordan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Kazakhstan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Kenya<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Kiribati<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Korea, Republic Of<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Kosovo<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Kuwait<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Kyrgyzstan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Lao People&#039;s Democratic Republic<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Latvia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Lebanon<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Lesotho<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Liberia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Libya<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Liechtenstein<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Lithuania<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Luxembourg<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Macao<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Macedonia, The Former Yugoslav Republic Of<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Madagascar<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Malawi<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Malaysia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Maldives<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Mali<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Malta<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Marshall Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Martinique<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Mauritania<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Mauritius<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Mayotte<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Mexico<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Micronesia, Federated States Of<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Moldova, Republic Of<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Monaco<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Mongolia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Montenegro<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Montserrat<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Morocco<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Mozambique<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Myanmar<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Namibia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Nauru<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Nepal<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Netherlands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Netherlands Antilles<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>New Caledonia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>New Zealand<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Nicaragua<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Niger<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Nigeria<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Niue<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Norfolk Island<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Northern Mariana Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Norway<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Oman<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Pakistan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Palau<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Palestinian Territories<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Panama<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Papua New Guinea<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Paraguay<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Peru<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Philippines<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Pitcairn<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Poland<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Portugal<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Puerto Rico<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Qatar<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Reunion<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Romania<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Russian Federation<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Rwanda<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saint Barthelemy<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saint Helena<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saint Kitts and Nevis<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saint Lucia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saint Martin<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saint Pierre and Miquelon<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saint Vincent and The Grenadines<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Samoa<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>San Marino<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Sao Tome and Principe<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Saudi Arabia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Senegal<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Serbia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Seychelles<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Sierra Leone<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Singapore<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Slovakia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Slovenia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Solomon Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Somalia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>South Africa<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>South Georgia and the South Sandwich Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Spain<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Sri Lanka<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Sudan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Suriname<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Svalbard and Jan Mayen<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Swaziland<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Sweden<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Switzerland<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Syria<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Taiwan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Tajikistan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Tanzania, United Republic Of<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Thailand<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Timor-leste<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Togo<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Tokelau<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Tonga<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Trinidad and Tobago<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Tunisia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Turkey<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Turkmenistan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Turks and Caicos Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Tuvalu<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Uganda<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Ukraine<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>United Arab Emirates<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>United Kingdom<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>United States<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>United States Minor Outlying Islands<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Uruguay<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Uzbekistan<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Vanuatu<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Venezuela<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Vietnam<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Virgin Islands, British<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Virgin Islands, U.S.<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Wallis and Futuna<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Western Sahara<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Yemen<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Zambia<\/option>\r\n                                             \r\n                                        \r\n                                                                                     \r\n                                                 <option>Zimbabwe<\/option>\r\n                                             \r\n                                        \r\n                                        \r\n                                <\/select>\r\n                                                                                                    <div class=\"label\">Country                                        \r\n                                    <sup class=\"address_req required\">&nbsp;*<\/sup>\r\n                                 \r\n                                    <\/div>\r\n                                                             \r\n                            <\/div>\r\n                                \r\n                \r\n                            \r\n                \r\n                         \r\n                \r\n                          \r\n                \r\n                       \r\n                        \r\n                     \r\n                    \r\n                                            <div class=\"wideField rm-semi-field-with-label rm-address-hw\">\r\n                                <input type=\"text\" onchange=\"rm_validate_zipcode('Address_948')\"  class=\"field\" id=\"Address_948_postal_code\" \r\n                                        required                                        placeholder=\"\"\r\n                                        name=\"Address_948[zip]\" value=\"\" ><\/input> \r\n                                                                    <div class=\"label label-short\">Zip                                    \r\n                                               \r\n                                    <sup class=\"address_req required\">&nbsp;*<\/sup>\r\n                                   \r\n                                    <\/div>\r\n                                                          \r\n                        <\/div>\r\n                     \r\n                    \r\n            <\/div>\r\n            \r\n        <\/div>\r\n\r\n        <\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">For U.S. residents, course information will be mailed to the address provided. For international students, course information will be emailed.<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-184\" style=\"\">Current School<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_949\" placeholder=\"Name of Current School\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-184\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-191\" style=\"\">Grade (next school year)<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><select name=\"Select_950\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-191\"><option value=\"\"><\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-198\" style=\"\">Shirt Size<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><select name=\"Select_951\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-198\"><option value=\"\"><\/option><option value=\"Youth Small\">Youth Small<\/option><option value=\"Youth Medium\">Youth Medium<\/option><option value=\"Youth Large\">Youth Large<\/option><option value=\"Adult Small\">Adult Small<\/option><option value=\"Adult Medium\">Adult Medium<\/option><option value=\"Adult Large\">Adult Large<\/option><option value=\"Adult XL\">Adult XL<\/option><option value=\"Adult XXL\">Adult XXL<\/option><\/select><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Students will receive 1 free Summer Programs shirt on their first day of class. Students may exchange new, unworn shirts for a different size, pending availability.<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-205\" style=\"\">Can your child sign out and leave campus on their own?<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><ul class=\"rmradio\" \"><li> <input id=\"form_18_1-element-205-0\" type=\"radio\" name=\"Radio_952\" required required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"No [List people authorized to pick up the student]\" field_validation custom_validation value=\"Yes [Once signed out, student is not the responsibility of COESP]\"\/><label for=\"form_18_1-element-205-0\"> Yes [Once signed out, student is not the responsibility of COESP]<\/label> <\/li> <li><input id=\"form_18_1-element-205_other\" type=\"radio\" value=\"\" name=\"Radio_952\" style=\"\"><label for=\"form_18_1-element-205_other\">No [List people authorized to pick up the student]<\/label><\/li><li id=\"form_18_1-element-205_other_section\" style=\"display:none\"><input style=\"\" type=\"text\" id=\"form_18_1-element-205_other_input\" name=\"Radio_952\" disabled><\/li><\/ul><\/div><div class=\"rmnote\"><div class=\"rmprenote\"><\/div><div class=\"rmnotecontent\">Authorized names must match an ID, Enter first and last names, separated by a comma.<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><div class=\"rminput\"><div  class=\"rm_form_field_type_richtext\"><p>If you want your child to be allowed to leave on their own only on certain days, select <strong>NO<\/strong> above. Then, on authorized days, let the office know your plans at least 24 hrs in advance.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div><div class=\"rm_form_page rmformpage_form_18_1\" id=\"rm_form_page_form_18_1_3\" style=\"display:none\"><fieldset class='rmfieldset'><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-223\" style=\"\">Illnesses or Other Conditions<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><ul class=\"rmradio\" \"><li> <input id=\"form_18_1-element-223-0\" type=\"radio\" name=\"Radio_954\" required required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Yes (list medical issues that may affect participation)\" field_validation custom_validation value=\"No\"\/><label for=\"form_18_1-element-223-0\"> No<\/label> <\/li> <li><input id=\"form_18_1-element-223_other\" type=\"radio\" value=\"\" name=\"Radio_954\" style=\"\"><label for=\"form_18_1-element-223_other\">Yes (list medical issues that may affect participation)<\/label><\/li><li id=\"form_18_1-element-223_other_section\" style=\"display:none\"><input style=\"\" type=\"text\" id=\"form_18_1-element-223_other_input\" name=\"Radio_954\" disabled><\/li><\/ul><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-230\" style=\"\">Food Allergies or Dietary Restrictions<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><ul class=\"rmradio\" \"><li> <input id=\"form_18_1-element-230-0\" type=\"radio\" name=\"Radio_955\" required required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Yes (list any that may affect participation)\" field_validation custom_validation value=\"No\"\/><label for=\"form_18_1-element-230-0\"> No<\/label> <\/li> <li><input id=\"form_18_1-element-230_other\" type=\"radio\" value=\"\" name=\"Radio_955\" style=\"\"><label for=\"form_18_1-element-230_other\">Yes (list any that may affect participation)<\/label><\/li><li id=\"form_18_1-element-230_other_section\" style=\"display:none\"><input style=\"\" type=\"text\" id=\"form_18_1-element-230_other_input\" name=\"Radio_955\" disabled><\/li><\/ul><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-237\" style=\"\">In case of emergency, may we take your child to emergency care?<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><ul class=\"rmradio\" \"><li> <input id=\"form_18_1-element-237-0\" type=\"radio\" name=\"Radio_956\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"Yes\"\/><label for=\"form_18_1-element-237-0\"> Yes<\/label> <\/li> <li> <input id=\"form_18_1-element-237-1\" type=\"radio\" name=\"Radio_956\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"No\"\/><label for=\"form_18_1-element-237-1\"> No<\/label> <\/li> <\/ul><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><h1 class=\"rm_form_field_type_heading\">Alternate Emergency Contacts (if parents cannot be reached)<\/h1><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-251\" style=\"\">Emergency #1 First Name<\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_958\" placeholder=\"First Name\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-251\"\/><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-254\" style=\"\">Emergency #1 Last Name<\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_959\" placeholder=\"Last Name\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-254\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-261\" style=\"\">Relationship<\/label><div class=\"rminput\"><select name=\"Select_960\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-261\"><option value=\"\"><\/option><option value=\"Mother\">Mother<\/option><option value=\"Father\">Father<\/option><option value=\"Grandmother\">Grandmother<\/option><option value=\"Grandfather\">Grandfather<\/option><option value=\"Guardian\">Guardian<\/option><option value=\"Uncle\">Uncle<\/option><option value=\"Aunt\">Aunt<\/option><option value=\"Friend\">Friend<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_mobile_961_18_3\" style=\"\">Phone Number<\/label><div class=\"rminput\"><input type=\"text\" name=\"Mobile_961\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"rm_mobile_961_18_3\" data-error-message=\"This does not appears to be a valid phone number.\" data-mobile-intel-field=\"1\"\/><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-271\" style=\"\">Email<\/label><div class=\"rminput\"><input type=\"email\" name=\"SecEmail_962\" placeholder=\"Enter Email\" required_max_range required_min_range field_validation custom_validation id=\"form_18_1-element-271\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"> <div class=\"rmrow rm-full-width\"><hr class=\"rm_divider\" width=\"100%\" size=\"8\" align=\"center\"><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-285\" style=\"\">Emergency #2 First Name<\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_964\" placeholder=\"First Name\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-285\"\/><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-288\" style=\"\">Emergency #2 Last Name<\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_965\" placeholder=\"Last Name\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-288\"\/><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-295\" style=\"\">Relationship<\/label><div class=\"rminput\"><select name=\"Select_966\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-295\"><option value=\"\"><\/option><option value=\"Mother\">Mother<\/option><option value=\"Father\">Father<\/option><option value=\"Grandmother\">Grandmother<\/option><option value=\"Grandfather\">Grandfather<\/option><option value=\"Guardian\">Guardian<\/option><option value=\"Uncle\">Uncle<\/option><option value=\"Aunt\">Aunt<\/option><option value=\"Friend\">Friend<\/option><option value=\"Other\">Other<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"rm_mobile_967_18_3\" style=\"\">Phone Number<\/label><div class=\"rminput\"><input type=\"text\" name=\"Mobile_967\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"rm_mobile_967_18_3\" data-error-message=\"This does not appears to be a valid phone number.\" data-mobile-intel-field=\"1\"\/><\/div><\/div><\/div><div class=\"rmagic-col rmagic-col-6\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-305\" style=\"\">Email<\/label><div class=\"rminput\"><input type=\"email\" name=\"SecEmail_968\" placeholder=\"Enter Email\" required_max_range required_min_range field_validation custom_validation id=\"form_18_1-element-305\"\/><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div><div class=\"rm_form_page rmformpage_form_18_1\" id=\"rm_form_page_form_18_1_4\" style=\"display:none\"><fieldset class='rmfieldset'><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><div class=\"rminput\"><div  class=\"rm_form_field_type_richtext\"><h2 style=\"text-align: center\"><strong>DIGITAL DEVICE, NETWORK, AND ACCOUNTS AGREEMENT FORM<\/strong><\/h2>\n<h3><span style=\"color: #0000ff\">A copy of this form will be emailed to you with your registration confirmation. Please review this form in detail with your child.<\/span><\/h3>\n<h3 style=\"text-align: center\"><strong>Acceptable Use Policy (AUP)<\/strong><\/h3>\n<p><span style=\"font-weight: 400\">The College of Education (COE) Summer Programs (SP) is designed for students entering grades 1\u20139 and takes place on the campus of a higher education research and enrichment environment. COE SP provides students with access to Internet capable digital devices, as well as other technologies with the goal of fostering a 21<\/span><span style=\"font-weight: 400\">st<\/span><span style=\"font-weight: 400\"> century learning environment. This form outlines policies and guidelines regarding digital devices, network usage, and account management. All students attending COE SP and their parents\/guardians shall agree to abide by the established policies.<\/span><\/p>\n<p><strong>Digital Devices<\/strong><\/p>\n<p><span style=\"font-weight: 400\">COE SP may provide access to digital devices for use in enhancing and promoting a technological learning environment. These devices are to be used for educational purposes only and users are expected to treat these devices with extreme care and caution. Users should immediately report any malfunction, damage, or loss to the teacher. <\/span><b>Students (or their parents\/guardians) may be held liable for any financial losses incurred from user-inflicted damages to any program issues device<\/b><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><strong>Network<\/strong><\/p>\n<p><span style=\"font-weight: 400\">COE SP may provide users with the <\/span><i><span style=\"font-weight: 400\">privilege<\/span><\/i><span style=\"font-weight: 400\"> of accessing our secured wireless network for Internet usage. As such, users should respect and not attempt to circumvent and manipulate Internet filters that are put in place for the security and protection of the users. Users should take a precautionary approach when dealing with files on the Internet by not opening and distributing links and files of untrusted origin and by not downloading and running any executable programs without the explicit permission of the staff. Activities that occur on the network may be monitored by the administrator. Additionally, users must agree to uphold proper etiquette when conducting themselves on the network by displaying respect, courtesy, and integrity when collaborating with and communicating to all other users. If a user is found to have violated network policies, the privilege of network access may be revoked.\u00a0<\/span><\/p>\n<p><strong>Accounts<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Users may be given specific accounts that will enable them access to the devices and network of COE SP. Users should safeguard account credentials, which include, but are not limited to, user IDs and passwords; personal information such as social media accounts, phone numbers, addresses, social security numbers; and any type of information that may act as personal identifiers. Users agree to be the sole user of the account assigned to them and agree to take all preventive and precautionary measures available to ensure the integrity of user information.<\/span><\/p>\n<p><span style=\"font-weight: 400\">All of our activities are focused on educational themes with staff guidance and with the avoidance of inappropriate material in mind. When using e-mail, cloud-based services, as well as engaging in other online activities, students agree to follow these policies:\u00a0<\/span><\/p>\n<ul>\n<li>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Accept personal responsibility and obey all policies as outlined by the AUP.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Only access the Internet using the COESP provided WIFI network.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Not access other wired or wireless networks using another username and password.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Conduct themselves in an ethical and orderly manner.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Refrain from sending or displaying offensive messages, images, or videos.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Not use obscene language in communications.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Prevent cyberbullying by not harassing, insulting, or attacking others.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Not misuse program-owned digital devices, accounts, or networks.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Notify a teacher or program administrator immediately about any improper use.\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Respect the privacy of other users by not copying their user IDs, passwords, or credentials.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Not impersonate someone by using another\u2019s login\/password.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Not tamper with others' files saved to shared devices.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Adamantly protect their personal passwords.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Exercise good personal judgment in avoiding inappropriate materials.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Observe all laws relating to copyright, trademark, export, and intellectual property rights.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Not engage in activities that compromise institutional systems or network performance for others.<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">By typing my name and clicking Submit at the end of this form, I acknowledge that my child and I both understand and agree to the policies and responsibilities governing the use of the Internet and electronic devices in the COE Summer Programs at the University of Hawai\u2018i at Manoa. I consent that my typed name constitutes my electronic signature, and this electronic signature signifies my intent to be legally bound, just as if I manually signed a paper document in ink.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-323\" style=\"\">Digital Signature<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_970\" placeholder=\"By entering my name here, I agree to the terms above.\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-323\"\/><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div><div class=\"rm_form_page rmformpage_form_18_1\" id=\"rm_form_page_form_18_1_5\" style=\"display:none\"><fieldset class='rmfieldset'><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><div class=\"rminput\"><div  class=\"rm_form_field_type_richtext\"><p style=\"text-align: center\"><strong>LIABILITY AND RELEASE FORM<\/strong><\/p>\n<p><strong>ASSUMPTION OF RISK<\/strong>: <span style=\"font-weight: 400\">While precautions are taken to ensure proper supervision and safety during your child\u2019s participation in COE Summer Programs, I understand and acknowledge there are dangers and risks involved in my child\u2019s participation in COE Summer Programs including, but not limited to, illness, personal or bodily injury, death, economic and property damage, emotional stress, and other losses, damages, or injuries. I acknowledge that there may be other injuries or damages not readily foreseeable at this time. I understand and acknowledge that my child's participation is voluntary. I fully accept and assume all risks of the Injuries\/Damages resulting from my child\u2019s participation in the COE Summer Programs.<\/span><\/p>\n<p><strong>TRANSPORTATION: <\/strong><span style=\"font-weight: 400\">Transportation may be provided by Summer Programs staff or by ground carriers contracted by Summer Programs. I authorize my child to ride on provided transportation and will not hold the University of Hawaii, College of Education, or COE Summer Programs liable for any accidents, injuries, or damages to persons or property.<\/span><\/p>\n<p><strong>MEDIA RELEASE: <\/strong><span style=\"font-weight: 400\">I authorize and give full right and permission to the University of Hawaii, College of Education, and COE Summer Programs (collectively, the \u201cReleased Parties\u201d), to take and use my child\u2019s name, image, likeness, appearance, voice, and original work created or recorded during my child\u2019s participation in any activities relating to the COE Summer Programs, in any and all forms captured by the Released Parties, including photographs, video, and sound recordings (collectively the \u201cRecordings\u201d): (a) for advertising, publicity, trade or any other legitimate purpose, including any educational, institutional, scientific, fundraising or informational purposes, (b) in perpetuity, (d) without compensation to me\/my child, (e) in any manner or media, now known or hereafter developed or invented, including use on social media sites and web pages accessible to the general public, and (f) alone or in combination with other Recordings.<\/span><\/p>\n<p><span style=\"font-weight: 400\">I waive any right I\/my child may have to inspect and\/or approve the finished product of the Recordings or the use to which it may be applied. I acknowledge and agree that all right, title, and interest in the Recordings belong solely to the Released Parties.<\/span><\/p>\n<p><strong>VIDEO DISTRIBUTION: <\/strong><span style=\"font-weight: 400\">I will not distribute any of the COE Summer Programs videos or other media distributed solely to COE Summer Programs families and intended for personal use. This includes, but is not limited to, duplicating copies for other than personal use, posting all or part of a video online or on social media, or any profit generating purposes.<\/span><\/p>\n<p><strong>RELEASE: <\/strong><span style=\"font-weight: 400\">I waive, release, and discharge the University of Hawai\u2019i, College of Education, and COE Summer Programs, its trustees, officers, employees, and agents from any and all claims, demands, actions, rights, and causes of action for any injuries or damages, known or unknown, related to, arising from, or traceable either directly or indirectly to my child\u2019s participation in COE Summer Programs<\/span><\/p>\n<p><span style=\"font-weight: 400\">By typing my name and clicking Submit at the end of this form, I confirm that I am a legal parent or guardian for this child, acknowledge that I have read, understand, and agree to the stated terms and conditions, and grant consent for my child to participate in COE Summer Programs.<\/span> <span style=\"font-weight: 400\">I consent that my typed name constitutes my electronic signature, and this electronic signature signifies my intent to be legally bound, just as if I manually signed a paper document in ink.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-341\" style=\"\">Digital Signature<sup class=\"required\">&nbsp;*<\/sup><\/label><div class=\"rminput\"><input type=\"text\" name=\"Textbox_972\" placeholder=\"By entering my name here, I agree to the terms above.\" required required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation id=\"form_18_1-element-341\"\/><\/div><\/div><\/div><\/div><\/div><\/fieldset><\/div><div class=\"rm_form_page rmformpage_form_18_1\" id=\"rm_form_page_form_18_1_6\" style=\"display:none\"><fieldset class='rmfieldset'><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-352\" style=\"\">How did you hear about CRDG Summer Programs<\/label><div class=\"rminput\"><ul class=\"rmradio\" ><li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-0\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"COE SP Website\"\/><label for=\"form_18_1-element-352-0\"><span>COE SP Website<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-1\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"Search Engine\"\/><label for=\"form_18_1-element-352-1\"><span>Search Engine<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-2\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"Social Media\"\/><label for=\"form_18_1-element-352-2\"><span>Social Media<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-3\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"Email\"\/><label for=\"form_18_1-element-352-3\"><span>Email<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-4\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"From Friends or Family\"\/><label for=\"form_18_1-element-352-4\"><span>From Friends or Family<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-5\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"Hawaii Parent magazine\"\/><label for=\"form_18_1-element-352-5\"><span>Hawaii Parent magazine<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-6\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"Honolulu Summer Camp website\"\/><label for=\"form_18_1-element-352-6\"><span>Honolulu Summer Camp website<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-7\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"University Laboratory School\"\/><label for=\"form_18_1-element-352-7\"><span>University Laboratory School<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-352-8\" type=\"checkbox\" name=\"Checkbox_973[]\" required_max_range required_min_range rm_is_other_option=\"1\" rm_textbox=\"Other\" field_validation custom_validation value=\"University of Hawai\u02bbi System\"\/><label for=\"form_18_1-element-352-8\"><span>University of Hawai\u02bbi System<\/span><\/label> <\/li> <li><input type=\"checkbox\" value=\"\" id=\"form_18_1-element-352_other\" name=\"Checkbox_973[]\" style=\"\"><label for=\"form_18_1-element-352_other\">Other<\/label><\/li><li id=\"form_18_1-element-352_other_section\" style=\"display:none\"><input style=\"\" type=\"text\" id=\"form_18_1-element-352_other_input\" disabled><\/li><\/ul><\/div><\/div><\/div><\/div><\/div><div class=\"rmagic-row\" data-bmargin=\"0\"><div class=\"rmagic-fields-wrap rm-gutter-10\"><div class=\"rmagic-col rmagic-col-12\"><div class=\"rmagic-field\"><label class=\"rmfield\" for=\"form_18_1-element-359\" style=\"\">Annual household income before taxes<\/label><div class=\"rminput\"><ul class=\"rmradio\" ><li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-359-0\" type=\"checkbox\" name=\"Checkbox_974[]\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"Less than $25,000\"\/><label for=\"form_18_1-element-359-0\"><span>Less than $25,000<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-359-1\" type=\"checkbox\" name=\"Checkbox_974[]\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"$25,000 to $34,999\"\/><label for=\"form_18_1-element-359-1\"><span>$25,000 to $34,999<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-359-2\" type=\"checkbox\" name=\"Checkbox_974[]\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"$35,000 to $49,999\"\/><label for=\"form_18_1-element-359-2\"><span>$35,000 to $49,999<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-359-3\" type=\"checkbox\" name=\"Checkbox_974[]\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"$50,000 to $74,999\"\/><label for=\"form_18_1-element-359-3\"><span>$50,000 to $74,999<\/span><\/label> <\/li> <li><span class=\"rm-pricefield-wrap\"> <input id=\"form_18_1-element-359-4\" type=\"checkbox\" name=\"Checkbox_974[]\" required_max_range required_min_range rm_textbox=\"User Input\" field_validation custom_validation value=\"$75,000 to 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\n               }); <\/script><\/pre>        <noscript>\n            <div class=\"rm-js-disabled\"><b>Note: It looks like JavaScript is disabled in your browser. 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