{"id":3753,"date":"2021-07-11T04:53:05","date_gmt":"2021-07-11T04:53:05","guid":{"rendered":"https:\/\/maximumdance.co.nz\/?page_id=3753"},"modified":"2021-07-11T04:53:06","modified_gmt":"2021-07-11T04:53:06","slug":"enrolmentform","status":"publish","type":"page","link":"https:\/\/maximumdance.co.nz\/?page_id=3753","title":{"rendered":"EnrolmentForm"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-3751\"><form id=\"wpforms-form-3751\" class=\"wpforms-validate wpforms-form\" data-formid=\"3751\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F3753\" data-token=\"5675a08eb6866fca77985c6963adaecb\" data-token-time=\"1790468283\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-3751-field_4-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"4\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3751-field_4\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][4][first]\" required><label for=\"wpforms-3751-field_4\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3751-field_4-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][4][last]\" required><label for=\"wpforms-3751-field_4-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-3751-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_9\">Date of Birth <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required><\/div><div id=\"wpforms-3751-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_6\">Current Age <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-3751-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_12\">Postal Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" required><\/div><div id=\"wpforms-3751-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><input type=\"text\" id=\"wpforms-3751-field_14\" class=\"wpforms-field-medium\" name=\"wpforms[fields][14]\" ><\/div><div id=\"wpforms-3751-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_13\">Town <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-3751-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_15\">Post Code <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/div><div id=\"wpforms-3751-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_16\">Kindy \/ School <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-3751-field_17-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_17\">Dance Experience <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" required><\/div><div id=\"wpforms-3751-field_18-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"18\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_18\">Mothers Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_18\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][18]\" required><\/div><div id=\"wpforms-3751-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_19\">Fathers Name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-3751-field_20-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_20\">Home Phone<\/label><input type=\"number\" id=\"wpforms-3751-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" step=\"any\" ><\/div><div id=\"wpforms-3751-field_21-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_21\">Mobile Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-3751-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" step=\"any\" required><\/div><div id=\"wpforms-3751-field_22-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_22\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3751-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-3751-field_23-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_23\">How did you find out about MAXIMUM DANCE ZONE?<\/label><textarea id=\"wpforms-3751-field_23\" class=\"wpforms-field-medium\" name=\"wpforms[fields][23]\" ><\/textarea><\/div><div id=\"wpforms-3751-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_24\">Please state any known ailments<\/label><input type=\"text\" id=\"wpforms-3751-field_24\" class=\"wpforms-field-medium\" name=\"wpforms[fields][24]\" ><\/div><div id=\"wpforms-3751-field_26-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"26\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3751-field_26\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][26][first]\" required><label for=\"wpforms-3751-field_26\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3751-field_26-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][26][last]\" required><label for=\"wpforms-3751-field_26-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div class=\"wpforms-field-description\">Contact person in case of emergency (other than above) <\/div><\/div><div id=\"wpforms-3751-field_27-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_27\">Phone number <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-3751-field_27\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][27]\" step=\"any\" required><\/div><div id=\"wpforms-3751-field_28-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_28\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-3751-field_28\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][28]\" required><\/textarea><\/div><div id=\"wpforms-3751-field_29-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_29\">Relationship to Pupil <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3751-field_29\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][29]\" required><\/div><div id=\"wpforms-3751-field_36-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"36\"><label class=\"wpforms-field-label\" for=\"wpforms-3751-field_36\">Which class\/es are you enrolling in<\/label><textarea id=\"wpforms-3751-field_36\" class=\"wpforms-field-medium\" name=\"wpforms[fields][36]\" ><\/textarea><div class=\"wpforms-field-description\">and choice of day (if needed)\ne.g.  \nTwinkle toes &#8211; Monday<\/div><\/div><div id=\"wpforms-3751-field_39-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"39\"><label class=\"wpforms-field-label\">May we use photographs with your child included for publicity? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3751-field_39\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3751-field_39_1\" name=\"wpforms[fields][39]\" value=\"Yes I give permission to use photographs containing my child.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3751-field_39_1\">Yes I give permission to use photographs containing my child.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3751-field_39_2\" name=\"wpforms[fields][39]\" value=\"No. Please do not use photographs including my child.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3751-field_39_2\">No. Please do not use photographs including my child.<\/label><\/li><\/ul><\/div><div id=\"wpforms-3751-field_31-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"31\"><label class=\"wpforms-field-label\">I AGREE TO PAY TERM FEES AS THEY FALL DUE (Fee details are available via the website) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3751-field_31\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3751-field_31_1\" name=\"wpforms[fields][31]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3751-field_31_1\">Yes<\/label><\/li><\/ul><\/div><div id=\"wpforms-3751-field_33-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"33\"><label class=\"wpforms-field-label\">I AM AWARE FEES ARE PAYABLE IN ADVANCE AND FALL DUE AT THE COMMENCEMENT OF EACH TERM. EXTRA CHARGES WILL BE INCURRED TO ANY LATE FEES.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3751-field_33\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3751-field_33_1\" name=\"wpforms[fields][33]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3751-field_33_1\">Yes<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3751\"><input type=\"hidden\" name=\"wpforms[time_token]\" value=\"1790468283.a0acfbe0fcf78806d9f4f923c6cb52fbe1b22c83112d904df0daa7494f7e557b\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/maximumdance.co.nz\/index.php?rest_route=\/wp\/v2\/pages\/3753\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3751\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-3753","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=\/wp\/v2\/pages\/3753","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3753"}],"version-history":[{"count":1,"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=\/wp\/v2\/pages\/3753\/revisions"}],"predecessor-version":[{"id":3754,"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=\/wp\/v2\/pages\/3753\/revisions\/3754"}],"wp:attachment":[{"href":"https:\/\/maximumdance.co.nz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3753"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}