{"id":11687,"date":"2025-06-22T14:31:24","date_gmt":"2025-06-22T11:31:24","guid":{"rendered":"https:\/\/dorhaba.com\/%d7%98%d7%95%d7%a4%d7%a1-%d7%90%d7%99%d7%a9%d7%95%d7%a8-%d7%94%d7%95%d7%a8%d7%99%d7%9d-%d7%94%d7%93%d7%95%d7%a8-%d7%94%d7%91%d7%90-2025-2\/"},"modified":"2025-06-22T14:31:26","modified_gmt":"2025-06-22T11:31:26","slug":"%d7%98%d7%95%d7%a4%d7%a1-%d7%90%d7%99%d7%a9%d7%95%d7%a8-%d7%94%d7%95%d7%a8%d7%99%d7%9d-%d7%94%d7%93%d7%95%d7%a8-%d7%94%d7%91%d7%90-2025-2","status":"publish","type":"page","link":"https:\/\/dorhaba.com\/en\/%d7%98%d7%95%d7%a4%d7%a1-%d7%90%d7%99%d7%a9%d7%95%d7%a8-%d7%94%d7%95%d7%a8%d7%99%d7%9d-%d7%94%d7%93%d7%95%d7%a8-%d7%94%d7%91%d7%90-2025-2\/","title":{"rendered":"Dor Haba 2025 Parental Consent Form"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_75' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Dor Haba 2025 Parental Consent Form<\/h2>\n                            <p class='gform_description'>This form is intended to be filled out by parents of teens who have registered and been accepted to the Dor Haba conference, taking place in Netanya, July 14\u201317, 2025.\r\n\r\nPlease fill out this form only after all of your children have submitted their registration forms.\r\n\r\nAfter submitting this form, you will be added to the parents&#8217; WhatsApp group, where you will receive important information, including a link for online payment, approximately one week before the conference.\r\n\r\nThe online form includes:\r\n\u2022 Parental consent and electronic signature\r\n\u2022 Health declaration\r\n\u2022 Registration for transportation<\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_75'  action='\/en\/wp-json\/wp\/v2\/pages\/11687' data-formid='75' novalidate>\t\t\t\t\t<div style=\"display: none !important;\" class=\"akismet-fields-container gf_invisible\" data-prefix=\"ak_\">\n\t\t\t\t\t\t<label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label>\n\t\t\t\t\t\t<input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"128\" \/>\n\t\t\t\t\t\t<script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n\n\t\t\t\t\t<\/div>\n                        <div class='gform-body gform_body'><div id='gform_fields_75' class='gform_fields top_label form_sublabel_below description_above validation_below' data-column-layout='fill'><div id=\"field_75_342\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"df28caf9\" data-field-span=\"12\"><label id='gfield_label_75_342' class='gfield_label gform-field-label' for='input_75_342'><span class='gform-field-label__text'>Who is paying for your child(ren)?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_342'>If the congregation is paying for your children, please ask your congregation to contact us on WhatsApp at 058-583-0462. Only *after* your congregation pays the registration fee in full, for each registrant, they will receive a &#8216;congregation payment code&#8217;. Please enter this code here. <\/div><div class='ginput_container ginput_container_select'><select name='input_342' id='input_75_342' class='large gfield_select'  aria-describedby=\"gfield_description_75_342\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='The Parents' >We, the parents<\/option><option value='The Congregation' >Congregation\/Church<\/option><\/select><\/div><\/div><div id=\"field_75_378\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"3a613c93\" data-field-span=\"12\"><label id='gfield_label_75_378' class='gfield_label gform-field-label' for='input_75_378'><span class='gform-field-label__text'>Congregation\/Church payment code<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_378' id='input_75_378' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_75_94\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"70889da5\" data-field-span=\"12\"><legend id='gfield_label_75_94' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Number of children registered to come to Dor Haba:<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_94'>\n\t\t\t<div class='gchoice gchoice_75_94_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='1'  id='choice_75_94_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_94_0 gfield_label_75_94\"   \/>\n\t\t\t\t\t<label for='choice_75_94_0' id='label_75_94_0' class='gform-field-label gform-field-label--type-inline'>One teenager<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='2'  id='choice_75_94_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_1' id='label_75_94_1' class='gform-field-label gform-field-label--type-inline'>2 teenagers<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='3'  id='choice_75_94_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_2' id='label_75_94_2' class='gform-field-label gform-field-label--type-inline'>3 teenagers<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='4'  id='choice_75_94_3' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_3' id='label_75_94_3' class='gform-field-label gform-field-label--type-inline'>4 teenagers<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_94_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_94' type='radio' value='5'  id='choice_75_94_4' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_94_4' id='label_75_94_4' class='gform-field-label gform-field-label--type-inline'>5 teenagers<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_75_185\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"77b53dc7\" data-field-span=\"12\"><legend id='gfield_label_75_185' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>A preferred method for calling and receiving important information<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_185'>We are opening a WhatsApp group for parents and we would love for you to join it<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_185'>\n\t\t\t<div class='gchoice gchoice_75_185_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_185' type='radio' value='By phone through whatsapp'  id='choice_75_185_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_75_185\" aria-labelledby=\"label_75_185_0 gfield_label_75_185\"   \/>\n\t\t\t\t\t<label for='choice_75_185_0' id='label_75_185_0' class='gform-field-label gform-field-label--type-inline'>By phone through whatsapp<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_185_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_185' type='radio' value='Over E-mail'  id='choice_75_185_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_185_1' id='label_75_185_1' class='gform-field-label gform-field-label--type-inline'>by e-mail (email address)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_187\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"a292465c\" data-field-span=\"12\"><label id='gfield_label_75_187' class='gfield_label gform-field-label' for='input_75_187'><span class='gform-field-label__text'>Primary Phone<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_187'>This number will be added to the parent WhatsApp group, to which important information about the conference will be sent<\/div><div class='ginput_container ginput_container_phone'><input name='input_187' id='input_75_187' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_75_187\"   \/><\/div><\/div><fieldset id=\"field_75_184\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"a9decb66\" data-field-span=\"12\"><legend id='gfield_label_75_184' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>E-mail Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_184'>This address will be added to the conference mailing list, to which important information regarding the conference will be sent\nPlease note, sometimes the mail will go directly to the spam or advertisements box<\/div><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_75_184_container'>\n                                <span id='input_75_184_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_184' id='input_75_184' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_75_184\" aria-labelledby=\"input_75_184_label gfield_label_75_184\" \/>\n                                    <label for='input_75_184' id='input_75_184_label' class='gform-field-label gform-field-label--type-sub '>E-mail Address<\/label>\n                                <\/span>\n                                <span id='input_75_184_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_184_2' id='input_75_184_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_75_184\" \/>\n                                    <label for='input_75_184_2' id='input_75_184_2_label' class='gform-field-label gform-field-label--type-sub '>Email address confirmation<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/fieldset><div id=\"field_75_81\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9ffe57ca\" data-field-span=\"12\"><h3 class=\"gsection_title\">Health details &#8211; to be filled out by a parent only!<\/h3><\/div><div id=\"field_75_80\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"0a19d07f\" data-field-span=\"12\"><label id='gfield_label_75_80' class='gfield_label gform-field-label' for='input_75_80'><span class='gform-field-label__text'>Name of Israeli Cupat Holim OR Other Health Insurance<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_80'>If not, please purchace health coverage for them while they are at the camp. <\/div><div class='ginput_container ginput_container_select'><select name='input_80' id='input_75_80' class='large gfield_select'  aria-describedby=\"gfield_description_75_80\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Please choose from the list &#8211;<\/option><option value='Macabi' >Maccabi<\/option><option value='Clalit' >Clalit<\/option><option value='Leumit' >Leumit<\/option><option value='Meuhedet' >Meuhedet<\/option><option value='Foreign\/Travel Insurance' >Foreign\/Travel Health Insurance<\/option><\/select><\/div><\/div><div id=\"field_75_82\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"5dc5eb97\" data-field-span=\"12\"><label id='gfield_label_75_82' class='gfield_label gform-field-label' for='input_75_82'><span class='gform-field-label__text'>Please indicate the name of the insurance company and the policy number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_75_82' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_75_164\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"321d6341\" data-field-span=\"12\"><legend id='gfield_label_75_164' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Additional emergency contact (if primary parent is unavailable)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_164'>to all your children <\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name no_suffix gf_name_has_3 ginput_container_name gform-grid-row' id='input_75_164'>\n                            \n                            <span id='input_75_164_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_164.3' id='input_75_164_3' value=''   aria-required='true'     aria-describedby=\"gfield_description_75_164\" aria-labelledby=\"input_75_164_3_label gfield_label_75_164\"\/>\n                                                    <label for='input_75_164_3' id='input_75_164_3_label' class='gform-field-label gform-field-label--type-sub '>Full Name<\/label>\n                                                <\/span>\n                            <span id='input_75_164_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_164.4' id='input_75_164_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_164_4' id='input_75_164_4_label' class='gform-field-label gform-field-label--type-sub '>Proximity to registrants<\/label>\n                                                <\/span>\n                            <span id='input_75_164_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_164.6' id='input_75_164_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_164_6' id='input_75_164_6_label' class='gform-field-label gform-field-label--type-sub '>Telephone Number<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_75_96\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"a1a105fe\" data-field-span=\"12\"><legend id='gfield_label_75_96' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Details of registrant #1<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_96'>\n                            \n                            <span id='input_75_96_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_96.3' id='input_75_96_3' value=''   aria-required='true'     aria-labelledby=\"input_75_96_3_label gfield_label_75_96\"\/>\n                                                    <label for='input_75_96_3' id='input_75_96_3_label' class='gform-field-label gform-field-label--type-sub '>Full Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_96_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_96.6' id='input_75_96_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_96_6' id='input_75_96_6_label' class='gform-field-label gform-field-label--type-sub '>Israeli ID number (or passport #)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"731d49c7\" data-field-span=\"12\"><label id='gfield_label_75_85' class='gfield_label gform-field-label' for='input_75_85'><span class='gform-field-label__text'>Does the participant need to take medication during the conference?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_75_85' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_75_86\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"4184d2f5\" data-field-span=\"12\"><legend id='gfield_label_75_86' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>If so, should he\/she be helped to do so?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_86'>\n\t\t\t<div class='gchoice gchoice_75_86_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='\u05d4\u05de\u05e9\u05ea\u05ea\u05e3\/\u05ea \u05d9\u05db\u05d5\u05dc \u05dc\u05e7\u05d7\u05ea \u05d0\u05ea \u05d4\u05ea\u05e8\u05d5\u05e4\u05d5\u05ea \u05d1\u05d0\u05d5\u05e4\u05df \u05e2\u05e6\u05de\u05d0\u05d9'  id='choice_75_86_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_86_0 gfield_label_75_86\"   \/>\n\t\t\t\t\t<label for='choice_75_86_0' id='label_75_86_0' class='gform-field-label gform-field-label--type-inline'>No, he\/she can take their medication without help<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_86_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_86' type='radio' value='\u05d4\u05de\u05e9\u05ea\u05ea\u05e3\/\u05ea \u05e6\u05e8\u05d9\u05da\/\u05d9 \u05ea\u05d6\u05db\u05d5\u05e8\u05ea \u05d0\u05d5 \u05e2\u05d6\u05e8\u05d4 \u05de\u05d4\u05e6\u05d5\u05d5\u05ea'  id='choice_75_86_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_86_1' id='label_75_86_1' class='gform-field-label gform-field-label--type-inline'>Assistance\/reminder from the conference staff is needed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_350\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"5653a8f3\" data-field-span=\"12\"><label id='gfield_label_75_350' class='gfield_label gform-field-label' for='input_75_350'><span class='gform-field-label__text'>Does your child need an EpiPen?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_350'>If so, it should be brought to the conference and kept close to the child at all times.<\/div><div class='ginput_container ginput_container_select'><select name='input_350' id='input_75_350' class='large gfield_select'  aria-describedby=\"gfield_description_75_350\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_75_110\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"b1ac220f\" data-field-span=\"12\"><label id='gfield_label_75_110' class='gfield_label gform-field-label' for='input_75_110'><span class='gform-field-label__text'>Is the child allergic to anything? please specify<\/span><\/label><div class='gfield_description' id='gfield_description_75_110'>Please answer yes or no, if so &#8211; what is the allergy\/sensitivity?<\/div><div class='ginput_container ginput_container_text'><input name='input_110' id='input_75_110' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_110\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"efce5a85\" data-field-span=\"12\"><label id='gfield_label_75_88' class='gfield_label gform-field-label' for='input_75_88'><span class='gform-field-label__text'>Describe the body&#039;s reaction to the allergy and the required treatment<\/span><\/label><div class='gfield_description' id='gfield_description_75_88'>As much information as possible will help us to keep your child safe during the conference<\/div><div class='ginput_container ginput_container_text'><input name='input_88' id='input_75_88' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_88\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_87\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2d4360bd\" data-field-span=\"12\"><label id='gfield_label_75_87' class='gfield_label gform-field-label' for='input_75_87'><span class='gform-field-label__text'>Illnesses or Disabilities<\/span><\/label><div class='gfield_description' id='gfield_description_75_87'>Please list and explain any illness or medical and\/or dietary restriction, if any.\nFor example: diabetes, anemia, gluten allergy, celiac disease, lactose intolerance etc.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_87' id='input_75_87' class='textarea large'  aria-describedby=\"gfield_description_75_87\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_130\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2d9cd573\" data-field-span=\"12\"><label id='gfield_label_75_130' class='gfield_label gform-field-label' for='input_75_130'><span class='gform-field-label__text'>Does the child have a mental health diagnosis or a learning disability?<\/span><\/label><div class='gfield_description' id='gfield_description_75_130'>For example: on the autistic spectrum, diagnosed attention deficit hyperactivity disorder, anger outbursts, depression or unstable mental state, etc. Please explain if he\/she has certain needs and how we can help when they are having a difficult time<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_130' id='input_75_130' class='textarea large'  aria-describedby=\"gfield_description_75_130\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_98\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"8e5847d0\" data-field-span=\"12\"><legend id='gfield_label_75_98' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Details of registrant #2<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_98'>\n                            \n                            <span id='input_75_98_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.3' id='input_75_98_3' value=''   aria-required='false'     aria-labelledby=\"input_75_98_3_label gfield_label_75_98\"\/>\n                                                    <label for='input_75_98_3' id='input_75_98_3_label' class='gform-field-label gform-field-label--type-sub '>Full Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_98_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_98.6' id='input_75_98_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_98_6' id='input_75_98_6_label' class='gform-field-label gform-field-label--type-sub '>Israeli ID number (or passport #)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_165\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"ca090ede\" data-field-span=\"12\"><label id='gfield_label_75_165' class='gfield_label gform-field-label' for='input_75_165'><span class='gform-field-label__text'>Does the participant need to take medication during the conference?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_165' id='input_75_165' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_75_108\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"13f02ddb\" data-field-span=\"12\"><legend id='gfield_label_75_108' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>If so, should he\/she be helped to do so?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_108'>\n\t\t\t<div class='gchoice gchoice_75_108_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='No, he\/she can take their medication without help'  id='choice_75_108_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_108_0 gfield_label_75_108\"   \/>\n\t\t\t\t\t<label for='choice_75_108_0' id='label_75_108_0' class='gform-field-label gform-field-label--type-inline'>No, he\/she can take their medication without help<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_108_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_108' type='radio' value='Yes, he\/she needs help and reminders from the staff'  id='choice_75_108_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_108_1' id='label_75_108_1' class='gform-field-label gform-field-label--type-inline'>Assistance\/reminder from the conference staff is needed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_356\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"545a0daa\" data-field-span=\"12\"><label id='gfield_label_75_356' class='gfield_label gform-field-label' for='input_75_356'><span class='gform-field-label__text'>Does your child need an EpiPen?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_356'>If so, it should be brought to the conference and kept close to the child at all times.<\/div><div class='ginput_container ginput_container_select'><select name='input_356' id='input_75_356' class='large gfield_select'  aria-describedby=\"gfield_description_75_356\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_75_109\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"70b2f63f\" data-field-span=\"12\"><label id='gfield_label_75_109' class='gfield_label gform-field-label' for='input_75_109'><span class='gform-field-label__text'>Is the child allergic to anything? please specify<\/span><\/label><div class='gfield_description' id='gfield_description_75_109'>Please answer yes or no, if so &#8211; what is the allergy\/sensitivity?<\/div><div class='ginput_container ginput_container_text'><input name='input_109' id='input_75_109' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_109\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_111\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"23b75f31\" data-field-span=\"12\"><label id='gfield_label_75_111' class='gfield_label gform-field-label' for='input_75_111'><span class='gform-field-label__text'>Describe the body&#039;s reaction to the allergy and the required treatment<\/span><\/label><div class='gfield_description' id='gfield_description_75_111'>As much information as possible will help us to keep your child safe during the conference<\/div><div class='ginput_container ginput_container_text'><input name='input_111' id='input_75_111' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_111\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_112\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"c4daf2a5\" data-field-span=\"12\"><label id='gfield_label_75_112' class='gfield_label gform-field-label' for='input_75_112'><span class='gform-field-label__text'>Illnesses or Disabilities<\/span><\/label><div class='gfield_description' id='gfield_description_75_112'>Please list and explain any medical or dietary conditions, if applicable:\nFor example: diabetes, anemia, gluten sensitivity, celiac disease, lactose intolerance, etc.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_112' id='input_75_112' class='textarea large'  aria-describedby=\"gfield_description_75_112\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_154\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9549dd3a\" data-field-span=\"12\"><label id='gfield_label_75_154' class='gfield_label gform-field-label' for='input_75_154'><span class='gform-field-label__text'>Does the child have a mental health diagnosis or a learning disability?<\/span><\/label><div class='gfield_description' id='gfield_description_75_154'>For example: on the autistic spectrum, diagnosed attention deficit hyperactivity disorder, anger outbursts, depression or unstable mental state, etc. Please explain if he\/she has certain needs and how we can help when they are having a difficult time<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_154' id='input_75_154' class='textarea large'  aria-describedby=\"gfield_description_75_154\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_99\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"1279fff5\" data-field-span=\"12\"><legend id='gfield_label_75_99' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Details of registrant #3<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_99'>\n                            \n                            <span id='input_75_99_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_99.3' id='input_75_99_3' value=''   aria-required='false'     aria-labelledby=\"input_75_99_3_label gfield_label_75_99\"\/>\n                                                    <label for='input_75_99_3' id='input_75_99_3_label' class='gform-field-label gform-field-label--type-sub '>Full Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_99_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_99.6' id='input_75_99_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_99_6' id='input_75_99_6_label' class='gform-field-label gform-field-label--type-sub '>Israeli ID number (or passport #)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_166\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"daa04a7c\" data-field-span=\"12\"><label id='gfield_label_75_166' class='gfield_label gform-field-label' for='input_75_166'><span class='gform-field-label__text'>Does the participant need to take medication during the conference?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_166' id='input_75_166' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_75_115\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"60a9ff36\" data-field-span=\"12\"><legend id='gfield_label_75_115' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>If so, should he\/she be helped to do so?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_115'>\n\t\t\t<div class='gchoice gchoice_75_115_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='No, he\/she can take their medication without help'  id='choice_75_115_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_115_0 gfield_label_75_115\"   \/>\n\t\t\t\t\t<label for='choice_75_115_0' id='label_75_115_0' class='gform-field-label gform-field-label--type-inline'>No, he\/she can take their medication without help<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_115_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_115' type='radio' value='Assistance\/reminder from the conference staff is needed'  id='choice_75_115_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_115_1' id='label_75_115_1' class='gform-field-label gform-field-label--type-inline'>Assistance\/reminder from the conference staff is needed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_355\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"75a55f2a\" data-field-span=\"12\"><label id='gfield_label_75_355' class='gfield_label gform-field-label' for='input_75_355'><span class='gform-field-label__text'>Does your child need an EpiPen?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_355'>If so, it should be brought to the conference and kept close to the child at all times.<\/div><div class='ginput_container ginput_container_select'><select name='input_355' id='input_75_355' class='large gfield_select'  aria-describedby=\"gfield_description_75_355\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_75_116\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"245371d4\" data-field-span=\"12\"><label id='gfield_label_75_116' class='gfield_label gform-field-label' for='input_75_116'><span class='gform-field-label__text'>Is the child allergic to anything? please specify<\/span><\/label><div class='gfield_description' id='gfield_description_75_116'>Please answer yes or no, if so &#8211; what is the allergy\/sensitivity?<\/div><div class='ginput_container ginput_container_text'><input name='input_116' id='input_75_116' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_116\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"097a70a1\" data-field-span=\"12\"><label id='gfield_label_75_117' class='gfield_label gform-field-label' for='input_75_117'><span class='gform-field-label__text'>Describe the body&#039;s reaction to the allergy and the required treatment<\/span><\/label><div class='gfield_description' id='gfield_description_75_117'>As much information as possible will help us to keep your child safe during the conference<\/div><div class='ginput_container ginput_container_text'><input name='input_117' id='input_75_117' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_117\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_118\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"316fb018\" data-field-span=\"12\"><label id='gfield_label_75_118' class='gfield_label gform-field-label' for='input_75_118'><span class='gform-field-label__text'>Illnesses or Disabilities<\/span><\/label><div class='gfield_description' id='gfield_description_75_118'>Please list and explain any medical or dietary conditions, if applicable:\nFor example: diabetes, anemia, gluten sensitivity, celiac disease, lactose intolerance, etc.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_118' id='input_75_118' class='textarea large'  aria-describedby=\"gfield_description_75_118\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_132\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"4d25f7f2\" data-field-span=\"12\"><label id='gfield_label_75_132' class='gfield_label gform-field-label' for='input_75_132'><span class='gform-field-label__text'>Does the child have a mental health diagnosis or a learning disability?<\/span><\/label><div class='gfield_description' id='gfield_description_75_132'>For example: on the autistic spectrum, diagnosed attention deficit hyperactivity disorder, anger outbursts, depression or unstable mental state, etc. Please explain if he\/she has certain needs and how we can help when they are having a difficult time<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_132' id='input_75_132' class='textarea large'  aria-describedby=\"gfield_description_75_132\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_100\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9b6e5d93\" data-field-span=\"12\"><legend id='gfield_label_75_100' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Details of registrant #4<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_100'>\n                            \n                            <span id='input_75_100_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_100.3' id='input_75_100_3' value=''   aria-required='false'     aria-labelledby=\"input_75_100_3_label gfield_label_75_100\"\/>\n                                                    <label for='input_75_100_3' id='input_75_100_3_label' class='gform-field-label gform-field-label--type-sub '>Full Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_100_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_100.6' id='input_75_100_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_100_6' id='input_75_100_6_label' class='gform-field-label gform-field-label--type-sub '>Israeli ID number (or passport #)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_167\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2df6e96d\" data-field-span=\"12\"><label id='gfield_label_75_167' class='gfield_label gform-field-label' for='input_75_167'><span class='gform-field-label__text'>Does the participant need to take medication during the conference?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_167' id='input_75_167' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_75_121\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"3eb78e4a\" data-field-span=\"12\"><legend id='gfield_label_75_121' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>If so, should he\/she be helped to do so?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_121'>\n\t\t\t<div class='gchoice gchoice_75_121_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='No, he\/she can take their medication without help'  id='choice_75_121_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_121_0 gfield_label_75_121\"   \/>\n\t\t\t\t\t<label for='choice_75_121_0' id='label_75_121_0' class='gform-field-label gform-field-label--type-inline'>No, he\/she can take their medication without help<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_121_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_121' type='radio' value='Assistance\/reminder from the conference staff is needed'  id='choice_75_121_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_121_1' id='label_75_121_1' class='gform-field-label gform-field-label--type-inline'>Assistance\/reminder from the conference staff is needed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_357\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"7e998d4e\" data-field-span=\"12\"><label id='gfield_label_75_357' class='gfield_label gform-field-label' for='input_75_357'><span class='gform-field-label__text'>Does your child need an EpiPen?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_357'>If so, it should be brought to the conference and kept close to the child at all times.<\/div><div class='ginput_container ginput_container_select'><select name='input_357' id='input_75_357' class='large gfield_select'  aria-describedby=\"gfield_description_75_357\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_75_122\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"697ee55b\" data-field-span=\"12\"><label id='gfield_label_75_122' class='gfield_label gform-field-label' for='input_75_122'><span class='gform-field-label__text'>Is the child allergic to anything? please specify<\/span><\/label><div class='gfield_description' id='gfield_description_75_122'>Please answer yes or no, if so &#8211; what is the allergy\/sensitivity?<\/div><div class='ginput_container ginput_container_text'><input name='input_122' id='input_75_122' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_122\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_123\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"e22a713e\" data-field-span=\"12\"><label id='gfield_label_75_123' class='gfield_label gform-field-label' for='input_75_123'><span class='gform-field-label__text'>Describe the body&#039;s reaction to the allergy and the required treatment<\/span><\/label><div class='gfield_description' id='gfield_description_75_123'>As much information as possible will help us to keep your child safe during the conference<\/div><div class='ginput_container ginput_container_text'><input name='input_123' id='input_75_123' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_123\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_124\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9fefe552\" data-field-span=\"12\"><label id='gfield_label_75_124' class='gfield_label gform-field-label' for='input_75_124'><span class='gform-field-label__text'>Illnesses or Disabilities<\/span><\/label><div class='gfield_description' id='gfield_description_75_124'>Please list and explain any medical or dietary conditions, if applicable:\nFor example: diabetes, anemia, gluten sensitivity, celiac disease, lactose intolerance, etc.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_124' id='input_75_124' class='textarea large'  aria-describedby=\"gfield_description_75_124\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_153\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"7812b363\" data-field-span=\"12\"><label id='gfield_label_75_153' class='gfield_label gform-field-label' for='input_75_153'><span class='gform-field-label__text'>Does the child have a mental health diagnosis or a learning disability?<\/span><\/label><div class='gfield_description' id='gfield_description_75_153'>For example: on the autistic spectrum, diagnosed attention deficit hyperactivity disorder, anger outbursts, depression or unstable mental state, etc. Please explain if he\/she has certain needs and how we can help when they are having a difficult time<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_153' id='input_75_153' class='textarea large'  aria-describedby=\"gfield_description_75_153\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_75_101\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"fe4dda37\" data-field-span=\"12\"><legend id='gfield_label_75_101' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Details of registrant #5<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_75_101'>\n                            \n                            <span id='input_75_101_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_101.3' id='input_75_101_3' value=''   aria-required='false'     aria-labelledby=\"input_75_101_3_label gfield_label_75_101\"\/>\n                                                    <label for='input_75_101_3' id='input_75_101_3_label' class='gform-field-label gform-field-label--type-sub '>Full Name<\/label>\n                                                <\/span>\n                            \n                            <span id='input_75_101_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_101.6' id='input_75_101_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_101_6' id='input_75_101_6_label' class='gform-field-label gform-field-label--type-sub '>Israeli ID number (or passport #)<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_75_168\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"d3198e2f\" data-field-span=\"12\"><label id='gfield_label_75_168' class='gfield_label gform-field-label' for='input_75_168'><span class='gform-field-label__text'>Does the participant need to take medication during the conference?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_168' id='input_75_168' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><fieldset id=\"field_75_163\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"6d4f0888\" data-field-span=\"12\"><legend id='gfield_label_75_163' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>If so, should he\/she be helped to do so?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_163'>\n\t\t\t<div class='gchoice gchoice_75_163_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='No, he\/she can take their medication without help'  id='choice_75_163_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_163_0 gfield_label_75_163\"   \/>\n\t\t\t\t\t<label for='choice_75_163_0' id='label_75_163_0' class='gform-field-label gform-field-label--type-inline'>No, he\/she can take their medication without help<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_163_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_163' type='radio' value='Assistance\/reminder from the conference staff is needed'  id='choice_75_163_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_163_1' id='label_75_163_1' class='gform-field-label gform-field-label--type-inline'>Assistance\/reminder from the conference staff is needed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_358\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"047726ca\" data-field-span=\"12\"><label id='gfield_label_75_358' class='gfield_label gform-field-label' for='input_75_358'><span class='gform-field-label__text'>Does your child need an EpiPen?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_358'>If so, it should be brought to the conference and kept close to the child at all times.<\/div><div class='ginput_container ginput_container_select'><select name='input_358' id='input_75_358' class='large gfield_select'  aria-describedby=\"gfield_description_75_358\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Choose from the list &#8211;<\/option><option value='Yes' >Yes<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_75_127\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"4eb1195a\" data-field-span=\"12\"><label id='gfield_label_75_127' class='gfield_label gform-field-label' for='input_75_127'><span class='gform-field-label__text'>Is the child allergic to anything? please specify<\/span><\/label><div class='gfield_description' id='gfield_description_75_127'>Please answer yes or no, if so &#8211; what is the allergy\/sensitivity?<\/div><div class='ginput_container ginput_container_text'><input name='input_127' id='input_75_127' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_127\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_128\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"6ba4270a\" data-field-span=\"12\"><label id='gfield_label_75_128' class='gfield_label gform-field-label' for='input_75_128'><span class='gform-field-label__text'>Describe the body&#039;s reaction to the allergy and the required treatment<\/span><\/label><div class='gfield_description' id='gfield_description_75_128'>As much information as possible will help us to keep your child safe during the conference<\/div><div class='ginput_container ginput_container_text'><input name='input_128' id='input_75_128' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_128\"    aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_129\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"24c96e3e\" data-field-span=\"12\"><label id='gfield_label_75_129' class='gfield_label gform-field-label' for='input_75_129'><span class='gform-field-label__text'>Illnesses or Disabilities<\/span><\/label><div class='gfield_description' id='gfield_description_75_129'>Please list and explain any illness or medical and\/or nutritional limitation, if any:\nFor example: low blood sugar, gluten sensitivity, celiac disease, lactose sensitivity, etc.<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_129' id='input_75_129' class='textarea large'  aria-describedby=\"gfield_description_75_129\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_131\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"f55d5edc\" data-field-span=\"12\"><label id='gfield_label_75_131' class='gfield_label gform-field-label' for='input_75_131'><span class='gform-field-label__text'>Does the child have a mental health diagnosis or a learning disability?<\/span><\/label><div class='gfield_description' id='gfield_description_75_131'>For example: on the autistic spectrum, diagnosed attention deficit hyperactivity disorder, anger outbursts, depression or unstable mental state, etc. Please explain if he\/she has certain needs and how we can help when they are having a difficult time<\/div><div class='ginput_container ginput_container_textarea'><textarea name='input_131' id='input_75_131' class='textarea large'  aria-describedby=\"gfield_description_75_131\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_75_141\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"df4fbf79\" data-field-span=\"12\"><h3 class=\"gsection_title\">Regulations and rules of conduct at the conference<\/h3><\/div><fieldset id=\"field_75_145\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"2e87b4d0\" data-field-span=\"12\"><legend id='gfield_label_75_145' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Rules of Conduct<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_145'>Please read the conference rules together with your child(ren).\nAny participant who does not follow the rules will be called in for a conversation with two leaders.\nIf the behavior and attitude do not improve afterward, the participant will be called in for a meeting with the conference organizers.\nIf the behavior still does not change, the participant will be sent home \u2014 in coordination with the parents, at their expense, and without a refund of the conference registration fee.\nImportant: Violation of either of the first two rules will result in the participant being sent home immediately and without negotiation \u2014 in coordination with the parents, at their expense, and without a refund of the registration fee.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_75_145'><div class='gchoice gchoice_75_145_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.1' type='checkbox'  value='No alcohol or drug-use is allowed anywhere on the conference grounds or in the surrounding area. The consequence for breaking this rule is to be sent home from Dor Haba immediately with no second chances.'  id='choice_75_145_1'   aria-describedby=\"gfield_description_75_145\" aria-labelledby=\"label_75_145_1 gfield_label_75_145\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_1' id='label_75_145_1' class='gform-field-label gform-field-label--type-inline'>No alcohol or drug-use is allowed anywhere on the conference grounds or in the surrounding area. The consequence for breaking this rule is to be sent home from Dor Haba immediately with no second chances.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.2' type='checkbox'  value='No girls are to enter the boys\u2019 bedrooms or vice versa. A girl and boy are not allowed to be alone in any of the classrooms with the door closed or in any other outside, isolated, hidden place or any situation where sexual activity is suspected. The consequence for breaking this rule is to be sent home from Dor Haba immediately with no second chances.'  id='choice_75_145_2'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_2' id='label_75_145_2' class='gform-field-label gform-field-label--type-inline'>No girls are to enter the boys\u2019 bedrooms or vice versa. A girl and boy are not allowed to be alone in any of the classrooms with the door closed or in any other outside, isolated, hidden place or any situation where sexual activity is suspected. The consequence for breaking this rule is to be sent home from Dor Haba immediately with no second chances.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.3' type='checkbox'  value='Everyone must talk respectfully to their leaders and to the other people attending Dor Haba. No dirty language, cursing, cyber-bullying or bullying of any kind allowed.'  id='choice_75_145_3'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_3' id='label_75_145_3' class='gform-field-label gform-field-label--type-inline'>Everyone must talk respectfully to their leaders and to the other people attending Dor Haba. No dirty language, cursing, cyber-bullying or bullying of any kind allowed.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.4' type='checkbox'  value='Dress code: For girls: No strapless shirts, no shirts that show any part of the bra, no belly shirts, or low cut shirts showing cleavage. No shorts or skirts shorter than your fingertips as they rest at your sides. Spandex shorts need to be worn under skirts.  Bikinis worn at the pool need to have a tank top over them. Underwear and bras may not be worn as a swimsuit. For guys: No walking around without a shirt unless you are in the pool area, no low-riding pants or shorts lower than the waist of your underwear in or out of the pool area. Underwear may not be worn as a swimsuit.'  id='choice_75_145_4'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_4' id='label_75_145_4' class='gform-field-label gform-field-label--type-inline'>Dress code: For girls: No strapless shirts, no shirts that show any part of the bra, no belly shirts, or low cut shirts showing cleavage. No shorts or skirts shorter than your fingertips as they rest at your sides. Spandex shorts need to be worn under skirts. Bikinis worn at the pool need to have a tank top over them. Underwear and bras may not be worn as a swimsuit.    For guys: No walking around without a shirt unless you are in the pool area, no low-riding pants or shorts lower than the waist of your underwear in or out of the pool area. Underwear may not be worn as a swimsuit.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.5' type='checkbox'  value='If your boyfriend or girlfriend is also at the conference, please note that no public or private displays of affection are allowed during Dor Haba (example: kissing, long hugs, holding hands).'  id='choice_75_145_5'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_5' id='label_75_145_5' class='gform-field-label gform-field-label--type-inline'>If your boyfriend or girlfriend is also at the conference, please note that no public or private displays of affection are allowed during Dor Haba (example: kissing, long hugs, holding hands).<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.6' type='checkbox'  value='No smoking cigarettes or using Vapes (electric cigarettes) on the camp grounds or in the surrounding area.'  id='choice_75_145_6'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_6' id='label_75_145_6' class='gform-field-label gform-field-label--type-inline'>No smoking cigarettes or using vapes (electric cigarettes) on the camp grounds or in the surrounding area.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.7' type='checkbox'  value='Quiet in the buildings where the bedrooms are after 22:30. Everyone else can hang out in the areas designated for free time until it\u2019s time for the end-of-day debrief with your room leader right before bed. Lights out at 00:15.'  id='choice_75_145_7'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_7' id='label_75_145_7' class='gform-field-label gform-field-label--type-inline'>Quiet in the buildings with bedrooms after 22:30. Everyone else can hang out in the areas designated for free time until it\u2019s time for the end-of-day debrief with your room leader right before bed. Lights out at 00:15.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.8' type='checkbox'  value='No one is to leave the Nordia Hostel area. No one is to wander into the Nordia residential neighborhood, the gas station, or the corner store.'  id='choice_75_145_8'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_8' id='label_75_145_8' class='gform-field-label gform-field-label--type-inline'>No one is to leave the Nordia Hostel area. No one is to wander into the Nordia residential neighborhood, the gas station, or the corner store. <\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.9' type='checkbox'  value='Meetings, Creative Project Times, and workshops are mandatory. You cannot leave a meeting while it is in session. In case of emergency, talk to your room leader and they will decide how to handle it.'  id='choice_75_145_9'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_9' id='label_75_145_9' class='gform-field-label gform-field-label--type-inline'>Meetings, Creative Project Times, and workshops are mandatory. You cannot leave a meeting while it is in session. In case of emergency, talk to your room leader and they will decide how to handle it.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.11' type='checkbox'  value='Phones should be handed to your room leader before main Meetings, as well as 10 minutes before lights go out in the bedrooms.'  id='choice_75_145_11'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_11' id='label_75_145_11' class='gform-field-label gform-field-label--type-inline'>Phones should be handed to your room leader before main Meetings, as well as 10 minutes before lights go out in the bedrooms.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.12' type='checkbox'  value='Vandalism or purposeful destruction of property is not allowed. Payment will be required from the parents for repair or replacement of the purposely destroyed property.'  id='choice_75_145_12'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_12' id='label_75_145_12' class='gform-field-label gform-field-label--type-inline'>Vandalism or purposeful destruction of property is not allowed. Payment will be required from the parents for repair or replacement of the purposely destroyed property.<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_75_145_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_145.13' type='checkbox'  value='Everyone must treat the instruments and equipment with respect and handle them carefully. No one can remove an instrument from its practice room or play the instrument without a leader\u2019s permission. No removal of furniture, mattresses, pillows, etc from the bedrooms to the outside area or vice versa.'  id='choice_75_145_13'    \/>\n\t\t\t\t\t\t\t\t<label for='choice_75_145_13' id='label_75_145_13' class='gform-field-label gform-field-label--type-inline'>Everyone must treat the instruments and equipment with respect and handle them carefully. Musical instruments or equipment may not be taken out of the rehearsal rooms or played during free time, unless express permission is given by the conference staff. In addition, no removal of furniture, mattresses, pillows, etc from the bedrooms to the outside area or vice versa.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_75_147\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5b63a8ac\" data-field-span=\"12\"><legend id='gfield_label_75_147' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Confirmation registrant #1<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_147.1' id='input_75_147_1' type='checkbox' value='1'   aria-labelledby=\"input_75_147_1_label gfield_label_75_147\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_147_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_147_1' ><span class='gform-field-label__text'>I have read the rules and consequences, I understand them, and I agree to respect them<\/span><\/label><input type='hidden' name='input_147.2' value='I have read the rules and consequences, I understand them, and I agree to respect them' class='gform_hidden' \/><input type='hidden' name='input_147.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_148\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"e70f5332\" data-field-span=\"12\"><legend id='gfield_label_75_148' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Confirmation registrant #2<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_148.1' id='input_75_148_1' type='checkbox' value='1'   aria-labelledby=\"input_75_148_1_label gfield_label_75_148\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_148_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_148_1' ><span class='gform-field-label__text'>I have read the rules and consequences, I understand them, and I agree to respect them<\/span><\/label><input type='hidden' name='input_148.2' value='I have read the rules and consequences, I understand them, and I agree to respect them' class='gform_hidden' \/><input type='hidden' name='input_148.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_149\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5238ebb8\" data-field-span=\"12\"><legend id='gfield_label_75_149' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Confirmation of reading the rules to registrant #3<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_149.1' id='input_75_149_1' type='checkbox' value='1'   aria-labelledby=\"input_75_149_1_label gfield_label_75_149\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_149_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_149_1' ><span class='gform-field-label__text'>I have read the rules and consequences, I understand them, and I agree to respect them<\/span><\/label><input type='hidden' name='input_149.2' value='I have read the rules and consequences, I understand them, and I agree to respect them' class='gform_hidden' \/><input type='hidden' name='input_149.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_151\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"66bf06ea\" data-field-span=\"12\"><legend id='gfield_label_75_151' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Confirmation of reading the rules to registrant #4<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_151.1' id='input_75_151_1' type='checkbox' value='1'   aria-labelledby=\"input_75_151_1_label gfield_label_75_151\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_151_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_151_1' ><span class='gform-field-label__text'>I have read the rules and consequences, I understand them, and I agree to respect them<\/span><\/label><input type='hidden' name='input_151.2' value='I have read the rules and consequences, I understand them, and I agree to respect them' class='gform_hidden' \/><input type='hidden' name='input_151.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_152\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"cc29ad4c\" data-field-span=\"12\"><legend id='gfield_label_75_152' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Confirmation of reading the rules to registrant #5<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_152.1' id='input_75_152_1' type='checkbox' value='1'   aria-labelledby=\"input_75_152_1_label gfield_label_75_152\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_152_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_152_1' ><span class='gform-field-label__text'>I have read the rules and consequences, I understand them, and I agree to respect them<\/span><\/label><input type='hidden' name='input_152.2' value='I have read the rules and consequences, I understand them, and I agree to respect them' class='gform_hidden' \/><input type='hidden' name='input_152.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_146\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"02979652\" data-field-span=\"12\"><legend id='gfield_label_75_146' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Confirmation of reading the rules &#8211; parents<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_146.1' id='input_75_146_1' type='checkbox' value='1'   aria-labelledby=\"input_75_146_1_label gfield_label_75_146\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_146_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_146_1' ><span class='gform-field-label__text'>I have read the rules and consequences, discussed them with my son\/daughter who is going to attend the conference, and I agree to arrange a homecoming if he\/she is told he\/she must leave the conference due to disrespectful actions or behavior as described in the consequences.<\/span><\/label><input type='hidden' name='input_146.2' value='I have read the rules and consequences, discussed them with my son\/daughter who is going to attend the conference, and I agree to arrange a homecoming if he\/she is told he\/she must leave the conference due to disrespectful actions or behavior as described in the consequences.' class='gform_hidden' \/><input type='hidden' name='input_146.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_75_275\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"01c5e36e\" data-field-span=\"12\"><h3 class=\"gsection_title\">Special permits<\/h3><\/div><fieldset id=\"field_75_274\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"5f878d73\" data-field-span=\"12\"><legend id='gfield_label_75_274' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Permission to participate in the creative project<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_274'>I authorize my child to appear in the music video with everyone at the conference and in other creative videos that may be produced during the conference that will be posted on Dor Haba&#8217;s Youtube channel<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_274'>\n\t\t\t<div class='gchoice gchoice_75_274_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='Yes' checked='checked' id='choice_75_274_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_75_274\" aria-labelledby=\"label_75_274_0 gfield_label_75_274\"   \/>\n\t\t\t\t\t<label for='choice_75_274_0' id='label_75_274_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_274_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='Yes, but not as a main character'  id='choice_75_274_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_274_1' id='label_75_274_1' class='gform-field-label gform-field-label--type-inline'>Yes, but not as a main character in the video<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_274_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_274' type='radio' value='No'  id='choice_75_274_2' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_274_2' id='label_75_274_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_183\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"36b04326\" data-field-span=\"12\"><h3 class=\"gsection_title\">Parental permission<\/h3><\/div><div id=\"field_75_354\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"782cb620\" data-field-span=\"12\"><label id='gfield_label_75_354' class='gfield_label gform-field-label' for='input_75_354'><span class='gform-field-label__text'>Marital Status<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_354'>Please note, in the case of divorced parents, both parents must still sign the form!<\/div><div class='ginput_container ginput_container_select'><select name='input_354' id='input_75_354' class='large gfield_select'  aria-describedby=\"gfield_description_75_354\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='- Please choose from the list -' >&#8211; Please choose from the list &#8211;<\/option><option value='Married' >Married<\/option><option value='Single Mother (by law)' >Single Mother (by law)<\/option><option value='Single Father (by law)' >Single Father (by law)<\/option><option value='Divorced (shared custody)' >Divorced (shared custody)<\/option><\/select><\/div><\/div><fieldset id=\"field_75_90\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"1d7d59c2\" data-field-span=\"12\"><legend id='gfield_label_75_90' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Mother details<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_90'>Or legal guardian<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_75_90'>\n                            \n                            <span id='input_75_90_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.3' id='input_75_90_3' value=''   aria-required='true'     aria-describedby=\"gfield_description_75_90\" aria-labelledby=\"input_75_90_3_label gfield_label_75_90\"\/>\n                                                    <label for='input_75_90_3' id='input_75_90_3_label' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_75_90_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.4' id='input_75_90_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_90_4' id='input_75_90_4_label' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            <span id='input_75_90_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.6' id='input_75_90_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_90_6' id='input_75_90_6_label' class='gform-field-label gform-field-label--type-sub '>Telephone Number<\/label>\n                                                <\/span>\n                            <span id='input_75_90_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_90.8' id='input_75_90_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_90_8' id='input_75_90_8_label' class='gform-field-label gform-field-label--type-sub '>ID<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_75_136\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"8755ada7\" data-field-span=\"6\"><legend id='gfield_label_75_136' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Mother&#039;s approval<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_136.1' id='input_75_136_1' type='checkbox' value='1'   aria-labelledby=\"input_75_136_1_label gfield_label_75_136\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_136_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_136_1' ><span class='gform-field-label__text'>I give my permission for my son\/daughter to participate in the \u201cDor Haba\u201d conference, taking place at the &#8216;Nordia&#8217; Guest House from July 14-17, 2025. I understand and agree that this is a Messianic conference under the spiritual covering of &#8220;Succat Hallel&#8221;, where they will be taught from Bible (Old and New Testament), and confess that Jesus is the Messiah and the Son of God.<\/span><\/label><input type='hidden' name='input_136.2' value='I give my permission for my son\/daughter to participate in the \u201cDor Haba\u201d conference, taking place at the &#039;Nordia&#039; Guest House from July 14-17, 2025. I understand and agree that this is a Messianic conference under the spiritual covering of &quot;Succat Hallel&quot;, where they will be taught from Bible (Old and New Testament), and confess that Jesus is the Messiah and the Son of God.' class='gform_hidden' \/><input type='hidden' name='input_136.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_133\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"8755ada7\" data-field-span=\"6\"><legend id='gfield_label_75_133' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Mother&#039;s signature<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_signature\"><input type='hidden' value='' name='input_133' id='input_75_133_signature_filename' class='gfield_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_75_133_Container' class='gfield_signature_container' style='height:90px; width:300px; ' ><input type='hidden' id='input_75_133_data' name='input_75_133_data' class='gfield_signature_data' \/><canvas id=\"input_75_133\" width=\"300\" height=\"90\" style=\"border-style: Dashed; border-width: 2px; border-color: #757575; background-color:#FFFFFF; cursor: url(https:\/\/dorhaba.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;\" tabindex=\"0\" aria-label=\"Signature pad\" ><\/canvas><input type='text' id='input_75_133_textinput' name='input_75_133_textinput' class='gfield_signature_text_input' style='text-indent:10px;display:none;width:300px;height:90px;border-style:Dashed;border-width:2px;border-color:#757575;background-color:#FFFFFF;font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive;font-size:2em;padding:0 12px;box-sizing:border-box;color:#000000;' placeholder='Type your signature' autocomplete='off' aria-label='Type your signature' \/><style type='text\/css'>\n                #input_75_133_textinput::placeholder {\n                    font-size: 1.5rem;\n                    font-family: Arial;\n                    opacity: 0.8;\n                }\n            <\/style><\/div><div id='input_75_133_toolbar' class='gfield_signature_toolbar' dir='ltr' style='margin:5px 0;position:relative;height:35px;width:300px;max-width:100%;display:flex;align-items:center;'><div id='input_75_133_status' class='gfield_signature_status gform-visually-hidden' role='status' aria-live='polite' aria-atomic='true' style='position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0,0,0,0);white-space:nowrap;border:0;'><\/div><input type='hidden' id='input_75_133_font_select' class='gfield_signature_font_select' value='script' \/><div id='input_75_133_font_dropdown' class='gfield_signature_font_dropdown'><span class='gform-common-icon gform-common-icon--chevron-down gfield_signature_font_dropdown_icon'><\/span><button type='button' id='input_75_133_font_select_button' class='gfield_signature_font_select_button gform-theme__disable' tabindex='0' aria-haspopup='listbox' aria-expanded='false' aria-label='Font Options' style='width:100%;box-sizing:border-box;overflow:hidden;text-overflow:ellipsis;white-space:nowrap;font-family:\"Snell Roundhand\", \"Segoe Script\", cursive;color:#000000'>Your Name<\/button><ul id='input_75_133_font_select_list' class='gfield_signature_font_select_list' role='listbox' tabindex='-1' style='display:none;position:absolute;top:100%;left:0;right:0;margin:0;padding:0;list-style:none;background:#fff;border:1px solid #ccc;z-index:10;max-height:200px;overflow-y:auto;box-sizing:border-box;'><li class='gfield_signature_font_option' role='option' data-value='script' tabindex='0' style='font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive; color:#000000' aria-label='Your Name, Script style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='handwritten' tabindex='0' style='font-family:&quot;Bradley Hand&quot;, &quot;Comic Sans MS&quot;, cursive; color:#000000' aria-label='Your Name, Handwritten style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='print' tabindex='0' style='font-family:&quot;Noteworthy&quot;, &quot;Segoe Print&quot;, cursive; color:#000000' aria-label='Your Name, Print style'>Your Name<\/li><\/ul><\/div><div class='gfield_signature_toolbar_icons' style='margin-left:auto;display:flex;align-items:center;'><button type='button' id='input_75_133_textbutton' class='gform-common-icon gform-common-icon--text-field gfield_signature_text_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Text Signature' aria-label='Text Signature'><\/button><button type='button' id='input_75_133_drawbutton' class='gform-common-icon gform-common-icon--pencil gfield_signature_draw_button gform-theme-no-framework' tabindex='0' style='display:none;background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Draw Signature' aria-label='Draw Signature'><\/button><button type='button' id='input_75_133_resetbutton' class='gform-common-icon gform-common-icon--arrow-path gfield_signature_reset_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Clear Signature' aria-label='Clear Signature'><\/button><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_75_91\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"ee6c9e91\" data-field-span=\"12\"><legend id='gfield_label_75_91' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Details of the father<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_75_91'>Or legal guardian<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name has_middle_name has_last_name has_suffix gf_name_has_4 ginput_container_name gform-grid-row' id='input_75_91'>\n                            \n                            <span id='input_75_91_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.3' id='input_75_91_3' value=''   aria-required='true'     aria-describedby=\"gfield_description_75_91\" aria-labelledby=\"input_75_91_3_label gfield_label_75_91\"\/>\n                                                    <label for='input_75_91_3' id='input_75_91_3_label' class='gform-field-label gform-field-label--type-sub '>First Name<\/label>\n                                                <\/span>\n                            <span id='input_75_91_4_container' class='name_middle gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.4' id='input_75_91_4' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_91_4' id='input_75_91_4_label' class='gform-field-label gform-field-label--type-sub '>Last Name<\/label>\n                                                <\/span>\n                            <span id='input_75_91_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.6' id='input_75_91_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_75_91_6' id='input_75_91_6_label' class='gform-field-label gform-field-label--type-sub '>Telephone Number<\/label>\n                                                <\/span>\n                            <span id='input_75_91_8_container' class='name_suffix  gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_91.8' id='input_75_91_8' value=''   aria-required='false'     \/>\n                                                    <label for='input_75_91_8' id='input_75_91_8_label' class='gform-field-label gform-field-label--type-sub '>Israeli ID number (or passport #)<\/label>\n                                                <\/span>\n                        <\/div><\/fieldset><fieldset id=\"field_75_140\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"d644082d\" data-field-span=\"6\"><legend id='gfield_label_75_140' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Father&#039;s approval<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_140.1' id='input_75_140_1' type='checkbox' value='1'   aria-labelledby=\"input_75_140_1_label gfield_label_75_140\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label id='input_75_140_1_label' class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_75_140_1' ><span class='gform-field-label__text'>I give permission for my son\/daughter to participate in the \u201cDor Haba\u201d conference, taking place at the Nordia Guest House from July 14-17, 2025. I understand and agree that this is a Messianic conference under the spiritual covering of &#8220;Succat Hallel&#8221;, where they will be taught from Bible (Old and New Testament), and confess that Jesus is the Messiah and the Son of God.<\/span><\/label><input type='hidden' name='input_140.2' value='I give permission for my son\/daughter to participate in the \u201cDor Haba\u201d conference, taking place at the Nordia Guest House from July 14-17, 2025. I understand and agree that this is a Messianic conference under the spiritual covering of &quot;Succat Hallel&quot;, where they will be taught from Bible (Old and New Testament), and confess that Jesus is the Messiah and the Son of God.' class='gform_hidden' \/><input type='hidden' name='input_140.3' value='12' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_75_139\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"d644082d\" data-field-span=\"6\"><legend id='gfield_label_75_139' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Father&#039;s signature<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class=\"ginput_container ginput_container_signature\"><input type='hidden' value='' name='input_139' id='input_75_139_signature_filename' class='gfield_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_75_139_Container' class='gfield_signature_container' style='height:90px; width:300px; ' ><input type='hidden' id='input_75_139_data' name='input_75_139_data' class='gfield_signature_data' \/><canvas id=\"input_75_139\" width=\"300\" height=\"90\" style=\"border-style: Dashed; border-width: 2px; border-color: #757575; background-color:#FFFFFF; cursor: url(https:\/\/dorhaba.com\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;\" tabindex=\"0\" aria-label=\"Signature pad\" ><\/canvas><input type='text' id='input_75_139_textinput' name='input_75_139_textinput' class='gfield_signature_text_input' style='text-indent:10px;display:none;width:300px;height:90px;border-style:Dashed;border-width:2px;border-color:#757575;background-color:#FFFFFF;font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive;font-size:2em;padding:0 12px;box-sizing:border-box;color:#000000;' placeholder='Type your signature' autocomplete='off' aria-label='Type your signature' \/><style type='text\/css'>\n                #input_75_139_textinput::placeholder {\n                    font-size: 1.5rem;\n                    font-family: Arial;\n                    opacity: 0.8;\n                }\n            <\/style><\/div><div id='input_75_139_toolbar' class='gfield_signature_toolbar' dir='ltr' style='margin:5px 0;position:relative;height:35px;width:300px;max-width:100%;display:flex;align-items:center;'><div id='input_75_139_status' class='gfield_signature_status gform-visually-hidden' role='status' aria-live='polite' aria-atomic='true' style='position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0,0,0,0);white-space:nowrap;border:0;'><\/div><input type='hidden' id='input_75_139_font_select' class='gfield_signature_font_select' value='script' \/><div id='input_75_139_font_dropdown' class='gfield_signature_font_dropdown'><span class='gform-common-icon gform-common-icon--chevron-down gfield_signature_font_dropdown_icon'><\/span><button type='button' id='input_75_139_font_select_button' class='gfield_signature_font_select_button gform-theme__disable' tabindex='0' aria-haspopup='listbox' aria-expanded='false' aria-label='Font Options' style='width:100%;box-sizing:border-box;overflow:hidden;text-overflow:ellipsis;white-space:nowrap;font-family:\"Snell Roundhand\", \"Segoe Script\", cursive;color:#000000'>Your Name<\/button><ul id='input_75_139_font_select_list' class='gfield_signature_font_select_list' role='listbox' tabindex='-1' style='display:none;position:absolute;top:100%;left:0;right:0;margin:0;padding:0;list-style:none;background:#fff;border:1px solid #ccc;z-index:10;max-height:200px;overflow-y:auto;box-sizing:border-box;'><li class='gfield_signature_font_option' role='option' data-value='script' tabindex='0' style='font-family:&quot;Snell Roundhand&quot;, &quot;Segoe Script&quot;, cursive; color:#000000' aria-label='Your Name, Script style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='handwritten' tabindex='0' style='font-family:&quot;Bradley Hand&quot;, &quot;Comic Sans MS&quot;, cursive; color:#000000' aria-label='Your Name, Handwritten style'>Your Name<\/li><li class='gfield_signature_font_option' role='option' data-value='print' tabindex='0' style='font-family:&quot;Noteworthy&quot;, &quot;Segoe Print&quot;, cursive; color:#000000' aria-label='Your Name, Print style'>Your Name<\/li><\/ul><\/div><div class='gfield_signature_toolbar_icons' style='margin-left:auto;display:flex;align-items:center;'><button type='button' id='input_75_139_textbutton' class='gform-common-icon gform-common-icon--text-field gfield_signature_text_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Text Signature' aria-label='Text Signature'><\/button><button type='button' id='input_75_139_drawbutton' class='gform-common-icon gform-common-icon--pencil gfield_signature_draw_button gform-theme-no-framework' tabindex='0' style='display:none;background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Draw Signature' aria-label='Draw Signature'><\/button><button type='button' id='input_75_139_resetbutton' class='gform-common-icon gform-common-icon--arrow-path gfield_signature_reset_button gform-theme-no-framework' tabindex='0' style='background:none;border:0;padding:0;margin:0;appearance:none;-webkit-appearance:none;cursor:pointer;' alt='Clear Signature' aria-label='Clear Signature'><\/button><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_75_156\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"88ff621c\" data-field-span=\"12\"><h3 class=\"gsection_title\">Registration for transportation<\/h3><\/div><fieldset id=\"field_75_157\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"46d58b46\" data-field-span=\"12\"><legend id='gfield_label_75_157' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Will your child\/ren be joining the bus ride provided by Dor Haba?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_75_157'>\n\t\t\t<div class='gchoice gchoice_75_157_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='Yes'  id='choice_75_157_0' onchange='gformToggleRadioOther( this )'  aria-labelledby=\"label_75_157_0 gfield_label_75_157\"   \/>\n\t\t\t\t\t<label for='choice_75_157_0' id='label_75_157_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_75_157_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_157' type='radio' value='No'  id='choice_75_157_1' onchange='gformToggleRadioOther( this )'     \/>\n\t\t\t\t\t<label for='choice_75_157_1' id='label_75_157_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_75_160\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"2cd27a25\" data-field-span=\"12\"><label id='gfield_label_75_160' class='gfield_label gform-field-label' for='input_75_160'><span class='gform-field-label__text'>How many of your children will join the bus ride?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_160'>The bus ride costs 60 NIS round trip per child, regardless of the pick-up location or if they only need to travel one way. \nThe amount will be added to the final cost.\nThere is no discount for the transportation fee.<\/div><div class='ginput_container ginput_container_select'><select name='input_160' id='input_75_160' class='large gfield_select'  aria-describedby=\"gfield_description_75_160\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Please choose from the list &#8211;<\/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><\/select><\/div><\/div><div id=\"field_75_159\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"354dc171\" data-field-span=\"12\"><label id='gfield_label_75_159' class='gfield_label gform-field-label' for='input_75_159'><span class='gform-field-label__text'>From what city? (There and back)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_159'>The list of pick-up locations is not final. An updated list will be sent closer to the date of the conference. The cost is in addition to the registration fee (no discount for siblings\/financial status\/one way)<\/div><div class='ginput_container ginput_container_select'><select name='input_159' id='input_75_159' class='large gfield_select'  aria-describedby=\"gfield_description_75_159\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Please choose from the list &#8211;<\/option><option value='Kfar Yasif' >Kfar Yasif<\/option><option value='Krayot' >Kiryut<\/option><option value='Haifa' >Haifa<\/option><option value='Tiberius' >Tiberias<\/option><option value='Nazareth' >Nazareth<\/option><option value='Kfar Cana' >Kfar Cana<\/option><option value='Bethlehem' >Bethlehem<\/option><option value='Jerusalem' >Jerusalem<\/option><option value='Rishon le&#039;zion' >Rishon Lezion<\/option><option value='Tel Aviv' >Tel Aviv<\/option><option value='Beer Sheva' >Beer Sheva<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_75_182\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"cd5110ec\" data-field-span=\"12\"><label id='gfield_label_75_182' class='gfield_label gform-field-label' for='input_75_182'><span class='gform-field-label__text'>From where else?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_182'>If there are enough registrants who need transportation from this location, we may arrange a bus ride from there as well. We will update you.<\/div><div class='ginput_container ginput_container_text'><input name='input_182' id='input_75_182' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_182\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_75_352\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"165b7d74\" data-field-span=\"12\"><label id='gfield_label_75_352' class='gfield_label gform-field-label' for='input_75_352'><span class='gform-field-label__text'>If we cannot arrange a bus ride from the city you have chosen, in which city will you join the transportation? (There and back)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_352' id='input_75_352' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Please choose from the list &#8211;<\/option><option value='Kfar Yasif' >Kfar Yasif<\/option><option value='Krayot' >Kiryut<\/option><option value='Haifa' >Haifa<\/option><option value='Tiberius' >Tiberias<\/option><option value='Nazareth' >Nazareth<\/option><option value='Kfar Cana' >Kfar Cana<\/option><option value='Bethlehem' >Bethlehem<\/option><option value='Jerusalem' >Jerusalem<\/option><option value='Rishon le&#039;zion' >Rishon Lezion<\/option><option value='Tel Aviv' >Tel Aviv<\/option><option value='Beer Sheva' >Beer Sheva<\/option><option value='Other' >Other<\/option><\/select><\/div><\/div><div id=\"field_75_172\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"345e63f2\" data-field-span=\"12\"><h3 class=\"gsection_title\">Payment of registration fee<\/h3><div class='gsection_description' id='gfield_description_75_172'>The cost of the Dor Haba conference is 400 NIS per participant. This is the subsidized price that each registrant receives after a 70% subsidy provided by Dor Haba.  \nSibling discount: Families receive a 25% discount for the first sibling and 50% for any additional siblings.\n\nThis year, we will not be able to provide additional financial aid beyond the already subsidized price. If you are in need of further financial support, please reach out to your local congregation. <\/div><\/div><div id=\"field_75_221\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full gfield_price gfield_price_75_221 gfield_product_75_221 field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"9cedf85a\" data-field-span=\"12\"><label id='gfield_label_75_221' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_221_1'><span class='gform-field-label__text'>registration amount<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_221.1' value='registration amount' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_221' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<label for='ginput_base_price_75_221' class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/label>\n\t\t\t\t\t\t<input type='text' readonly class='ginput_product_price gform-text-input-reset' name='input_221.2' id='ginput_base_price_75_221' value='&#8362; 400.00' aria-label='registration amount Price'  \/>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_221.3' value='1' class='ginput_quantity_75_221 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_336\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_336 gfield_product_75_336 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"83f98712\" data-field-span=\"12\"><label id='gfield_label_75_336' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_336_1'><span class='gform-field-label__text'>Registration amount with sibling discount<\/span><\/label><div class='gfield_description' id='gfield_description_75_336'>Registration for two participants (400 + 300)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_336.1' value='Registration amount with sibling discount' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_336' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_336'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_336.2' id='ginput_base_price_75_336' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_336.3' value='1' class='ginput_quantity_75_336 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_227\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_227 gfield_product_75_227 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"0ad52fee\" data-field-span=\"12\"><label id='gfield_label_75_227' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_227_1'><span class='gform-field-label__text'>Registration amount with sibling discount<\/span><\/label><div class='gfield_description' id='gfield_description_75_227'>Registration for three participants (400 + 300 + 200)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_227.1' value='Registration amount with sibling discount' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_227' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_227'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_227.2' id='ginput_base_price_75_227' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_227.3' value='1' class='ginput_quantity_75_227 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_234\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_234 gfield_product_75_234 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"858ceb99\" data-field-span=\"12\"><label id='gfield_label_75_234' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_234_1'><span class='gform-field-label__text'>Registration amount with sibling discount<\/span><\/label><div class='gfield_description' id='gfield_description_75_234'>Registration for four participants (400 + 300 + 200 + 200)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_234.1' value='Registration amount with sibling discount' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_234' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_234'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_234.2' id='ginput_base_price_75_234' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_234.3' value='1' class='ginput_quantity_75_234 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_204\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_204 gfield_product_75_204 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"e279d145\" data-field-span=\"12\"><label id='gfield_label_75_204' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_204_1'><span class='gform-field-label__text'>Registration amount with sibling discount<\/span><\/label><div class='gfield_description' id='gfield_description_75_204'>Registration for five participants (400 + 300 + 200 + 200 + 200)<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_204.1' value='Registration amount with sibling discount' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_204' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_204'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_204.2' id='ginput_base_price_75_204' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_204.3' value='1' class='ginput_quantity_75_204 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_369\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_369 gfield_product_75_369 gfield_calculation field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"fd4a9ab7\" data-field-span=\"12\"><label id='gfield_label_75_369' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_369_1'><span class='gform-field-label__text'>Transportation Fee<\/span><\/label><div class='gfield_description' id='gfield_description_75_369'> There is no sibling discount on the transportation fee. The transportation cost remains fixed even if only one direction is needed<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_369.1' value='Transportation Fee' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_369' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_369'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_369.2' id='ginput_base_price_75_369' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_369.3' value='1' class='ginput_quantity_75_369 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_377\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_377 gfield_product_75_377 gfield_calculation field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"03654f92\" data-field-span=\"12\"><label id='gfield_label_75_377' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_377_1'><span class='gform-field-label__text'>Your request for financial aid has been approved!<\/span><\/label><div class='gfield_description' id='gfield_description_75_377'>Registration fee per child &#8211; 200<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_377.1' value='Your request for financial aid has been approved!' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_377' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_377'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_377.2' id='ginput_base_price_75_377' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_377.3' value='1' class='ginput_quantity_75_377 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_267\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_267 gfield_product_75_267 gfield_calculation field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"2aa60123\" data-field-span=\"12\"><label id='gfield_label_75_267' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_267_1'><span class='gform-field-label__text'>Your request for financial aid has been approved!<\/span><\/label><div class='gfield_description' id='gfield_description_75_267'>Registration fee per child &#8211; 100<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_267.1' value='Your request for financial aid has been approved!' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_267' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_267'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_267.2' id='ginput_base_price_75_267' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_267.3' value='1' class='ginput_quantity_75_267 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_328\" class=\"gfield gfield--type-product gfield--input-type-calculation gfield--width-full gfield_price gfield_price_75_328 gfield_product_75_328 gfield_calculation field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\" data-group-id=\"466a4851\" data-field-span=\"12\"><label id='gfield_label_75_328' class='gfield_label gform-field-label gfield_label_before_complex' for='input_75_328_1'><span class='gform-field-label__text'>Your request for financial aid has been approved!<\/span><\/label><div class='gfield_description' id='gfield_description_75_328'>Registration fee per child &#8211; 0<\/div><div class='ginput_container ginput_container_product_calculation'>\n\t\t\t\t\t<input type='hidden' name='input_328.1' value='Your request for financial aid has been approved!' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_75_328' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_75_328'>&#8362; 0.00<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_328.2' id='ginput_base_price_75_328' class='gform_hidden ginput_calculated_price' value='\u20aa 0.00'\/>\n\t\t\t\t\t<input type='hidden' name='input_328.3' value='1' class='ginput_quantity_75_328 gform_hidden' \/>\n\t\t\t\t<\/div><\/div><div id=\"field_75_340\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full gfield_price gfield_price_75_ gfield_total gfield_total_75_ field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" aria-atomic=\"true\" aria-live=\"polite\" data-group-id=\"bc23cabb\" data-field-span=\"12\" data-currency-format='1'><label id='gfield_label_75_340' class='gfield_label gform-field-label' for='input_75_340'><span class='gform-field-label__text'>Payment Total<\/span><\/label><div class='gfield_description' id='gfield_description_75_340'>Please make a note of the total amount you need to pay.<br>You will need to enter it manually on the payment page.<\/div><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_340' id='input_75_340' value='&#8362; 0.00' class='gform-text-input-reset ginput_total ginput_total_75' aria-describedby=\"gfield_description_75_340\" \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_75_338\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"ab5f0908\" data-field-span=\"12\"><label id='gfield_label_75_338' class='gfield_label gform-field-label' for='input_75_338'><span class='gform-field-label__text'>Pay online<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_338'>After submitting this form, you will be added to the parents&#8217; WhatsApp group, where you will receive important information, including a link for online payment, about a week before the event.<\/div><div class='ginput_container ginput_container_select'><select name='input_338' id='input_75_338' class='large gfield_select'  aria-describedby=\"gfield_description_75_338\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='' >&#8211; Please choose from the list &#8211;<\/option><option value='I understand, no problem.' selected='selected'>I understand, no problem.<\/option><option value='I am unable to pay over credit card' >I can&#039;t pay online<\/option><\/select><\/div><\/div><div id=\"field_75_181\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"caf22ace\" data-field-span=\"12\"><label id='gfield_label_75_181' class='gfield_label gform-field-label' for='input_75_181'><span class='gform-field-label__text'>Please explain<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_75_181'>If you&#8217;re unable to make the online payment about a week before the conference, please contact us on WhatsApp at 058-583-0462, and we\u2019ll see how we can help!\n<\/div><div class='ginput_container ginput_container_text'><input name='input_181' id='input_75_181' type='text' value='' class='large'  aria-describedby=\"gfield_description_75_181\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_75' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> <button type='button'  id='gform_save_75_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save and continue 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