{"id":293,"date":"2016-07-15T20:36:47","date_gmt":"2016-07-16T02:36:47","guid":{"rendered":"http:\/\/schools.graniteschools.org\/westlakestem\/?page_id=293"},"modified":"2021-07-15T13:58:41","modified_gmt":"2021-07-15T19:58:41","slug":"registration-card","status":"publish","type":"page","link":"https:\/\/schools.graniteschools.org\/westlakestem\/registration-card\/","title":{"rendered":"Registration Card"},"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 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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 gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_12' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_12'  action='\/westlakestem\/wp-json\/wp\/v2\/pages\/293' data-formid='12' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_12_86\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Which school did your student attend last year?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_86'>\n\t\t\t<li class='gchoice gchoice_12_86_0'>\n\t\t\t\t<input name='input_86' type='radio' value='Hillsdale'  id='choice_12_86_0'    \/>\n\t\t\t\t<label for='choice_12_86_0' id='label_12_86_0' class='gform-field-label gform-field-label--type-inline'>Hillsdale<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_86_1'>\n\t\t\t\t<input name='input_86' type='radio' value='Monroe'  id='choice_12_86_1'    \/>\n\t\t\t\t<label for='choice_12_86_1' id='label_12_86_1' class='gform-field-label gform-field-label--type-inline'>Monroe<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_86_2'>\n\t\t\t\t<input name='input_86' type='radio' value='Neil Armstrong Academy'  id='choice_12_86_2'    \/>\n\t\t\t\t<label for='choice_12_86_2' id='label_12_86_2' class='gform-field-label gform-field-label--type-inline'>Neil Armstrong Academy<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_86_3'>\n\t\t\t\t<input name='input_86' type='radio' value='Stansbury'  id='choice_12_86_3'    \/>\n\t\t\t\t<label for='choice_12_86_3' id='label_12_86_3' class='gform-field-label gform-field-label--type-inline'>Stansbury<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_86_4'>\n\t\t\t\t<input name='input_86' type='radio' value='Valley Crest'  id='choice_12_86_4'    \/>\n\t\t\t\t<label for='choice_12_86_4' id='label_12_86_4' class='gform-field-label gform-field-label--type-inline'>Valley Crest<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_86_5'>\n\t\t\t\t<input name='input_86' type='radio' value='West Lake STEM'  id='choice_12_86_5'    \/>\n\t\t\t\t<label for='choice_12_86_5' id='label_12_86_5' class='gform-field-label gform-field-label--type-inline'>West Lake STEM<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_86_6'>\n\t\t\t\t<input name='input_86' type='radio' value='Other'  id='choice_12_86_6'    \/>\n\t\t\t\t<label for='choice_12_86_6' id='label_12_86_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_79\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Has the student ever been enrolled in Granite District?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_79'>\n\t\t\t<li class='gchoice gchoice_12_79_0'>\n\t\t\t\t<input name='input_79' type='radio' value='Yes'  id='choice_12_79_0'    \/>\n\t\t\t\t<label for='choice_12_79_0' id='label_12_79_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_79_1'>\n\t\t\t\t<input name='input_79' type='radio' value='No'  id='choice_12_79_1'    \/>\n\t\t\t\t<label for='choice_12_79_1' id='label_12_79_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_80\" class=\"gfield gfield--type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_80'><span class='gform-field-label__text'>Granite District school most recently attended:<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_12_80' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Academy Park Elementary' >Academy Park Elementary<\/option><option value='Arcadia Elementary' >Arcadia Elementary<\/option><option value='Armstrong Academy' >Armstrong Academy<\/option><option value='Bacchus Elementary' >Bacchus Elementary<\/option><option value='Beehive Elementary' >Beehive Elementary<\/option><option value='Bennion Elementary' >Bennion Elementary<\/option><option value='Bennion Junior High' >Bennion Junior High<\/option><option value='Bonneville Junior High' >Bonneville Junior High<\/option><option value='Brockbank Junior High' >Brockbank Junior High<\/option><option value='Bridger Elementary' >Bridger Elementary<\/option><option value='Copper Hills Elementary' >Copper Hills Elementary<\/option><option value='Cottonwood Elementary' >Cottonwood Elementary<\/option><option value='Churchill Junior High' >Churchill Junior High<\/option><option value='Crestview Elementary' >Crestview Elementary<\/option><option value='Diamond Ridge Elementary' >Diamond Ridge Elementary<\/option><option value='Driggs Elementary' >Driggs Elementary<\/option><option value='Eastwood Elementary' >Eastwood Elementary<\/option><option value='Eisenhower Junior High' >Eisenhower Junior High<\/option><option value='Elk Run Elementary' >Elk Run Elementary<\/option><option value='Evergreen Junior High' >Evergreen Junior High<\/option><option value='Farnsworth Elementary' >Farnsworth Elementary<\/option><option value='Fox Hills Elementary' >Fox Hills Elementary<\/option><option value='Fremont Elementary' >Fremont Elementary<\/option><option value='Frost Elementary' >Frost Elementary<\/option><option value='Gourley Elementary' >Gourley Elementary<\/option><option value='Granger Elementary' >Granger Elementary<\/option><option value='Granite Park Junior High' >Granite Park Junior High<\/option><option value='Hillsdale Elementary' >Hillsdale Elementary<\/option><option value='Hillside Elementary' >Hillside Elementary<\/option><option value='Hunter Elementary' >Hunter Elementary<\/option><option value='Hunter Junior High' >Hunter Junior High<\/option><option value='Jackling Elementary' >Jackling Elementary<\/option><option value='Jefferson Junior High' >Jefferson Junior High<\/option><option value='Kearns Junior High' >Kearns Junior High<\/option><option value='Kennedy Junior High' >Kennedy Junior High<\/option><option value='Lake Ridge Elementary' >Lake Ridge Elementary<\/option><option value='Lincoln Elementary' >Lincoln Elementary<\/option><option value='Magna Elementary' >Magna Elementary<\/option><option value='Matheson Junior High' >Matheson Junior High<\/option><option value='Mill Creek Elementary' >Mill Creek Elementary<\/option><option value='Monroe Elementary' >Monroe Elementary<\/option><option value='Morningside Elementary' >Morningside Elementary<\/option><option value='Oakridge Elementary' >Oakridge Elementary<\/option><option value='Oakwood Elementary' >Oakwood Elementary<\/option><option value='Olympus Junior High' >Olympus Junior High<\/option><option value='Oquirrh Hills Elementary Hills' >Oquirrh Hills Elementary Hills<\/option><option value='Orchard Elementary' >Orchard Elementary<\/option><option value='Penn Elementary' >Penn Elementary<\/option><option value='Pleasant Green Elementary' >Pleasant Green Elementary<\/option><option value='Plymouth Elementary' >Plymouth Elementary<\/option><option value='Redwood Elementary' >Redwood Elementary<\/option><option value='Rolling Meadows Elementary' >Rolling Meadows Elementary<\/option><option value='Roosevelt Elementary' >Roosevelt Elementary<\/option><option value='Rosecrest Elementary' >Rosecrest Elementary<\/option><option value='Sandburg Elementary' >Sandburg Elementary<\/option><option value='Silver Hills Elementary' >Silver Hills Elementary<\/option><option value='Smith Elementary' >Smith Elementary<\/option><option value='South Kearns Elementary' >South Kearns Elementary<\/option><option value='Spring Lane Elementary' >Spring Lane Elementary<\/option><option value='Stansbury Elementary' >Stansbury Elementary<\/option><option value='Taylorsville Elementary' >Taylorsville Elementary<\/option><option value='Truman Elementary' >Truman Elementary<\/option><option value='Twin Peaks Elementary' >Twin Peaks Elementary<\/option><option value='Upland Terrace Elementary' >Upland Terrace Elementary<\/option><option value='Valley Junior High' >Valley Junior High<\/option><option value='Valley Crest Elementary' >Valley Crest Elementary<\/option><option value='Vista Elementary' >Vista Elementary<\/option><option value='Wasatch Junior High' >Wasatch Junior High<\/option><option value='West Kearns Elementary' >West Kearns Elementary<\/option><option value='West Valley Elementary' >West Valley Elementary<\/option><option value='West Lake Junior High' >West Lake Junior High<\/option><option value='Westbrook Elementary' >Westbrook Elementary<\/option><option value='Western Hills Elementary' >Western Hills Elementary<\/option><option value='Whittier Elementary' >Whittier Elementary<\/option><option value='Wilson Elementary' >Wilson Elementary<\/option><option value='Wright Elementary' >Wright Elementary<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_12_84\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Was this the last school you attended?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_84'>\n\t\t\t<li class='gchoice gchoice_12_84_0'>\n\t\t\t\t<input name='input_84' type='radio' value='Yes'  id='choice_12_84_0'    \/>\n\t\t\t\t<label for='choice_12_84_0' id='label_12_84_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_84_1'>\n\t\t\t\t<input name='input_84' type='radio' value='No'  id='choice_12_84_1'    \/>\n\t\t\t\t<label for='choice_12_84_1' id='label_12_84_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_81\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_81'><span class='gform-field-label__text'>Last year attending that school:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_81' id='input_12_81' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_87\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_87'><span class='gform-field-label__text'>Name of Previous School<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_87' id='input_12_87' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_88\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address of Previous School<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_12_88' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_88_1_container' >\n                                        <input type='text' name='input_88.1' id='input_12_88_1' value=''    aria-required='false'    \/>\n                                        <label for='input_12_88_1' id='input_12_88_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_12_88_2_container' >\n                                        <input type='text' name='input_88.2' id='input_12_88_2' value=''     aria-required='false'   \/>\n                                        <label for='input_12_88_2' id='input_12_88_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_88_3_container' >\n                                    <input type='text' name='input_88.3' id='input_12_88_3' value=''    aria-required='false'    \/>\n                                    <label for='input_12_88_3' id='input_12_88_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_12_88_4_container' >\n                                        <input type='text' name='input_88.4' id='input_12_88_4' value=''      aria-required='false'    \/>\n                                        <label for='input_12_88_4' id='input_12_88_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_12_88_5_container' >\n                                    <input type='text' name='input_88.5' id='input_12_88_5' value=''    aria-required='false'    \/>\n                                    <label for='input_12_88_5' id='input_12_88_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_12_88_6_container' >\n                                        <select name='input_88.6' id='input_12_88_6'   aria-required='false'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_12_88_6' id='input_12_88_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_12_89\" class=\"gfield gfield--type-email field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_89'><span class='gform-field-label__text'>Previous School Email (If Known)<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_89' id='input_12_89' type='email' value='' class='medium'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_12_90\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_90'><span class='gform-field-label__text'>Previous School Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_90' id='input_12_90' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_91\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_91'><span class='gform-field-label__text'>Previous School Fax<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_91' id='input_12_91' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Student&#039;s Legal Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_12_1'>\n                            <span id='input_12_1_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_1.3' id='input_12_1_3' value=''   aria-required='true'    \/>\n                                                    <label for='input_12_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_12_1_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_1.6' id='input_12_1_6' value=''   aria-required='true'    \/>\n                                                    <label for='input_12_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_12_32\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label screen-reader-text' for='input_12_32'><span class='gform-field-label__text'>Middle<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_12_32' type='text' value='' class='medium'  aria-describedby=\"gfield_description_12_32\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_12_32'>Middle<\/div><\/li><li id=\"field_12_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Student Gender<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_6'>\n\t\t\t<li class='gchoice gchoice_12_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Male'  id='choice_12_6_0'    \/>\n\t\t\t\t<label for='choice_12_6_0' id='label_12_6_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Female'  id='choice_12_6_1'    \/>\n\t\t\t\t<label for='choice_12_6_1' id='label_12_6_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_6_2'>\n\t\t\t\t<input name='input_6' type='radio' value='gf_other_choice'  id='choice_12_6_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_12_6_other' name='input_6_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_5\" class=\"gfield gfield--type-date gfield--input-type-datefield gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Student&#039;s Birthdate<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div id='input_12_5' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_12_5_1_container'>\n                                        <input type='number' maxlength='2' name='input_5[]' id='input_12_5_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_12_5_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_12_5_2_container'>\n                                        <input type='number' maxlength='2' name='input_5[]' id='input_12_5_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_12_5_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_12_5_3_container'>\n                                        <input type='number' maxlength='4' name='input_5[]' id='input_12_5_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_12_5_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/div><\/li><li id=\"field_12_83\" class=\"gfield gfield--type-number field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_83'><span class='gform-field-label__text'>Student Number:<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_83' id='input_12_83' type='number' step='any'   value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_description_12_83\" \/><\/div><div class='gfield_description' id='gfield_description_12_83'>This is often referred to as the student's \"9 number.\"  It's a 7-digit number that begins with a 9. This is only applicable if your student has been in the Granite District before.  <\/div><\/li><li id=\"field_12_58\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Race\/Ethnicity<\/h2><\/li><li id=\"field_12_59\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Is this student Hispanic\/Latino?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_59'>\n\t\t\t<li class='gchoice gchoice_12_59_0'>\n\t\t\t\t<input name='input_59' type='radio' value='Yes'  id='choice_12_59_0'    \/>\n\t\t\t\t<label for='choice_12_59_0' id='label_12_59_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_59_1'>\n\t\t\t\t<input name='input_59' type='radio' value='No'  id='choice_12_59_1'    \/>\n\t\t\t\t<label for='choice_12_59_1' id='label_12_59_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_60\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Which of the following groups describe the student&#039;s race?<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_60'><li class='gchoice gchoice_12_60_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.1' type='checkbox'  value='Asian'  id='choice_12_60_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_60_1' id='label_12_60_1' class='gform-field-label gform-field-label--type-inline'>Asian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_60_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.2' type='checkbox'  value='Black'  id='choice_12_60_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_60_2' id='label_12_60_2' class='gform-field-label gform-field-label--type-inline'>Black<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_60_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.3' type='checkbox'  value='Caucasian'  id='choice_12_60_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_60_3' id='label_12_60_3' class='gform-field-label gform-field-label--type-inline'>Caucasian<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_60_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.4' type='checkbox'  value='Native American'  id='choice_12_60_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_60_4' id='label_12_60_4' class='gform-field-label gform-field-label--type-inline'>Native American<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_60_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_60.5' type='checkbox'  value='Pacific Islander'  id='choice_12_60_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_60_5' id='label_12_60_5' class='gform-field-label gform-field-label--type-inline'>Pacific Islander<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_61\" class=\"gfield gfield--type-checkbox gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Native American Tribal Information<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_12_61'><li class='gchoice gchoice_12_61_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.1' type='checkbox'  value='Goshute'  id='choice_12_61_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_61_1' id='label_12_61_1' class='gform-field-label gform-field-label--type-inline'>Goshute<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_61_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.2' type='checkbox'  value='Navajo'  id='choice_12_61_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_61_2' id='label_12_61_2' class='gform-field-label gform-field-label--type-inline'>Navajo<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_61_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.3' type='checkbox'  value='Paiute'  id='choice_12_61_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_61_3' id='label_12_61_3' class='gform-field-label gform-field-label--type-inline'>Paiute<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_61_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.4' type='checkbox'  value='Northwest Band Shoshone'  id='choice_12_61_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_61_4' id='label_12_61_4' class='gform-field-label gform-field-label--type-inline'>Northwest Band Shoshone<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_61_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.5' type='checkbox'  value='Ute'  id='choice_12_61_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_61_5' id='label_12_61_5' class='gform-field-label gform-field-label--type-inline'>Ute<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_12_61_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.6' type='checkbox'  value='Other'  id='choice_12_61_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_12_61_6' id='label_12_61_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_53\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">General Information:<\/h2><\/li><li id=\"field_12_4\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Student&#039;s Home<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_12_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_12_4_1' value=''    aria-required='false'    \/>\n                                        <label for='input_12_4_1' id='input_12_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_12_4_3' value=''    aria-required='false'    \/>\n                                    <label for='input_12_4_3' id='input_12_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_4.4' id='input_12_4_4' value='Utah'\/><span class='ginput_right address_zip ginput_address_zip gform-grid-col' id='input_12_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_12_4_5' value=''    aria-required='false'    \/>\n                                    <label for='input_12_4_5' id='input_12_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_4.6' id='input_12_4_6' value='US' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_12_2\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_2'><span class='gform-field-label__text'>Home Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_2' id='input_12_2' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_45\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Does this student reside in a single parent home?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_45'>\n\t\t\t<li class='gchoice gchoice_12_45_0'>\n\t\t\t\t<input name='input_45' type='radio' value='Yes'  id='choice_12_45_0'    \/>\n\t\t\t\t<label for='choice_12_45_0' id='label_12_45_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_45_1'>\n\t\t\t\t<input name='input_45' type='radio' value='No'  id='choice_12_45_1'    \/>\n\t\t\t\t<label for='choice_12_45_1' id='label_12_45_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_46\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Does the student have healthcare needs?<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_46'>\n\t\t\t<li class='gchoice gchoice_12_46_0'>\n\t\t\t\t<input name='input_46' type='radio' value='Yes'  id='choice_12_46_0'    \/>\n\t\t\t\t<label for='choice_12_46_0' id='label_12_46_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_46_1'>\n\t\t\t\t<input name='input_46' type='radio' value='No'  id='choice_12_46_1'    \/>\n\t\t\t\t<label for='choice_12_46_1' id='label_12_46_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_82\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_82'><span class='gform-field-label__text'>List special needs:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_82' id='input_12_82' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_48\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Has the student received special ed\/504 services?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_48'>\n\t\t\t<li class='gchoice gchoice_12_48_0'>\n\t\t\t\t<input name='input_48' type='radio' value='Yes'  id='choice_12_48_0'    \/>\n\t\t\t\t<label for='choice_12_48_0' id='label_12_48_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_48_1'>\n\t\t\t\t<input name='input_48' type='radio' value='No'  id='choice_12_48_1'    \/>\n\t\t\t\t<label for='choice_12_48_1' id='label_12_48_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_48_2'>\n\t\t\t\t<input name='input_48' type='radio' value='Not Sure'  id='choice_12_48_2'    \/>\n\t\t\t\t<label for='choice_12_48_2' id='label_12_48_2' class='gform-field-label gform-field-label--type-inline'>Not Sure<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_54\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>What was the first language the student learned to speak?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_54'>\n\t\t\t<li class='gchoice gchoice_12_54_0'>\n\t\t\t\t<input name='input_54' type='radio' value='English'  id='choice_12_54_0'    \/>\n\t\t\t\t<label for='choice_12_54_0' id='label_12_54_0' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_54_1'>\n\t\t\t\t<input name='input_54' type='radio' value='Spanish'  id='choice_12_54_1'    \/>\n\t\t\t\t<label for='choice_12_54_1' id='label_12_54_1' class='gform-field-label gform-field-label--type-inline'>Spanish<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_54_2'>\n\t\t\t\t<input name='input_54' type='radio' value='gf_other_choice'  id='choice_12_54_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_12_54_other' name='input_54_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_55\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>What is the language spoken most often by the student?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_55'>\n\t\t\t<li class='gchoice gchoice_12_55_0'>\n\t\t\t\t<input name='input_55' type='radio' value='English'  id='choice_12_55_0'    \/>\n\t\t\t\t<label for='choice_12_55_0' id='label_12_55_0' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_55_1'>\n\t\t\t\t<input name='input_55' type='radio' value='Spanish'  id='choice_12_55_1'    \/>\n\t\t\t\t<label for='choice_12_55_1' id='label_12_55_1' class='gform-field-label gform-field-label--type-inline'>Spanish<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_55_2'>\n\t\t\t\t<input name='input_55' type='radio' value='gf_other_choice'  id='choice_12_55_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_12_55_other' name='input_55_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_56\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>What is the language most often spoken in the home?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_56'>\n\t\t\t<li class='gchoice gchoice_12_56_0'>\n\t\t\t\t<input name='input_56' type='radio' value='English'  id='choice_12_56_0'    \/>\n\t\t\t\t<label for='choice_12_56_0' id='label_12_56_0' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_56_1'>\n\t\t\t\t<input name='input_56' type='radio' value='Spanish'  id='choice_12_56_1'    \/>\n\t\t\t\t<label for='choice_12_56_1' id='label_12_56_1' class='gform-field-label gform-field-label--type-inline'>Spanish<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_56_2'>\n\t\t\t\t<input name='input_56' type='radio' value='gf_other_choice'  id='choice_12_56_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_12_56_other' name='input_56_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_57\" class=\"gfield gfield--type-radio gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>What language do you prefer for school home communication?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_57'>\n\t\t\t<li class='gchoice gchoice_12_57_0'>\n\t\t\t\t<input name='input_57' type='radio' value='English'  id='choice_12_57_0'    \/>\n\t\t\t\t<label for='choice_12_57_0' id='label_12_57_0' class='gform-field-label gform-field-label--type-inline'>English<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_57_1'>\n\t\t\t\t<input name='input_57' type='radio' value='Spanish'  id='choice_12_57_1'    \/>\n\t\t\t\t<label for='choice_12_57_1' id='label_12_57_1' class='gform-field-label gform-field-label--type-inline'>Spanish<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_57_2'>\n\t\t\t\t<input name='input_57' type='radio' value='gf_other_choice'  id='choice_12_57_2'   onfocus=\"jQuery(this).next('input').focus();\" \/>\n\t\t\t\t<input class='small' id='input_12_57_other' name='input_57_other' type='text' value='Other' aria-label='Other' onfocus='jQuery(this).prev(\"input\")[0].click(); if(jQuery(this).val() == \"Other\") { jQuery(this).val(\"\"); }' onblur='if(jQuery(this).val().replace(\" \", \"\") == \"\") { jQuery(this).val(\"Other\"); }'   \/>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_14\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">***PARENT\/GUARDIAN NAME(S) AND ADDITIONAL CONTACTS***<\/h2><\/li><li id=\"field_12_7\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Parent\/Guardian Name #1<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_7' id='input_12_7' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_8\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_8'><span class='gform-field-label__text'>Relation<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_12_8' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_9\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Lives With<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_9'>\n\t\t\t<li class='gchoice gchoice_12_9_0'>\n\t\t\t\t<input name='input_9' type='radio' value='Yes'  id='choice_12_9_0'    \/>\n\t\t\t\t<label for='choice_12_9_0' id='label_12_9_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_9_1'>\n\t\t\t\t<input name='input_9' type='radio' value='No'  id='choice_12_9_1'    \/>\n\t\t\t\t<label for='choice_12_9_1' id='label_12_9_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_10\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Release (Can the student be checked out by this individual?)<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_10'>\n\t\t\t<li class='gchoice gchoice_12_10_0'>\n\t\t\t\t<input name='input_10' type='radio' value='Yes'  id='choice_12_10_0'    \/>\n\t\t\t\t<label for='choice_12_10_0' id='label_12_10_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_10_1'>\n\t\t\t\t<input name='input_10' type='radio' value='No'  id='choice_12_10_1'    \/>\n\t\t\t\t<label for='choice_12_10_1' id='label_12_10_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_11\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_11'><span class='gform-field-label__text'>Home Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_12_11' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_12\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_12'><span class='gform-field-label__text'>Work Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_12' id='input_12_12' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_13\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_13'><span class='gform-field-label__text'>Cell Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_13' id='input_12_13' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_16\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Parent\/Guardian Name #2<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_16' id='input_12_16' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_17\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_17'><span class='gform-field-label__text'>Relation<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_12_17' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_18\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Lives With<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_18'>\n\t\t\t<li class='gchoice gchoice_12_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='Yes'  id='choice_12_18_0'    \/>\n\t\t\t\t<label for='choice_12_18_0' id='label_12_18_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='No'  id='choice_12_18_1'    \/>\n\t\t\t\t<label for='choice_12_18_1' id='label_12_18_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_19\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Release (Can the student be checked out by this individual?)<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_19'>\n\t\t\t<li class='gchoice gchoice_12_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='Yes'  id='choice_12_19_0'    \/>\n\t\t\t\t<label for='choice_12_19_0' id='label_12_19_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='No'  id='choice_12_19_1'    \/>\n\t\t\t\t<label for='choice_12_19_1' id='label_12_19_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_20\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_20'><span class='gform-field-label__text'>Home Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_20' id='input_12_20' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_21\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_21'><span class='gform-field-label__text'>Work Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_21' id='input_12_21' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_22\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_22'><span class='gform-field-label__text'>Cell Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_22' id='input_12_22' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_24\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Parent\/Guardian Name #3<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_24' id='input_12_24' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_25\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_25'><span class='gform-field-label__text'>Relation<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_12_25' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_26\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Lives With<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_26'>\n\t\t\t<li class='gchoice gchoice_12_26_0'>\n\t\t\t\t<input name='input_26' type='radio' value='Yes'  id='choice_12_26_0'    \/>\n\t\t\t\t<label for='choice_12_26_0' id='label_12_26_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_26_1'>\n\t\t\t\t<input name='input_26' type='radio' value='No'  id='choice_12_26_1'    \/>\n\t\t\t\t<label for='choice_12_26_1' id='label_12_26_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_27\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Release (Can the student be checked out by this individual?)<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_12_27'>\n\t\t\t<li class='gchoice gchoice_12_27_0'>\n\t\t\t\t<input name='input_27' type='radio' value='Yes'  id='choice_12_27_0'    \/>\n\t\t\t\t<label for='choice_12_27_0' id='label_12_27_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_12_27_1'>\n\t\t\t\t<input name='input_27' type='radio' value='No'  id='choice_12_27_1'    \/>\n\t\t\t\t<label for='choice_12_27_1' id='label_12_27_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_12_28\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_28'><span class='gform-field-label__text'>Home Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_28' id='input_12_28' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_29\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_29'><span class='gform-field-label__text'>Work Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_29' id='input_12_29' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_30\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_30'><span class='gform-field-label__text'>Cell Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_30' id='input_12_30' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_31\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">******PERSON TO CALL IN EMERGENCY WHEN PARENT CANNOT BE REACHED******<\/h2><\/li><li id=\"field_12_33\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Emergency Contact #1<\/span><\/label><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_12_33'>\n                            <span id='input_12_33_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_33.3' id='input_12_33_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_12_33_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_12_33_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_33.6' id='input_12_33_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_12_33_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_12_34\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_34'><span class='gform-field-label__text'>Home Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_34' id='input_12_34' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_35\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_35'><span class='gform-field-label__text'>Work Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_35' id='input_12_35' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_36\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_36'><span class='gform-field-label__text'>Cell Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_36' id='input_12_36' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_37\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Emergency Contact #2<\/span><\/label><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_12_37'>\n                            <span id='input_12_37_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_37.3' id='input_12_37_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_12_37_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_12_37_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_37.6' id='input_12_37_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_12_37_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_12_38\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_38'><span class='gform-field-label__text'>Home Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_38' id='input_12_38' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_39\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_39'><span class='gform-field-label__text'>Work Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_39' id='input_12_39' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_40\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_40'><span class='gform-field-label__text'>Cell Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_40' id='input_12_40' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_41\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name of Emergency Contact #3<\/span><\/label><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_12_41'>\n                            <span id='input_12_41_3_container' class='name_first gform-grid-col' >\n                                                    <input type='text' name='input_41.3' id='input_12_41_3' value=''   aria-required='false'    \/>\n                                                    <label for='input_12_41_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                               <\/span>\n                            <span id='input_12_41_6_container' class='name_last gform-grid-col' >\n                                                    <input type='text' name='input_41.6' id='input_12_41_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_12_41_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_12_42\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_42'><span class='gform-field-label__text'>Home Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_42' id='input_12_42' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_43\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_43'><span class='gform-field-label__text'>Work Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_43' id='input_12_43' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_44\" class=\"gfield gfield--type-phone gfield--phone-format-standard field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_44'><span class='gform-field-label__text'>Cell Phone<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_44' id='input_12_44' type='tel' value='' class='medium'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/li><li id=\"field_12_64\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Previous School Attended<\/h2><\/li><li id=\"field_12_62\" class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_62'><span class='gform-field-label__text'>School<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_12_62' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_12_63\" class=\"gfield gfield--type-address field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_12_63' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_12_63_1_container' >\n                                        <input type='text' name='input_63.1' id='input_12_63_1' value=''    aria-required='false'    \/>\n                                        <label for='input_12_63_1' id='input_12_63_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_12_63_3_container' >\n                                    <input type='text' name='input_63.3' id='input_12_63_3' value=''    aria-required='false'    \/>\n                                    <label for='input_12_63_3' id='input_12_63_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_12_63_4_container' >\n                                        <select name='input_63.4' id='input_12_63_4'     aria-required='false'    ><option value='' selected='selected'><\/option><option value='Alabama' >Alabama<\/option><option value='Alaska' >Alaska<\/option><option value='American Samoa' >American Samoa<\/option><option value='Arizona' >Arizona<\/option><option value='Arkansas' >Arkansas<\/option><option value='California' >California<\/option><option value='Colorado' >Colorado<\/option><option value='Connecticut' >Connecticut<\/option><option value='Delaware' >Delaware<\/option><option value='District of Columbia' >District of Columbia<\/option><option value='Florida' >Florida<\/option><option value='Georgia' >Georgia<\/option><option value='Guam' >Guam<\/option><option value='Hawaii' >Hawaii<\/option><option value='Idaho' >Idaho<\/option><option value='Illinois' >Illinois<\/option><option value='Indiana' >Indiana<\/option><option value='Iowa' >Iowa<\/option><option value='Kansas' >Kansas<\/option><option value='Kentucky' >Kentucky<\/option><option value='Louisiana' >Louisiana<\/option><option value='Maine' >Maine<\/option><option value='Maryland' >Maryland<\/option><option value='Massachusetts' >Massachusetts<\/option><option value='Michigan' >Michigan<\/option><option value='Minnesota' >Minnesota<\/option><option value='Mississippi' >Mississippi<\/option><option value='Missouri' >Missouri<\/option><option value='Montana' >Montana<\/option><option value='Nebraska' >Nebraska<\/option><option value='Nevada' >Nevada<\/option><option value='New Hampshire' >New Hampshire<\/option><option value='New Jersey' >New Jersey<\/option><option value='New Mexico' >New Mexico<\/option><option value='New York' >New York<\/option><option value='North Carolina' >North Carolina<\/option><option value='North Dakota' >North Dakota<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Ohio' >Ohio<\/option><option value='Oklahoma' >Oklahoma<\/option><option value='Oregon' >Oregon<\/option><option value='Pennsylvania' >Pennsylvania<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Rhode Island' >Rhode Island<\/option><option value='South Carolina' >South Carolina<\/option><option value='South Dakota' >South Dakota<\/option><option value='Tennessee' >Tennessee<\/option><option value='Texas' >Texas<\/option><option value='Utah' >Utah<\/option><option value='U.S. Virgin Islands' >U.S. Virgin Islands<\/option><option value='Vermont' >Vermont<\/option><option value='Virginia' >Virginia<\/option><option value='Washington' >Washington<\/option><option value='West Virginia' >West Virginia<\/option><option value='Wisconsin' >Wisconsin<\/option><option value='Wyoming' >Wyoming<\/option><option value='Armed Forces Americas' >Armed Forces Americas<\/option><option value='Armed Forces Europe' >Armed Forces Europe<\/option><option value='Armed Forces Pacific' >Armed Forces Pacific<\/option><\/select>\n                                        <label for='input_12_63_4' id='input_12_63_4_label' class='gform-field-label gform-field-label--type-sub '>State<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_12_63_5_container' >\n                                    <input type='text' name='input_63.5' id='input_12_63_5' value=''    aria-required='false'    \/>\n                                    <label for='input_12_63_5' id='input_12_63_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_63.6' id='input_12_63_6' value='US' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_12_65\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Siblings in District<\/h2><\/li><li id=\"field_12_66\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Sibling Name<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_66' id='input_12_66' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_67\" class=\"gfield gfield--type-date gfield--input-type-datefield field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Birth Date<\/span><\/label><div id='input_12_67' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_12_67_1_container'>\n                                        <input type='number' maxlength='2' name='input_67[]' id='input_12_67_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_12_67_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_12_67_2_container'>\n                                        <input type='number' maxlength='2' name='input_67[]' id='input_12_67_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_12_67_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_12_67_3_container'>\n                                        <input type='number' maxlength='4' name='input_67[]' id='input_12_67_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_12_67_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/div><\/li><li id=\"field_12_68\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Sibling Name<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_68' id='input_12_68' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_69\" class=\"gfield gfield--type-date gfield--input-type-datefield field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Birth Date<\/span><\/label><div id='input_12_69' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_12_69_1_container'>\n                                        <input type='number' maxlength='2' name='input_69[]' id='input_12_69_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_12_69_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_12_69_2_container'>\n                                        <input type='number' maxlength='2' name='input_69[]' id='input_12_69_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_12_69_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_12_69_3_container'>\n                                        <input type='number' maxlength='4' name='input_69[]' id='input_12_69_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_12_69_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/div><\/li><li id=\"field_12_70\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Sibling Name<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_70' id='input_12_70' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_71\" class=\"gfield gfield--type-date gfield--input-type-datefield field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Birth Date<\/span><\/label><div id='input_12_71' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_12_71_1_container'>\n                                        <input type='number' maxlength='2' name='input_71[]' id='input_12_71_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_12_71_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_12_71_2_container'>\n                                        <input type='number' maxlength='2' name='input_71[]' id='input_12_71_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_12_71_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_12_71_3_container'>\n                                        <input type='number' maxlength='4' name='input_71[]' id='input_12_71_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_12_71_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/div><\/li><li id=\"field_12_72\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Sibling Name<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_72' id='input_12_72' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_73\" class=\"gfield gfield--type-date gfield--input-type-datefield field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Birth Date<\/span><\/label><div id='input_12_73' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_12_73_1_container'>\n                                        <input type='number' maxlength='2' name='input_73[]' id='input_12_73_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_12_73_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_12_73_2_container'>\n                                        <input type='number' maxlength='2' name='input_73[]' id='input_12_73_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_12_73_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_12_73_3_container'>\n                                        <input type='number' maxlength='4' name='input_73[]' id='input_12_73_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_12_73_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/div><\/li><li id=\"field_12_74\" class=\"gfield gfield--type-name field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Sibling Name<\/span><\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_74' id='input_12_74' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_12_75\" class=\"gfield gfield--type-date gfield--input-type-datefield field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Birth Date<\/span><\/label><div id='input_12_75' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_12_75_1_container'>\n                                        <input type='number' maxlength='2' name='input_75[]' id='input_12_75_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                        <label for='input_12_75_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                                    <\/div><div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_12_75_2_container'>\n                                        <input type='number' maxlength='2' name='input_75[]' id='input_12_75_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_12_75_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_12_75_3_container'>\n                                        <input type='number' maxlength='4' name='input_75[]' id='input_12_75_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                        <label for='input_12_75_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                   <\/div>\n                               <\/div><\/div><\/li><li id=\"field_12_76\" class=\"gfield gfield--type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Final Section<\/h2><\/li><li id=\"field_12_77\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_12_77'><span class='gform-field-label__text'>Parent\/Guardian Signature<\/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_77' id='input_12_77' type='text' value='' class='medium'  aria-describedby=\"gfield_description_12_77\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_12_77'>Please type your name to indicate the information on this form is accurate.<\/div><\/li><li id=\"field_12_78\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_12_78_container'>\n                                <span id='input_12_78_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_78' id='input_12_78' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_12_78\" \/>\n                                    <label for='input_12_78' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_12_78_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_78_2' id='input_12_78_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_12_78\" \/>\n                                    <label for='input_12_78_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><div class='gfield_description' id='gfield_description_12_78'>This email address will be used to send your student's class schedule. It is vital that we have a valid email on file. <\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_12' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_12' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_12' id='gform_theme_12' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_12' id='gform_style_settings_12' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_12' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='12' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='ASxFZBsQSyGZZhUsEH6ydkvg+REBqjNXdZ9bAuO+kEJKoG3HuuhQomgSZlLXB1kZesAd74hFPu6SwR50td9YXrVnKuh0SHKrFa6Wd\/j0VO1wY00=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_12' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_12' id='gform_target_page_number_12' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_12' id='gform_source_page_number_12' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n<div class=\"pg-nav border-yes\"><div class=\"pg-nav-wrap\"><div class=\"one-third first\"><a class=\"button display-yes\" href=\"https:\/\/schools.graniteschools.org\/westlakestem\/registration\/\">Previous<\/a><\/div><div class=\"one-third\"><a class=\"button display-no\" href=\"https:\/\/schools.graniteschools.org\/westlakestem\/registration\/\">Home<\/a><\/div><div class=\"one-third\"><a class=\"button display-no\" href=\"https:\/\/schools.graniteschools.org\/westlakestem\/7th-grade-registration-documents\/\">Next<\/a><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":15,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_cbd_carousel_blocks":"[]","inline_featured_image":false,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","_gsd_hide_title":false,"footnotes":""},"coauthors":[],"class_list":["post-293","page","type-page","status-publish","entry"],"featured_image_src":null,"featured_image_src_square":null,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/P72fRD-4J","_links":{"self":[{"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/pages\/293","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/comments?post=293"}],"version-history":[{"count":1,"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/pages\/293\/revisions"}],"predecessor-version":[{"id":31760,"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/pages\/293\/revisions\/31760"}],"wp:attachment":[{"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/media?parent=293"}],"wp:term":[{"taxonomy":"author","embeddable":true,"href":"https:\/\/schools.graniteschools.org\/westlakestem\/wp-json\/wp\/v2\/coauthors?post=293"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}