Here’s the content from the Form tab panel:
<label> Email Address:
[email* email] </label>
<label> Participant’s Name(s):
[text* participant-name] </label>
<label> Number of Participants:</label>
[select* participant-number “1” “2” “3” “4” “5”]
<label> Male/Female:</label>
[radio gender default:1 “Male|m” “Female|f” “Prefer not to say|x”]
<label> Participant’s Age:
[text* age] </label>
<label> Skill Level:</label>
[select* skill “Never skateboarded before|0” “Beginner: Less than 1 year|1” “Beginner: More than 1 year|2” “Intermediate|3” “Advanced|4”]
<label> Session(s):</label>
[checkbox* session “Session 1: July 2 – 5 (short week: $200)|200.00”
“Session 2: July 8 – 12|250.00”
“Session 3: July 15 – 19|250.00”
“Session 4: July 22 – 26|250.00”
“Session 5: July 29 – August 2|250.00”
“Session 6: August 6 – 9 (short week: $200)|200.00”
“Session 7: August 12 – 16|250.00”
“Session 8: August 19 – 23|250.00”
“Session 9: August 26 – 30|250.00”]
<label> Extended Care: 8:30am-5pm (+$50/week)*:</label>
[radio early-late default:1 “No” “Yes”]
<label> Parent/Guardian Name:
[text* parent-name] </label>
<label> Phone Number:
[text* phone] </label>
<label> Address:
[text* address] </label>
<label> Emergency Contact – Name:
[text* emergency-name] </label>
<label> Emergency Contact – Relationship (friend, aunt, etc..):
[text* emergency-rel] </label>
<label> Emergency Contact – Phone Number:
[text* emergency-phone] </label>
<label> How did you hear about us?
[text how] </label>
<label> Comments:
[textarea comments x3] </label>
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Upon submission you will be re-directed to PayPal. If you prefer to pay by another method, please mention it in the ‘comments’ field above, and exit PayPal after submitting the form.
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*Payment for extended care can be made on the first day of camp.
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<p style=”text-align:center”>[submit “Send”]</p>
