{"id":423,"date":"2024-11-24T07:21:46","date_gmt":"2024-11-24T07:21:46","guid":{"rendered":"http:\/\/52.23.159.25\/?page_id=423"},"modified":"2024-11-24T08:12:04","modified_gmt":"2024-11-24T08:12:04","slug":"register","status":"publish","type":"page","link":"https:\/\/www.sfamtlavinia.com\/index.php\/register\/","title":{"rendered":"Register"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f394-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"394\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php\/wp-json\/wp\/v2\/pages\/423#wpcf7-f394-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"394\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f394-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_uacf7_hidden_conditional_fields\" value=\"\" \/>\n<\/fieldset>\n<div class=\"uacf7-form-wrapper-container uacf7-form-394  \"><div class=\"custom-contact-form\">\n  <label>First Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"First-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" autocomplete=\"first-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"First-name\" \/><\/span>\n  <\/label>\n\n  <label>Last Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"Last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" autocomplete=\"last-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Last-name\" \/><\/span>\n  <\/label>\n\n  <div class=\"row\">\n    <div class=\"field\">\n      <p>Gender<\/p>\n      <p class=\"radio-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"Gender\"><span class=\"wpcf7-form-control wpcf7-radio radio-field\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Gender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/label><\/span><\/span><\/span>\n      <\/p>\n    <\/div>\n  \n    <div class=\"field\">\n      <p>Baptized<\/p>\n      <p class=\"radio-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"Baptized\"><span class=\"wpcf7-form-control wpcf7-radio radio-field\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Baptized\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Baptized\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n      <\/p>\n    <\/div>\n  <\/div>\n<p>DOB<\/p>\n<div class=\"dob-container\">\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"dob-day\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"dob-day\"><option value=\"Day\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"dob-month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"dob-month\"><option value=\"Month\">Month<\/option><option value=\"January\">January<\/option><option value=\"February\">February<\/option><option value=\"March\">March<\/option><option value=\"April\">April<\/option><option value=\"May\">May<\/option><option value=\"June\">June<\/option><option value=\"July\">July<\/option><option value=\"August\">August<\/option><option value=\"September\">September<\/option><option value=\"October\">October<\/option><option value=\"November\">November<\/option><option value=\"December\">December<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"dob-year\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"dob-year\"><option value=\"Year\">Year<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><\/select><\/span>\n<\/div>\n\n  <p>Phone<\/p>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Phone\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number input-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"Phone\" \/><\/span>\n\n \n  <h4>Are you currently Married?<\/h4>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Married\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required dropdown\" aria-required=\"true\" aria-invalid=\"false\" name=\"Married\"><option value=\"No\">No<\/option><option value=\"Yes\">Yes<\/option><\/select><\/span>\n\n\n  <div class=\"uacf7_conditional married-condition\">\n  <label>Spouse First Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"Spouse-first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" autocomplete=\"partner-first-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Spouse-first-name\" \/><\/span>\n  <\/label>\n  <label>Spouse Last Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"Spouse-last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" autocomplete=\"partner-last-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Spouse-last-name\" \/><\/span>\n  <\/label>\n<div class=\"row\">\n<div class=\"field\">\n      <p>Gender<\/p>\n      <p class=\"radio-group\">\n        <span class=\"wpcf7-form-control-wrap\" data-name=\"Spouse-Gender\"><span class=\"wpcf7-form-control wpcf7-radio radio-field\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Spouse-Gender\" value=\"Male\" \/><span class=\"wpcf7-list-item-label\">Male<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Spouse-Gender\" value=\"Female\" \/><span class=\"wpcf7-list-item-label\">Female<\/span><\/label><\/span><\/span><\/span>\n      <\/p>\n    <\/div>\n\n<div class=\"field\">\n    <p>Baptized<\/p>\n    <p class=\"radio-group\">\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"Spouse-Baptized\"><span class=\"wpcf7-form-control wpcf7-radio radio-field\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"Spouse-Baptized\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"Spouse-Baptized\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n    <\/p>\n  <\/div>\n<\/div>\n  <p>Spouse Phone<\/p>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Spouse-Phone\"><input class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number input-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"number\" name=\"Spouse-Phone\" \/><\/span>\n  <p>Spouse DOB<\/p>\n  \n <div class=\"dob-container\">\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-dob-day\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"spouse-dob-day\"><option value=\"Day\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-dob-month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"spouse-dob-month\"><option value=\"Month\">Month<\/option><option value=\"January\">January<\/option><option value=\"February\">February<\/option><option value=\"March\">March<\/option><option value=\"April\">April<\/option><option value=\"May\">May<\/option><option value=\"June\">June<\/option><option value=\"July\">July<\/option><option value=\"August\">August<\/option><option value=\"September\">September<\/option><option value=\"October\">October<\/option><option value=\"November\">November<\/option><option value=\"December\">December<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"spouse-dob-year\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"spouse-dob-year\"><option value=\"Year\">Year<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><\/select><\/span>\n<\/div>\n\n  \n  <h4>Do you have any Children?<\/h4>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required dropdown\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child\"><option value=\"No\">No<\/option><option value=\"Yes\">Yes<\/option><\/select><\/span>\n<\/div>\n\n  <div class=\"uacf7_conditional child-condition\">\n<h5>Child 1<\/h5>\n<label>Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"child1-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child1-name\" \/><\/span>\n<\/label>\n\n<div class=\"row\">\n  <div class=\"field\">\n    <p>Gender<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child1-Gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child1-Gender\"><option value=\"Select\">Select<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n    <\/p>\n  <\/div>\n\n\n\n  <div class=\"field\">\n    <p>Baptized<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child1-Baptized\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child1-Baptized\"><option value=\"Select\">Select<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\n    <\/p>\n  <\/div>\n\n<\/div>\n<p>DOB<\/p>\n<div class=\"dob-container\">\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-dob-day\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-dob-day\"><option value=\"Day\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-dob-month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-dob-month\"><option value=\"Month\">Month<\/option><option value=\"January\">January<\/option><option value=\"February\">February<\/option><option value=\"March\">March<\/option><option value=\"April\">April<\/option><option value=\"May\">May<\/option><option value=\"June\">June<\/option><option value=\"July\">July<\/option><option value=\"August\">August<\/option><option value=\"September\">September<\/option><option value=\"October\">October<\/option><option value=\"November\">November<\/option><option value=\"December\">December<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-dob-year\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-dob-year\"><option value=\"Year\">Year<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><\/select><\/span>\n<\/div>\n\n\n<h5>Child 2<\/h5>\n<label>Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"child2-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child2-name\" \/><\/span>\n  <\/label>\n \n  <div class=\"row\">\n  <div class=\"field\">\n    <p>Gender<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child2-Gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child2-Gender\"><option value=\"Select\">Select<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n    <\/p>\n  <\/div>\n\n  <div class=\"field\">\n    <p>Baptized<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child2-Baptized\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child2-Baptized\"><option value=\"Select\">Select<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\n    <\/p>\n  <\/div>\n<\/div>\n  <p>DOB<\/p>\n  <div class=\"dob-container\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-two-dob-day\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-two-dob-day\"><option value=\"Day\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-two-dob-month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-two-dob-month\"><option value=\"Month\">Month<\/option><option value=\"January\">January<\/option><option value=\"February\">February<\/option><option value=\"March\">March<\/option><option value=\"April\">April<\/option><option value=\"May\">May<\/option><option value=\"June\">June<\/option><option value=\"July\">July<\/option><option value=\"August\">August<\/option><option value=\"September\">September<\/option><option value=\"October\">October<\/option><option value=\"November\">November<\/option><option value=\"December\">December<\/option><\/select><\/span>\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-two-dob-year\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-two-dob-year\"><option value=\"Year\">Year<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><\/select><\/span>\n<\/div>\n\n\n<h5>Child 3<\/h5>\n<label>Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"child3-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child3-name\" \/><\/span>\n  <\/label>\n \n  <div class=\"row\">\n  <div class=\"field\">\n    <p>Gender<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child3-Gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child3-Gender\"><option value=\"Select\">Select<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n    <\/p>\n  <\/div>\n\n  <div class=\"field\">\n    <p>Baptized<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child3-Baptized\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child3-Baptized\"><option value=\"Select\">Select<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\n    <\/p>\n  <\/div>\n<\/div>\n  <p>DOB<\/p>\n   <div class=\"dob-container\">\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-three-dob-day\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-three-dob-day\"><option value=\"Day\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-three-dob-month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-three-dob-month\"><option value=\"Month\">Month<\/option><option value=\"January\">January<\/option><option value=\"February\">February<\/option><option value=\"March\">March<\/option><option value=\"April\">April<\/option><option value=\"May\">May<\/option><option value=\"June\">June<\/option><option value=\"July\">July<\/option><option value=\"August\">August<\/option><option value=\"September\">September<\/option><option value=\"October\">October<\/option><option value=\"November\">November<\/option><option value=\"December\">December<\/option><\/select><\/span>\n\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-three-dob-year\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-three-dob-year\"><option value=\"Year\">Year<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><\/select><\/span>\n<\/div>\n\n<h5>Child 4<\/h5>\n<label>Name\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"child4-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"child4-name\" \/><\/span>\n<\/label>\n\n<div class=\"row\">\n  <div class=\"field\">\n    <p>Gender<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child4-Gender\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child4-Gender\"><option value=\"Select\">Select<\/option><option value=\"Male\">Male<\/option><option value=\"Female\">Female<\/option><\/select><\/span>\n    <\/p>\n  <\/div>\n\n\n\n  <div class=\"field\">\n    <p>Baptized<\/p>\n    <p class=\"radio-group\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Child4-Baptized\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Child4-Baptized\"><option value=\"Select\">Select<\/option><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\n    <\/p>\n  <\/div>\n\n<\/div>\n<p>DOB<\/p>\n<div class=\"dob-container\">\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-four-dob-day\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-four-dob-day\"><option value=\"Day\">Day<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><option value=\"11\">11<\/option><option value=\"12\">12<\/option><option value=\"13\">13<\/option><option value=\"14\">14<\/option><option value=\"15\">15<\/option><option value=\"16\">16<\/option><option value=\"17\">17<\/option><option value=\"18\">18<\/option><option value=\"19\">19<\/option><option value=\"20\">20<\/option><option value=\"21\">21<\/option><option value=\"22\">22<\/option><option value=\"23\">23<\/option><option value=\"24\">24<\/option><option value=\"25\">25<\/option><option value=\"26\">26<\/option><option value=\"27\">27<\/option><option value=\"28\">28<\/option><option value=\"29\">29<\/option><option value=\"30\">30<\/option><option value=\"31\">31<\/option><\/select><\/span>\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-four-dob-month\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-four-dob-month\"><option value=\"Month\">Month<\/option><option value=\"January\">January<\/option><option value=\"February\">February<\/option><option value=\"March\">March<\/option><option value=\"April\">April<\/option><option value=\"May\">May<\/option><option value=\"June\">June<\/option><option value=\"July\">July<\/option><option value=\"August\">August<\/option><option value=\"September\">September<\/option><option value=\"October\">October<\/option><option value=\"November\">November<\/option><option value=\"December\">December<\/option><\/select><\/span>\n\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"child-four-dob-year\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"child-four-dob-year\"><option value=\"Year\">Year<\/option><option value=\"2025\">2025<\/option><option value=\"2024\">2024<\/option><option value=\"2023\">2023<\/option><option value=\"2022\">2022<\/option><option value=\"2021\">2021<\/option><option value=\"2020\">2020<\/option><option value=\"2019\">2019<\/option><option value=\"2018\">2018<\/option><option value=\"2017\">2017<\/option><option value=\"2016\">2016<\/option><option value=\"2015\">2015<\/option><option value=\"2014\">2014<\/option><option value=\"2013\">2013<\/option><option value=\"2012\">2012<\/option><option value=\"2011\">2011<\/option><option value=\"2010\">2010<\/option><option value=\"2009\">2009<\/option><option value=\"2008\">2008<\/option><option value=\"2007\">2007<\/option><option value=\"2006\">2006<\/option><option value=\"2005\">2005<\/option><option value=\"2004\">2004<\/option><option value=\"2003\">2003<\/option><option value=\"2002\">2002<\/option><option value=\"2001\">2001<\/option><option value=\"2000\">2000<\/option><option value=\"1999\">1999<\/option><option value=\"1998\">1998<\/option><option value=\"1997\">1997<\/option><option value=\"1996\">1996<\/option><option value=\"1995\">1995<\/option><option value=\"1994\">1994<\/option><option value=\"1993\">1993<\/option><option value=\"1992\">1992<\/option><option value=\"1991\">1991<\/option><option value=\"1990\">1990<\/option><option value=\"1989\">1989<\/option><option value=\"1988\">1988<\/option><option value=\"1987\">1987<\/option><option value=\"1986\">1986<\/option><option value=\"1985\">1985<\/option><option value=\"1984\">1984<\/option><option value=\"1983\">1983<\/option><option value=\"1982\">1982<\/option><option value=\"1981\">1981<\/option><option value=\"1980\">1980<\/option><option value=\"1979\">1979<\/option><option value=\"1978\">1978<\/option><option value=\"1977\">1977<\/option><option value=\"1976\">1976<\/option><option value=\"1975\">1975<\/option><option value=\"1974\">1974<\/option><option value=\"1973\">1973<\/option><option value=\"1972\">1972<\/option><option value=\"1971\">1971<\/option><option value=\"1970\">1970<\/option><option value=\"1969\">1969<\/option><option value=\"1968\">1968<\/option><option value=\"1967\">1967<\/option><option value=\"1966\">1966<\/option><option value=\"1965\">1965<\/option><option value=\"1964\">1964<\/option><option value=\"1963\">1963<\/option><option value=\"1962\">1962<\/option><option value=\"1961\">1961<\/option><option value=\"1960\">1960<\/option><option value=\"1959\">1959<\/option><option value=\"1958\">1958<\/option><option value=\"1957\">1957<\/option><option value=\"1956\">1956<\/option><option value=\"1955\">1955<\/option><option value=\"1954\">1954<\/option><option value=\"1953\">1953<\/option><option value=\"1952\">1952<\/option><option value=\"1951\">1951<\/option><option value=\"1950\">1950<\/option><option value=\"1949\">1949<\/option><option value=\"1948\">1948<\/option><option value=\"1947\">1947<\/option><option value=\"1946\">1946<\/option><option value=\"1945\">1945<\/option><option value=\"1944\">1944<\/option><option value=\"1943\">1943<\/option><option value=\"1942\">1942<\/option><option value=\"1941\">1941<\/option><option value=\"1940\">1940<\/option><option value=\"1939\">1939<\/option><option value=\"1938\">1938<\/option><option value=\"1937\">1937<\/option><option value=\"1936\">1936<\/option><option value=\"1935\">1935<\/option><option value=\"1934\">1934<\/option><option value=\"1933\">1933<\/option><option value=\"1932\">1932<\/option><option value=\"1931\">1931<\/option><option value=\"1930\">1930<\/option><option value=\"1929\">1929<\/option><option value=\"1928\">1928<\/option><option value=\"1927\">1927<\/option><option value=\"1926\">1926<\/option><\/select><\/span>\n<\/div>\n\n  <\/div>\n  \n\n  <h4>Do you reside in Sri Lanka?<\/h4>\n  <span class=\"wpcf7-form-control-wrap\" data-name=\"Living\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required dropdown\" aria-required=\"true\" aria-invalid=\"false\" name=\"Living\"><option value=\"Yes\">Yes<\/option><option value=\"No\">No<\/option><\/select><\/span>\n\n  <div class=\"uacf7_conditional living-condition\">\n  <label>Permanent Address\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"PerAddr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" autocomplete=\"permanent-address\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"PerAddr\" \/><\/span>\n  <\/label>\n  <label>Temporary Address\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"TemAddr\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" autocomplete=\"temporary-address\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"TemAddr\" \/><\/span>\n  <\/label>\n  <\/div>\n\n  <div class=\"uacf7_conditional no-living-condition\">\n  <label>Country\n    <span class=\"wpcf7-form-control-wrap\" data-name=\"Country\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required input-field\" autocomplete=\"country-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Country\" \/><\/span>\n  <\/label>\n  <\/div>\n\n<p>Remarks\/Comments:<\/p>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Remarks\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea wpcf7-validates-as-required input-field\" aria-required=\"true\" aria-invalid=\"false\" name=\"Remarks\"><\/textarea><\/span>\n\n\n  <input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/div>\n<style>\n.dob-container {\n  display: flex;\n  gap: 10px; \/* Adjusts spacing between the dropdowns *\/\n  align-items: center; \/* Aligns dropdowns vertically *\/\n}\n\n.dob-container select {\n  padding: 5px;\n  font-size: 14px;\n  border: 1px solid #ccc;\n  border-radius: 4px;\n}\n\n  .custom-contact-form {\n    max-width: 600px;\n    margin: 0 auto;\n    padding: 20px;\n    background: #b4d8d7;\n    border-radius: 8px;\n    box-shadow: 0 4px 6px rgba(0, 0, 0, 0.1);\n    font-family: Arial, sans-serif;\n  }\n\n  .custom-contact-form label {\n    display: block;\n    font-size: 14px;\n    margin-bottom: 5px;\n    color: #333;\n  }\n\n  .custom-contact-form .input-field,\n  .custom-contact-form input[type=\"number\"],\n  .custom-contact-form input[type=\"text\"],\n  .custom-contact-form input[type=\"date\"],\n  .custom-contact-form select {\n    display: block;\n    width: 100% !important; \/* Ensures full width *\/\n    max-width: 100%; \/* Prevents width overflow *\/\n    padding: 10px;\n    margin-bottom: 15px;\n    border: 1px solid #ccc;\n    border-radius: 4px;\n    font-size: 14px;\n    background-color: #fff;\n    box-sizing: border-box;\n  }\n\n  .custom-contact-form input[type=\"number\"] {\n    -moz-appearance: textfield; \/* Removes default number spinner in Firefox *\/\n  }\n\n  .custom-contact-form input[type=\"number\"]::-webkit-outer-spin-button,\n  .custom-contact-form input[type=\"number\"]::-webkit-inner-spin-button {\n    -webkit-appearance: none; \/* Removes default number spinner in WebKit *\/\n    margin: 0;\n  }\n\n  .custom-contact-form input[type=\"number\"]:focus,\n  .custom-contact-form input[type=\"text\"]:focus,\n  .custom-contact-form input[type=\"date\"]:focus,\n  .custom-contact-form select:focus {\n    border-color: #007bff;\n    outline: none;\n    box-shadow: 0 0 5px rgba(0, 123, 255, 0.5);\n  }\n\n  .custom-contact-form p {\n    margin: 10px 0;\n    font-size: 14px;\n    color: #555;\n  }\n\n  .custom-contact-form .radio-group {\n    display: flex;\n    gap: 15px;\n  }\n\n  .custom-contact-form .submit-button {\n    display: block;\n    width: 100%;\n    padding: 10px;\n    background-color: #b4d8d7;\n    color: #fff;\n    font-size: 16px;\n    font-weight: bold;\n    text-align: center;\n    border: none;\n    border-radius: 4px;\n    cursor: pointer;\n    transition: background-color 0.3s ease;\n  }\n\n  .custom-contact-form .submit-button:hover {\n    background-color: #0056b3;\n  }\n\n\/* Ensure the row elements are displayed inline *\/\n.row {\n  display: flex;\n  justify-content: space-between;\n  gap: 20px; \/* Adjust spacing between fields *\/\n}\n\n.field {\n  width: 48%; \/* Adjust width to fit the row properly\u00a0*\/\n}\n<\/style><\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","footnotes":""},"class_list":["post-423","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/pages\/423","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/comments?post=423"}],"version-history":[{"count":3,"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/pages\/423\/revisions"}],"predecessor-version":[{"id":663,"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/pages\/423\/revisions\/663"}],"wp:attachment":[{"href":"https:\/\/www.sfamtlavinia.com\/index.php\/wp-json\/wp\/v2\/media?parent=423"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}