{"id":16835,"date":"2025-11-28T14:26:53","date_gmt":"2025-11-28T22:26:53","guid":{"rendered":"https:\/\/www.comoxvalleyschools.ca\/gp-vanier-secondary\/?page_id=16835"},"modified":"2025-11-28T14:26:53","modified_gmt":"2025-11-28T22:26:53","slug":"testing","status":"publish","type":"page","link":"https:\/\/www.comoxvalleyschools.ca\/gp-vanier-secondary\/testing\/","title":{"rendered":"Testing"},"content":{"rendered":"<div  class='flex_column av-av_one_full-2d22dc0500e159f2b39fe7a147caf14c av_one_full  avia-builder-el-0  avia-builder-el-no-sibling  first flex_column_div  '     ><section  class='av_textblock_section av-mijfmvst-667cdc65784d548b88be9edafd308c1c '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_5' style='display:none'>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Cultural Exchange Student Application Form<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/gp-vanier-secondary\/wp-json\/wp\/v2\/pages\/16835' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_5_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Student Information<\/h3><\/div><fieldset id=\"field_5_24\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_24'>\n                            \n                            <span id='input_5_24_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_24.3' id='input_5_24_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_24_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_24_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_24.6' id='input_5_24_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_24_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_5_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Gender:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_30'>\n\t\t\t<div class='gchoice gchoice_5_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Male'  id='choice_5_30_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_5_30\"   \/>\n\t\t\t\t\t<label for='choice_5_30_0' id='label_5_30_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Female'  id='choice_5_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_30_1' id='label_5_30_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_30'>(as identified on passport)<\/div><\/fieldset><fieldset id=\"field_5_25\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datedropdown gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Birthdate:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_5_25' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_dropdown_month ginput_container ginput_container_date gform-grid-col' id='input_5_25_1_container'><label for='input_5_25_1' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Month<\/label><select name='input_25[]' id='input_5_25_1'   aria-required='true'  ><option value=''>Month<\/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><\/select><\/div><div class='gfield_date_dropdown_day ginput_container ginput_container_date gform-grid-col' id='input_5_25_2_container'><label for='input_5_25_2' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Day<\/label><select name='input_25[]' id='input_5_25_2'   aria-required='true'  ><option value=''>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><\/div><div class='gfield_date_dropdown_year ginput_container ginput_container_date gform-grid-col' id='input_5_25_3_container'><label for='input_5_25_3' class='gform-field-label gform-field-label--type-sub hidden_sub_label screen-reader-text'>Year<\/label><select name='input_25[]' id='input_5_25_3'   aria-required='true'  ><option value=''>Year<\/option><option value='2027' >2027<\/option><option value='2026' >2026<\/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><option value='1925' >1925<\/option><option value='1924' >1924<\/option><option value='1923' >1923<\/option><option value='1922' >1922<\/option><option value='1921' >1921<\/option><option value='1920' >1920<\/option><\/select><\/div><\/div><\/fieldset><div id=\"field_5_28\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third 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' for='input_5_28'>Current Age:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_28' id='input_5_28' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/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><\/select><\/div><\/div><div id=\"field_5_39\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-half 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' for='input_5_39'>Student Personal Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_39' id='input_5_39' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_40\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half 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' for='input_5_40'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_40' id='input_5_40' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_26\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half 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' for='input_5_26'>School:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_5_26' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/option><option value='Cumberland Community School' >Cumberland Community School<\/option><option value='G.P. Vanier Secondary' >G.P. Vanier Secondary<\/option><option value='Highland Secondary' >Highland Secondary<\/option><option value='Lake Trail Community School' >Lake Trail Community School<\/option><option value='Mark R. Isfeld Secondary' >Mark R. Isfeld Secondary<\/option><option value='Navigate-NIDES' >Navigate-NIDES<\/option><\/select><\/div><\/div><div id=\"field_5_29\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half 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' for='input_5_29'>Current Grade:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_29' id='input_5_29' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' ><\/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><\/select><\/div><\/div><div id=\"field_5_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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' for='input_5_31'>Country of Legal Residence:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_5_31' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_32\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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' for='input_5_32'>Country of Citizenship:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_5_32' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a passport?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_33'>\n\t\t\t<div class='gchoice gchoice_5_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Yes'  id='choice_5_33_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_0' id='label_5_33_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='Not yet, my application is in progress'  id='choice_5_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_33_1' id='label_5_33_1' class='gform-field-label gform-field-label--type-inline'>Not yet, my application is in progress<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_36\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Passport Expiry Date:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div id='input_5_36' class='ginput_container ginput_complex gform-grid-row'><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_5_36_1_container'>\n                                            <input type='number' maxlength='2' name='input_36[]' id='input_5_36_1' value=''   aria-required='true'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_5_36_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_5_36_2_container'>\n                                            <input type='number' maxlength='2' name='input_36[]' id='input_5_36_2' value=''   aria-required='true'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_5_36_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_5_36_3_container'>\n                                            <input type='number' maxlength='4' name='input_36[]' id='input_5_36_3' value=''   aria-required='true'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_5_36_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/fieldset><div id=\"field_5_41\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Note passport must be valid through October 5, [nextYear]. If it is not, please apply for a new passport by Summer [currentYear].<\/p>\n<\/div><fieldset id=\"field_5_42\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Home Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_city has_state has_zip ginput_container_address gform-grid-row' id='input_5_42' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_42_1_container' >\n                                        <input type='text' name='input_42.1' id='input_5_42_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_42_1' id='input_5_42_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_5_42_3_container' >\n                                    <input type='text' name='input_42.3' id='input_5_42_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_42_3' id='input_5_42_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_5_42_4_container' >\n                                        <select name='input_42.4' id='input_5_42_4'     aria-required='true'    ><option value='' ><\/option><option value='Alberta' >Alberta<\/option><option value='British Columbia' selected='selected'>British Columbia<\/option><option value='Manitoba' >Manitoba<\/option><option value='New Brunswick' >New Brunswick<\/option><option value='Newfoundland and Labrador' >Newfoundland and Labrador<\/option><option value='Northwest Territories' >Northwest Territories<\/option><option value='Nova Scotia' >Nova Scotia<\/option><option value='Nunavut' >Nunavut<\/option><option value='Ontario' >Ontario<\/option><option value='Prince Edward Island' >Prince Edward Island<\/option><option value='Quebec' >Quebec<\/option><option value='Saskatchewan' >Saskatchewan<\/option><option value='Yukon' >Yukon<\/option><\/select>\n                                        <label for='input_5_42_4' id='input_5_42_4_label' class='gform-field-label gform-field-label--type-sub '>Province<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_5_42_5_container' >\n                                    <input type='text' name='input_42.5' id='input_5_42_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_42_5' id='input_5_42_5_label' class='gform-field-label gform-field-label--type-sub '>Postal Code<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_42.6' id='input_5_42_6' value='Canada' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_5_1\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Guardian \/ Parent #1 Information<\/h3><\/div><fieldset id=\"field_5_2\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of Parent \/ Guardian #1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_2'>\n                            \n                            <span id='input_5_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_5_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_5_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_10\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third 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' for='input_5_10'>Parent\/Guardian #1 Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_10' id='input_5_10' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_7\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third 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' for='input_5_7'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_5_7' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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' for='input_5_37'>Occupation:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_5_37' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_3\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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' for='input_5_3'>Relationship To Student<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_5_3' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Lives with student:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_38'>\n\t\t\t<div class='gchoice gchoice_5_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Yes'  id='choice_5_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_38_0' id='label_5_38_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='No'  id='choice_5_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_38_1' id='label_5_38_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Part-Time'  id='choice_5_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_38_2' id='label_5_38_2' class='gform-field-label gform-field-label--type-inline'>Part-Time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_44\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is Home Address same as students?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_44'>\n\t\t\t<div class='gchoice gchoice_5_44_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='Yes, it&#039;s the same'  id='choice_5_44_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_44_0' id='label_5_44_0' class='gform-field-label gform-field-label--type-inline'>Yes, it's the same<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_44_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_44' type='radio' value='No, it&#039;s different'  id='choice_5_44_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_44_1' id='label_5_44_1' class='gform-field-label gform-field-label--type-inline'>No, it's different<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_45\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Home Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \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_5_45' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_45_1_container' >\n                                        <input type='text' name='input_45.1' id='input_5_45_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_45_1' id='input_5_45_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_5_45_2_container' >\n                                        <input type='text' name='input_45.2' id='input_5_45_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_45_2' id='input_5_45_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_5_45_3_container' >\n                                    <input type='text' name='input_45.3' id='input_5_45_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_45_3' id='input_5_45_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_5_45_4_container' >\n                                        <input type='text' name='input_45.4' id='input_5_45_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_45_4' id='input_5_45_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_5_45_5_container' >\n                                    <input type='text' name='input_45.5' id='input_5_45_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_45_5' id='input_5_45_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_5_45_6_container' >\n                                        <select name='input_45.6' id='input_5_45_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_5_45_6' id='input_5_45_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><\/fieldset><fieldset id=\"field_5_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you like to add a second Parent\/Guardian?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_11'>\n\t\t\t<div class='gchoice gchoice_5_11_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='Yes'  id='choice_5_11_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_11_0' id='label_5_11_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_11_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_11' type='radio' value='No'  id='choice_5_11_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_11_1' id='label_5_11_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_13\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Guardian \/ Parent #2 Information<\/h3><\/div><fieldset id=\"field_5_46\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of Parent \/ Guardian #2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_46'>\n                            \n                            <span id='input_5_46_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_46.3' id='input_5_46_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_46_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_46_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_46.6' id='input_5_46_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_5_46_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_5_47\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third 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' for='input_5_47'>Parent\/Guardian #2 Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_47' id='input_5_47' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_5_48\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-third 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' for='input_5_48'>Phone:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_48' id='input_5_48' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_49\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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' for='input_5_49'>Occupation:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_5_49' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_50\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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' for='input_5_50'>Relationship To Student<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_50' id='input_5_50' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_51\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Lives with student:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_51'>\n\t\t\t<div class='gchoice gchoice_5_51_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='Yes'  id='choice_5_51_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_51_0' id='label_5_51_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_51_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='No'  id='choice_5_51_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_51_1' id='label_5_51_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_51_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_51' type='radio' value='Part-Time'  id='choice_5_51_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_51_2' id='label_5_51_2' class='gform-field-label gform-field-label--type-inline'>Part-Time<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_52\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Is Home Address same as students?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_52'>\n\t\t\t<div class='gchoice gchoice_5_52_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='Yes, it&#039;s the same'  id='choice_5_52_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_0' id='label_5_52_0' class='gform-field-label gform-field-label--type-inline'>Yes, it's the same<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_52_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_52' type='radio' value='No, it&#039;s different'  id='choice_5_52_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_52_1' id='label_5_52_1' class='gform-field-label gform-field-label--type-inline'>No, it's different<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_53\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Home Address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend>    \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_5_53' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_5_53_1_container' >\n                                        <input type='text' name='input_53.1' id='input_5_53_1' value=''    aria-required='true'    \/>\n                                        <label for='input_5_53_1' id='input_5_53_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_5_53_2_container' >\n                                        <input type='text' name='input_53.2' id='input_5_53_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_53_2' id='input_5_53_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_5_53_3_container' >\n                                    <input type='text' name='input_53.3' id='input_5_53_3' value=''    aria-required='true'    \/>\n                                    <label for='input_5_53_3' id='input_5_53_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_5_53_4_container' >\n                                        <input type='text' name='input_53.4' id='input_5_53_4' value=''      aria-required='true'    \/>\n                                        <label for='input_5_53_4' id='input_5_53_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_5_53_5_container' >\n                                    <input type='text' name='input_53.5' id='input_5_53_5' value=''    aria-required='true'    \/>\n                                    <label for='input_5_53_5' id='input_5_53_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_5_53_6_container' >\n                                        <select name='input_53.6' id='input_5_53_6'   aria-required='true'    ><option value='' ><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' selected='selected'>Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_5_53_6' id='input_5_53_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><\/fieldset><div id=\"field_5_56\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hosting Information<\/h3><\/div><div id=\"field_5_57\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>While hosting our guests in the Comox Valley, if the student applicant normally spends time each week\/ alternate week at different parent\u2019s houses, we will need all adults in each parent household to complete all the homestay information, otherwise we ask that the student remain at one residence for the entirety of the hosting period.<\/p><\/div><fieldset id=\"field_5_58\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Please describe all persons living at the same address:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list ginput_container_list--columns'><div class='gfield_list gfield_list_container'><div class=\"gfield_list_header gform-grid-row\"><div class=\"gform-field-label gfield_header_item gform-grid-col\">Full Name<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Age<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Occupation<\/div><div class=\"gform-field-label gfield_header_item gform-grid-col\">Relationship to Exchange Participant<\/div><div class=\"gfield_header_item gfield_header_item--icons gform-grid-col\">&nbsp;<\/div><\/div><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_58_cell1 gform-grid-col' data-label='Full Name'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_5_58\" aria-label='Full Name, Row 1' data-aria-label-template='Full Name, Row {0}' type='text' name='input_58[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_58_cell2 gform-grid-col' data-label='Age'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_5_58\" aria-label='Age, Row 1' data-aria-label-template='Age, Row {0}' type='text' name='input_58[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_58_cell3 gform-grid-col' data-label='Occupation'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_5_58\" aria-label='Occupation, Row 1' data-aria-label-template='Occupation, Row {0}' type='text' name='input_58[]' value=''   \/><\/div><div class='gfield_list_group_item gfield_list_cell gfield_list_58_cell4 gform-grid-col' data-label='Relationship to Exchange Participant'><input aria-invalid='false' aria-required=\"true\" aria-describedby=\"gfield_description_5_58\" aria-label='Relationship to Exchange Participant, Row 1' data-aria-label-template='Relationship to Exchange Participant, Row {0}' type='text' name='input_58[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_58'>Use the (+) to add more<\/div><\/fieldset><fieldset id=\"field_5_116\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand that each adult (age 18 or over by September [currentYear]) must apply for a criminal record check through the school. Information on applying will be provided to successful exchange applicants.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_116'><div class='gchoice gchoice_5_116_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_116.1' type='checkbox'  value='I confirm'  id='choice_5_116_1'   aria-describedby=\"gfield_description_5_116\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_116_1' id='label_5_116_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_116'>(some parents may already have this done if they are SD71 employees or have volunteered in other capacities at the school in the previous 2 years. Criminal Record Checks are valid for 3 years.)<\/div><\/fieldset><div id=\"field_5_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Interests &amp; Preferences - To Be Completed By Student<\/h3><\/div><fieldset id=\"field_5_75\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I have a friend who is also applying for the exchange program, their name is<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_5_75'>\n                            \n                            <span id='input_5_75_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_75.3' id='input_5_75_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_75_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_75_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_75.6' id='input_5_75_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_75_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_5_61\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_4col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Select all the activities you enjoy doing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_61'><div class='gchoice gchoice_5_61_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.1' type='checkbox'  value='Cadets'  id='choice_5_61_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_1' id='label_5_61_1' class='gform-field-label gform-field-label--type-inline'>Cadets<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.2' type='checkbox'  value='Dance'  id='choice_5_61_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_2' id='label_5_61_2' class='gform-field-label gform-field-label--type-inline'>Dance<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.3' type='checkbox'  value='Video Games'  id='choice_5_61_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_3' id='label_5_61_3' class='gform-field-label gform-field-label--type-inline'>Video Games<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.4' type='checkbox'  value='Mountain Biking'  id='choice_5_61_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_4' id='label_5_61_4' class='gform-field-label gform-field-label--type-inline'>Mountain Biking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.5' type='checkbox'  value='Gymnastics'  id='choice_5_61_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_5' id='label_5_61_5' class='gform-field-label gform-field-label--type-inline'>Gymnastics<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.6' type='checkbox'  value='Baking'  id='choice_5_61_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_6' id='label_5_61_6' class='gform-field-label gform-field-label--type-inline'>Baking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.7' type='checkbox'  value='Hiking'  id='choice_5_61_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_7' id='label_5_61_7' class='gform-field-label gform-field-label--type-inline'>Hiking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.8' type='checkbox'  value='Sailing'  id='choice_5_61_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_8' id='label_5_61_8' class='gform-field-label gform-field-label--type-inline'>Sailing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.9' type='checkbox'  value='Paddleboarding'  id='choice_5_61_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_9' id='label_5_61_9' class='gform-field-label gform-field-label--type-inline'>Paddleboarding<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.11' type='checkbox'  value='Camping'  id='choice_5_61_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_11' id='label_5_61_11' class='gform-field-label gform-field-label--type-inline'>Camping<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_61_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_61.12' type='checkbox'  value='Shopping'  id='choice_5_61_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_61_12' id='label_5_61_12' class='gform-field-label gform-field-label--type-inline'>Shopping<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_62\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_4col gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Describe your Family<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_62'><div class='gchoice gchoice_5_62_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.1' type='checkbox'  value='Warm'  id='choice_5_62_1'   aria-describedby=\"gfield_description_5_62\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_1' id='label_5_62_1' class='gform-field-label gform-field-label--type-inline'>Warm<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.2' type='checkbox'  value='Strict'  id='choice_5_62_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_2' id='label_5_62_2' class='gform-field-label gform-field-label--type-inline'>Strict<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.3' type='checkbox'  value='Formal'  id='choice_5_62_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_3' id='label_5_62_3' class='gform-field-label gform-field-label--type-inline'>Formal<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.4' type='checkbox'  value='Informal'  id='choice_5_62_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_4' id='label_5_62_4' class='gform-field-label gform-field-label--type-inline'>Informal<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.5' type='checkbox'  value='Orderly'  id='choice_5_62_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_5' id='label_5_62_5' class='gform-field-label gform-field-label--type-inline'>Orderly<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.6' type='checkbox'  value='Reserved'  id='choice_5_62_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_6' id='label_5_62_6' class='gform-field-label gform-field-label--type-inline'>Reserved<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.7' type='checkbox'  value='Conservative'  id='choice_5_62_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_7' id='label_5_62_7' class='gform-field-label gform-field-label--type-inline'>Conservative<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.8' type='checkbox'  value='Serious'  id='choice_5_62_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_8' id='label_5_62_8' class='gform-field-label gform-field-label--type-inline'>Serious<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.9' type='checkbox'  value='High Standards'  id='choice_5_62_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_9' id='label_5_62_9' class='gform-field-label gform-field-label--type-inline'>High Standards<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.11' type='checkbox'  value='Happy'  id='choice_5_62_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_11' id='label_5_62_11' class='gform-field-label gform-field-label--type-inline'>Happy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.12' type='checkbox'  value='Active'  id='choice_5_62_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_12' id='label_5_62_12' class='gform-field-label gform-field-label--type-inline'>Active<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.13' type='checkbox'  value='United'  id='choice_5_62_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_13' id='label_5_62_13' class='gform-field-label gform-field-label--type-inline'>United<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.14' type='checkbox'  value='Indifferent'  id='choice_5_62_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_14' id='label_5_62_14' class='gform-field-label gform-field-label--type-inline'>Indifferent<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.15' type='checkbox'  value='Tolerant'  id='choice_5_62_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_15' id='label_5_62_15' class='gform-field-label gform-field-label--type-inline'>Tolerant<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.16' type='checkbox'  value='Protective'  id='choice_5_62_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_16' id='label_5_62_16' class='gform-field-label gform-field-label--type-inline'>Protective<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.17' type='checkbox'  value='Open'  id='choice_5_62_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_17' id='label_5_62_17' class='gform-field-label gform-field-label--type-inline'>Open<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.18' type='checkbox'  value='Political'  id='choice_5_62_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_18' id='label_5_62_18' class='gform-field-label gform-field-label--type-inline'>Political<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.19' type='checkbox'  value='Disciplined'  id='choice_5_62_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_19' id='label_5_62_19' class='gform-field-label gform-field-label--type-inline'>Disciplined<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.21' type='checkbox'  value='Religious'  id='choice_5_62_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_21' id='label_5_62_21' class='gform-field-label gform-field-label--type-inline'>Religious<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.22' type='checkbox'  value='Determined'  id='choice_5_62_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_22' id='label_5_62_22' class='gform-field-label gform-field-label--type-inline'>Determined<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.23' type='checkbox'  value='Intellectual'  id='choice_5_62_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_23' id='label_5_62_23' class='gform-field-label gform-field-label--type-inline'>Intellectual<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.24' type='checkbox'  value='Outdoorsy'  id='choice_5_62_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_24' id='label_5_62_24' class='gform-field-label gform-field-label--type-inline'>Outdoorsy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_62_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_62.25' type='checkbox'  value='Pet Loving'  id='choice_5_62_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_62_25' id='label_5_62_25' class='gform-field-label gform-field-label--type-inline'>Pet Loving<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_62'>Select all that apply to your family<\/div><\/fieldset><fieldset id=\"field_5_68\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_2col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >What kind of pet(s) do you have in your home?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_68'><div class='gchoice gchoice_5_68_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.1' type='checkbox'  value='Cat'  id='choice_5_68_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_68_1' id='label_5_68_1' class='gform-field-label gform-field-label--type-inline'>Cat<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_68_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.2' type='checkbox'  value='Dog'  id='choice_5_68_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_68_2' id='label_5_68_2' class='gform-field-label gform-field-label--type-inline'>Dog<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_68_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.3' type='checkbox'  value='Other'  id='choice_5_68_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_68_3' id='label_5_68_3' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_68_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.4' type='checkbox'  value='No Pets'  id='choice_5_68_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_68_4' id='label_5_68_4' class='gform-field-label gform-field-label--type-inline'>No Pets<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_64\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half 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_5_64'>How many hours per week do you spend on electronic devices?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_64' id='input_5_64' type='number' step='any' min='0' max='90' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_5_64 gfield_description_5_64\" \/><div class='gfield_description instruction ' id='gfield_instruction_5_64'>Please enter a number from <strong>0<\/strong> to <strong>90<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_5_64'>e.g. cell phone, computer, tablet etc. <\/div><\/div><div id=\"field_5_65\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half 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' for='input_5_65'>How many hours per week do you spend watching TV?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_65' id='input_5_65' type='number' step='any' min='0' max='90' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_5_65\" \/><div class='gfield_description instruction ' id='gfield_instruction_5_65'>Please enter a number from <strong>0<\/strong> to <strong>90<\/strong>.<\/div><\/div><\/div><fieldset id=\"field_5_66\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >My favourite three classes are...<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_66_cell1 gform-grid-col' ><input aria-invalid='false' aria-required=\"true\"  aria-label='My favourite three classes are..., Row 1' data-aria-label-template='My favourite three classes are..., Row {0}' type='text' name='input_66[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 3)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 3)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_5_63\" class=\"gfield gfield--type-text gfield--input-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_5_63'>If you play a musical instrument - which one?<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_5_63' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_5_124\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you ever spent time away from home (more than 1 night) without your family?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_124'>\n\t\t\t<div class='gchoice gchoice_5_124_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='Yes'  id='choice_5_124_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_124_0' id='label_5_124_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_124_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_124' type='radio' value='No'  id='choice_5_124_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_124_1' id='label_5_124_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_70\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I can speak the following languages (other than English)<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_70_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='I can speak the following languages (other than English), Row 1' data-aria-label-template='I can speak the following languages (other than English), Row {0}' type='text' name='input_70[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_67\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >A parent in my household can speak the following languages (other than English)<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_67_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='A parent in my household can speak the following languages (other than English), Row 1' data-aria-label-template='A parent in my household can speak the following languages (other than English), Row {0}' type='text' name='input_67[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_125\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Have you ever travelled outside of Canada?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_125'>\n\t\t\t<div class='gchoice gchoice_5_125_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='Yes'  id='choice_5_125_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_125_0' id='label_5_125_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_125_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_125' type='radio' value='No'  id='choice_5_125_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_125_1' id='label_5_125_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_126\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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' for='input_5_126'>Where did you travel outside of Canada?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_126' id='input_5_126' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_71\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half 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' for='input_5_71'>How do you get to school each day?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_5_71' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_5_73\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half 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' for='input_5_73'>How long does it take? (In minutes)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_73' id='input_5_73' type='number' step='any' min='1' max='120' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_5_73\" \/><div class='gfield_description instruction ' id='gfield_instruction_5_73'>Please enter a number from <strong>1<\/strong> to <strong>120<\/strong>.<\/div><\/div><\/div><div id=\"field_5_128\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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' for='input_5_128'>What activities do you like to do while travelling?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_128' id='input_5_128' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_74\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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_5_74'>My Goal after attending secondary school is:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_74' id='input_5_74' class='textarea medium'  aria-describedby=\"gfield_description_5_74\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_74'>(Max 250 Words)<\/div><\/div><div id=\"field_5_69\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Medical &amp; Dietary Information - To Be Completed By Student &amp; Parent(s)<\/h3><\/div><div id=\"field_5_81\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Medical History<\/h3>\n<p>A medical history will not limit your participation, but chaperones need to be fully aware of your medical history and any medications you take regularly.  Any medical conditions need to be stable according to the time restrictions\/ limitations as stated in medical travel insurance.<\/p>\n\n<p>The Government of Canada recommends immunizations for all travel to Thailand - <a href=\"https:\/\/travel.gc.ca\/travelling\/health-safety\/vaccines\">learn more<\/a>.<\/p> <\/div><fieldset id=\"field_5_129\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I acknowledge that the Government of Canada recommends immunizations for all travel to [destination].<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_129'><div class='gchoice gchoice_5_129_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_129.1' type='checkbox'  value='I confirm'  id='choice_5_129_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_129_1' id='label_5_129_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_76\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_3col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >History of illness or diagnosed medical conditions for which you may have received treatment - click the check box next to any illnesses you have had:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_76'><div class='gchoice gchoice_5_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='ADHD'  id='choice_5_76_1'   aria-describedby=\"gfield_description_5_76\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_1' id='label_5_76_1' class='gform-field-label gform-field-label--type-inline'>ADHD<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.2' type='checkbox'  value='Allergies'  id='choice_5_76_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_2' id='label_5_76_2' class='gform-field-label gform-field-label--type-inline'>Allergies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.3' type='checkbox'  value='Anorexia'  id='choice_5_76_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_3' id='label_5_76_3' class='gform-field-label gform-field-label--type-inline'>Anorexia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.4' type='checkbox'  value='Appendicitis'  id='choice_5_76_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_4' id='label_5_76_4' class='gform-field-label gform-field-label--type-inline'>Appendicitis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.5' type='checkbox'  value='Appendix Removed'  id='choice_5_76_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_5' id='label_5_76_5' class='gform-field-label gform-field-label--type-inline'>Appendix Removed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.6' type='checkbox'  value='Asthma'  id='choice_5_76_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_6' id='label_5_76_6' class='gform-field-label gform-field-label--type-inline'>Asthma<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.7' type='checkbox'  value='Bulimia'  id='choice_5_76_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_7' id='label_5_76_7' class='gform-field-label gform-field-label--type-inline'>Bulimia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.8' type='checkbox'  value='Cancer'  id='choice_5_76_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_8' id='label_5_76_8' class='gform-field-label gform-field-label--type-inline'>Cancer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.9' type='checkbox'  value='Chicken Pox'  id='choice_5_76_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_9' id='label_5_76_9' class='gform-field-label gform-field-label--type-inline'>Chicken Pox<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.11' type='checkbox'  value='Concussion'  id='choice_5_76_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_11' id='label_5_76_11' class='gform-field-label gform-field-label--type-inline'>Concussion<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.12' type='checkbox'  value='Counselling Needs'  id='choice_5_76_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_12' id='label_5_76_12' class='gform-field-label gform-field-label--type-inline'>Counselling Needs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.13' type='checkbox'  value='Diabetes'  id='choice_5_76_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_13' id='label_5_76_13' class='gform-field-label gform-field-label--type-inline'>Diabetes<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.14' type='checkbox'  value='Dietary Issues'  id='choice_5_76_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_14' id='label_5_76_14' class='gform-field-label gform-field-label--type-inline'>Dietary Issues<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.15' type='checkbox'  value='Depression'  id='choice_5_76_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_15' id='label_5_76_15' class='gform-field-label gform-field-label--type-inline'>Depression<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.16' type='checkbox'  value='Emotional and\/or Psychiatric Problems'  id='choice_5_76_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_16' id='label_5_76_16' class='gform-field-label gform-field-label--type-inline'>Emotional and\/or Psychiatric Problems<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.17' type='checkbox'  value='Environmental Allergies'  id='choice_5_76_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_17' id='label_5_76_17' class='gform-field-label gform-field-label--type-inline'>Environmental Allergies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.18' type='checkbox'  value='Epilepsy'  id='choice_5_76_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_18' id='label_5_76_18' class='gform-field-label gform-field-label--type-inline'>Epilepsy<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.19' type='checkbox'  value='Hepatitis - any form'  id='choice_5_76_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_19' id='label_5_76_19' class='gform-field-label gform-field-label--type-inline'>Hepatitis - any form<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.21' type='checkbox'  value='Hernia Operation'  id='choice_5_76_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_21' id='label_5_76_21' class='gform-field-label gform-field-label--type-inline'>Hernia Operation<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.22' type='checkbox'  value='Insect Bite Allergies'  id='choice_5_76_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_22' id='label_5_76_22' class='gform-field-label gform-field-label--type-inline'>Insect Bite Allergies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.23' type='checkbox'  value='Malaria'  id='choice_5_76_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_23' id='label_5_76_23' class='gform-field-label gform-field-label--type-inline'>Malaria<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.24' type='checkbox'  value='Measles'  id='choice_5_76_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_24' id='label_5_76_24' class='gform-field-label gform-field-label--type-inline'>Measles<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.25' type='checkbox'  value='Parasites'  id='choice_5_76_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_25' id='label_5_76_25' class='gform-field-label gform-field-label--type-inline'>Parasites<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.26' type='checkbox'  value='Pneumonia'  id='choice_5_76_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_26' id='label_5_76_26' class='gform-field-label gform-field-label--type-inline'>Pneumonia<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.27' type='checkbox'  value='Polio'  id='choice_5_76_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_27' id='label_5_76_27' class='gform-field-label gform-field-label--type-inline'>Polio<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.28' type='checkbox'  value='Rheumatic Fever'  id='choice_5_76_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_28' id='label_5_76_28' class='gform-field-label gform-field-label--type-inline'>Rheumatic Fever<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.29' type='checkbox'  value='Rubella'  id='choice_5_76_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_29' id='label_5_76_29' class='gform-field-label gform-field-label--type-inline'>Rubella<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.31' type='checkbox'  value='Scarlet Fever'  id='choice_5_76_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_31' id='label_5_76_31' class='gform-field-label gform-field-label--type-inline'>Scarlet Fever<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.32' type='checkbox'  value='Severe Anxiety'  id='choice_5_76_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_32' id='label_5_76_32' class='gform-field-label gform-field-label--type-inline'>Severe Anxiety<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.33' type='checkbox'  value='Severe Food Allergies'  id='choice_5_76_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_33' id='label_5_76_33' class='gform-field-label gform-field-label--type-inline'>Severe Food Allergies<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.34' type='checkbox'  value='Serious Cough'  id='choice_5_76_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_34' id='label_5_76_34' class='gform-field-label gform-field-label--type-inline'>Serious Cough<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.35' type='checkbox'  value='Headaches \/ Migraines'  id='choice_5_76_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_35' id='label_5_76_35' class='gform-field-label gform-field-label--type-inline'>Headaches \/ Migraines<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_36'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.36' type='checkbox'  value='Smallpox'  id='choice_5_76_36'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_36' id='label_5_76_36' class='gform-field-label gform-field-label--type-inline'>Smallpox<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_37'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.37' type='checkbox'  value='Tuberculosis'  id='choice_5_76_37'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_37' id='label_5_76_37' class='gform-field-label gform-field-label--type-inline'>Tuberculosis<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_38'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.38' type='checkbox'  value='Typhoid'  id='choice_5_76_38'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_38' id='label_5_76_38' class='gform-field-label gform-field-label--type-inline'>Typhoid<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_39'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.39' type='checkbox'  value='Vertigo\/Dizziness'  id='choice_5_76_39'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_39' id='label_5_76_39' class='gform-field-label gform-field-label--type-inline'>Vertigo\/Dizziness<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_41'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.41' type='checkbox'  value='Other diseases'  id='choice_5_76_41'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_41' id='label_5_76_41' class='gform-field-label gform-field-label--type-inline'>Other diseases<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_76_42'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.42' type='checkbox'  value='None'  id='choice_5_76_42'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_76_42' id='label_5_76_42' class='gform-field-label gform-field-label--type-inline'>None<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_5_76'>In the information box below you can elaborate on any illness or injury that is recent or medically managed.<\/div><\/fieldset><div id=\"field_5_77\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_77'>Details of Illness or medical condition\/ injury:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_5_77' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_78\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_3col field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >If you have had any disease, impairment or abnormality with any of areas listed below, please click the corresponding check box:<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_78'><div class='gchoice gchoice_5_78_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.1' type='checkbox'  value='Blood or Endocrine System'  id='choice_5_78_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_1' id='label_5_78_1' class='gform-field-label gform-field-label--type-inline'>Blood or Endocrine System<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.2' type='checkbox'  value='Bones or Joints'  id='choice_5_78_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_2' id='label_5_78_2' class='gform-field-label gform-field-label--type-inline'>Bones or Joints<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.3' type='checkbox'  value='Brain or Nervous System'  id='choice_5_78_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_3' id='label_5_78_3' class='gform-field-label gform-field-label--type-inline'>Brain or Nervous System<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.4' type='checkbox'  value='Ears or Hearing'  id='choice_5_78_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_4' id='label_5_78_4' class='gform-field-label gform-field-label--type-inline'>Ears or Hearing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.5' type='checkbox'  value='Eyes or Sight'  id='choice_5_78_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_5' id='label_5_78_5' class='gform-field-label gform-field-label--type-inline'>Eyes or Sight<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.6' type='checkbox'  value='Genito-Urinary System'  id='choice_5_78_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_6' id='label_5_78_6' class='gform-field-label gform-field-label--type-inline'>Genito-Urinary System<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.7' type='checkbox'  value='Heart or Blood Vessels'  id='choice_5_78_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_7' id='label_5_78_7' class='gform-field-label gform-field-label--type-inline'>Heart or Blood Vessels<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.8' type='checkbox'  value='Lungs, Respiratory System'  id='choice_5_78_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_8' id='label_5_78_8' class='gform-field-label gform-field-label--type-inline'>Lungs, Respiratory System<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.9' type='checkbox'  value='Other Abdominal Organs'  id='choice_5_78_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_9' id='label_5_78_9' class='gform-field-label gform-field-label--type-inline'>Other Abdominal Organs<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.11' type='checkbox'  value='Personality \/ Behaviour'  id='choice_5_78_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_11' id='label_5_78_11' class='gform-field-label gform-field-label--type-inline'>Personality \/ Behaviour<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.12' type='checkbox'  value='Skin (Acne, Eczema, etc.)'  id='choice_5_78_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_12' id='label_5_78_12' class='gform-field-label gform-field-label--type-inline'>Skin (Acne, Eczema, etc.)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.13' type='checkbox'  value='Stomach\/Digestive System'  id='choice_5_78_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_13' id='label_5_78_13' class='gform-field-label gform-field-label--type-inline'>Stomach\/Digestive System<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.14' type='checkbox'  value='Tonsils, Nose or Throat'  id='choice_5_78_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_14' id='label_5_78_14' class='gform-field-label gform-field-label--type-inline'>Tonsils, Nose or Throat<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_78_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_78.15' type='checkbox'  value='Have Tonsils been removed'  id='choice_5_78_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_78_15' id='label_5_78_15' class='gform-field-label gform-field-label--type-inline'>Have Tonsils been removed<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_79\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_79'>Describe any health issue that required medical attention or hospitalization in the last two years:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_79' id='input_5_79' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_80\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_80'>Please list any preparations \/ medications that you take on a regular basis, as well as the reason:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_80' id='input_5_80' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_82\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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' for='input_5_82'>List the Foods you like:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_82' id='input_5_82' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_83\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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' for='input_5_83'>List the Foods you dislike:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_83' id='input_5_83' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_84\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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' for='input_5_84'>Food allergies or specialized dietary needs:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_84' id='input_5_84' class='textarea small'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_85\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hosting Foreign Students - To Be Completed by Students &amp; Parent(s)<\/h3><\/div><div id=\"field_5_86\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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' for='input_5_86'>Please describe your home &amp; family-  how many bedrooms,  house or apartment, will guest student have own room or room share with exchange participant?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_86' id='input_5_86' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_87\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand that to participate in the exchange we have the responsibility to host a student in our family and include them in many wonderful family activities and outings, and in return the exchange applicant will live with their buddy\u2019s host family in [destination] and enjoy similar hospitality.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_87'><div class='gchoice gchoice_5_87_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_87.1' type='checkbox'  value='I confirm'  id='choice_5_87_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_87_1' id='label_5_87_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_88\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand it is an expectation of the exchange that we take a break from our extra curricular activities during out hosting 3 weeks in October to focus on our guest buddies and being hosts.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_88'><div class='gchoice gchoice_5_88_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.1' type='checkbox'  value='I confirm'  id='choice_5_88_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_88_1' id='label_5_88_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_89\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand if I am involved in a regularly scheduled activity in October of [currentYear] (ex. Cadets, robotics, soccer, volleyball, dance, etc) that I will take a break and not attend for the 3 weeks, or, arrange with the activity coordinator for my buddy to come with me and join in on the evening or after school activity. (Please limit your activities, but include your buddy in ones where they will have fun and can join in easily.)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_89'><div class='gchoice gchoice_5_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='I confirm'  id='choice_5_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_89_1' id='label_5_89_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_90\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Activities While Hosting Foreign Students - To Be Completed by Students &amp; Parent(s)<\/h3><\/div><div id=\"field_5_91\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>While hosting for the three weeks, the student will travel to and from school with their host buddy.  The school will arrange a variety of single day field trips, and 1-2 overnight field trips.  Other times after school\/evening  host families are expected to provide a mix of family home time and some excursions out with family\/ friends to local venues or activities to help showcase the valley\/ island.  Families will host students for at least two weekends, and should arrange something nice to do for that weekend. This may include an overnight trip away, or visits to scenic or tourist areas on the island.<\/p><\/div><fieldset id=\"field_5_92\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gf_list_3col gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Check which activities you like to do and you or your family would probably do with your host buddy and some friends perhaps in the evening\/ after school\/ weekends when they visit in October<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_92'><div class='gchoice gchoice_5_92_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.1' type='checkbox'  value='Swimming'  id='choice_5_92_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_1' id='label_5_92_1' class='gform-field-label gform-field-label--type-inline'>Swimming<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.2' type='checkbox'  value='Skating'  id='choice_5_92_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_2' id='label_5_92_2' class='gform-field-label gform-field-label--type-inline'>Skating<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.3' type='checkbox'  value='Bowling'  id='choice_5_92_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_3' id='label_5_92_3' class='gform-field-label gform-field-label--type-inline'>Bowling<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.4' type='checkbox'  value='Climbing Wall'  id='choice_5_92_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_4' id='label_5_92_4' class='gform-field-label gform-field-label--type-inline'>Climbing Wall<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.5' type='checkbox'  value='Mountain Biking'  id='choice_5_92_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_5' id='label_5_92_5' class='gform-field-label gform-field-label--type-inline'>Mountain Biking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.6' type='checkbox'  value='Skateboarding'  id='choice_5_92_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_6' id='label_5_92_6' class='gform-field-label gform-field-label--type-inline'>Skateboarding<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.7' type='checkbox'  value='Hiking'  id='choice_5_92_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_7' id='label_5_92_7' class='gform-field-label gform-field-label--type-inline'>Hiking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.8' type='checkbox'  value='Teen Gym Night'  id='choice_5_92_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_8' id='label_5_92_8' class='gform-field-label gform-field-label--type-inline'>Teen Gym Night<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.9' type='checkbox'  value='Shopping'  id='choice_5_92_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_9' id='label_5_92_9' class='gform-field-label gform-field-label--type-inline'>Shopping<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.11' type='checkbox'  value='Glacier Kings Hockey Game'  id='choice_5_92_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_11' id='label_5_92_11' class='gform-field-label gform-field-label--type-inline'>Glacier Kings Hockey Game<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.12' type='checkbox'  value='Baking'  id='choice_5_92_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_12' id='label_5_92_12' class='gform-field-label gform-field-label--type-inline'>Baking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.13' type='checkbox'  value='Movie Theatre'  id='choice_5_92_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_13' id='label_5_92_13' class='gform-field-label gform-field-label--type-inline'>Movie Theatre<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.14' type='checkbox'  value='Home Movie Night'  id='choice_5_92_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_14' id='label_5_92_14' class='gform-field-label gform-field-label--type-inline'>Home Movie Night<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.15' type='checkbox'  value='Cooking'  id='choice_5_92_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_15' id='label_5_92_15' class='gform-field-label gform-field-label--type-inline'>Cooking<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.16' type='checkbox'  value='Soccer'  id='choice_5_92_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_16' id='label_5_92_16' class='gform-field-label gform-field-label--type-inline'>Soccer<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.17' type='checkbox'  value='Video Games Night'  id='choice_5_92_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_17' id='label_5_92_17' class='gform-field-label gform-field-label--type-inline'>Video Games Night<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.18' type='checkbox'  value='Eating Out'  id='choice_5_92_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_18' id='label_5_92_18' class='gform-field-label gform-field-label--type-inline'>Eating Out<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.19' type='checkbox'  value='Fast Food \/ Restaurant'  id='choice_5_92_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_19' id='label_5_92_19' class='gform-field-label gform-field-label--type-inline'>Fast Food \/ Restaurant<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.21' type='checkbox'  value='Computers'  id='choice_5_92_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_21' id='label_5_92_21' class='gform-field-label gform-field-label--type-inline'>Computers<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.22' type='checkbox'  value='Dancing'  id='choice_5_92_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_22' id='label_5_92_22' class='gform-field-label gform-field-label--type-inline'>Dancing<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.23' type='checkbox'  value='Coombs Day Trip'  id='choice_5_92_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_23' id='label_5_92_23' class='gform-field-label gform-field-label--type-inline'>Coombs Day Trip<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.24' type='checkbox'  value='Cathedral Grove'  id='choice_5_92_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_24' id='label_5_92_24' class='gform-field-label gform-field-label--type-inline'>Cathedral Grove<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.25' type='checkbox'  value='Elk Falls Suspension Bridge'  id='choice_5_92_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_25' id='label_5_92_25' class='gform-field-label gform-field-label--type-inline'>Elk Falls Suspension Bridge<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.26' type='checkbox'  value='Coastal Black Pumpkin Fest'  id='choice_5_92_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_26' id='label_5_92_26' class='gform-field-label gform-field-label--type-inline'>Coastal Black Pumpkin Fest<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.27' type='checkbox'  value='Mini Golf'  id='choice_5_92_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_27' id='label_5_92_27' class='gform-field-label gform-field-label--type-inline'>Mini Golf<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.28' type='checkbox'  value='Wildplay Nanaimo'  id='choice_5_92_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_28' id='label_5_92_28' class='gform-field-label gform-field-label--type-inline'>Wildplay Nanaimo<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.29' type='checkbox'  value='Victoria'  id='choice_5_92_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_29' id='label_5_92_29' class='gform-field-label gform-field-label--type-inline'>Victoria<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.31' type='checkbox'  value='Vancouver'  id='choice_5_92_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_31' id='label_5_92_31' class='gform-field-label gform-field-label--type-inline'>Vancouver<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.32' type='checkbox'  value='Halloween Party (Costume Party)'  id='choice_5_92_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_32' id='label_5_92_32' class='gform-field-label gform-field-label--type-inline'>Halloween Party (Costume Party)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.33' type='checkbox'  value='Canucks Hockey Game'  id='choice_5_92_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_33' id='label_5_92_33' class='gform-field-label gform-field-label--type-inline'>Canucks Hockey Game<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.34' type='checkbox'  value='Painting \/ Other Art or Craft Ideas'  id='choice_5_92_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_34' id='label_5_92_34' class='gform-field-label gform-field-label--type-inline'>Painting \/ Other Art or Craft Ideas<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.35' type='checkbox'  value='Chemainus Murals'  id='choice_5_92_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_35' id='label_5_92_35' class='gform-field-label gform-field-label--type-inline'>Chemainus Murals<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_36'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.36' type='checkbox'  value='Island Road Trip (Day or Overnight)'  id='choice_5_92_36'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_36' id='label_5_92_36' class='gform-field-label gform-field-label--type-inline'>Island Road Trip (Day or Overnight)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_37'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.37' type='checkbox'  value='Karaoke Party'  id='choice_5_92_37'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_37' id='label_5_92_37' class='gform-field-label gform-field-label--type-inline'>Karaoke Party<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_38'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.38' type='checkbox'  value='Listening to Music'  id='choice_5_92_38'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_38' id='label_5_92_38' class='gform-field-label gform-field-label--type-inline'>Listening to Music<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_39'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.39' type='checkbox'  value='Watching TV (Family Movie Night)'  id='choice_5_92_39'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_39' id='label_5_92_39' class='gform-field-label gform-field-label--type-inline'>Watching TV (Family Movie Night)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_5_92_41'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_92.41' type='checkbox'  value='Trip to Vancouver'  id='choice_5_92_41'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_92_41' id='label_5_92_41' class='gform-field-label gform-field-label--type-inline'>Trip to Vancouver<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_93\" class=\"gfield gfield--type-list gfield--input-type-list gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Other Activity Ideas:<\/legend><div class='ginput_container ginput_container_list ginput_list '><div class='gfield_list gfield_list_container'><div class=\"gfield_list_groups\"><div class='gfield_list_row_odd gfield_list_group gform-grid-row'><div class='gfield_list_group_item gfield_list_cell gfield_list_93_cell1 gform-grid-col' ><input aria-invalid='false'   aria-label='Other Activity Ideas:, Row 1' data-aria-label-template='Other Activity Ideas:, Row {0}' type='text' name='input_93[]' value=''   \/><\/div><div class='gfield_list_icons gform-grid-col'>   <button type='button'  class='add_list_item ' aria-label='Add another row' onclick='gformAddListItem(this, 0)'>Add<\/button>   <button type='button'  class='delete_list_item' aria-label='Remove row 1' data-aria-label-template='Remove row {0}' onclick='gformDeleteListItem(this, 0)' style=\"visibility:hidden;\">Remove<\/button><\/div><\/div><\/div><\/div><\/div><\/fieldset><div id=\"field_5_108\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Short Note to Exchange Student Buddy - To Be Completed By Student<\/h3><\/div><div id=\"field_5_109\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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_5_109'>Please write a short note to your sister school buddy.  Describe yourself, what you are interested in, your family, pets, the activities you like to do. Describe your typical school day, evenings and weekends.  What has made you interested to be a part of the cultural exchange?  Describe some things you are hoping to do in [destination], and some things you hope to do with your host buddy while here.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_109' id='input_5_109' class='textarea medium'  aria-describedby=\"gfield_description_5_109\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_5_109'>(Max 300 words)<\/div><\/div><div id=\"field_5_114\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hosting Questions - To Be Completed By Parent<\/h3><\/div><div id=\"field_5_115\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full 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' for='input_5_115'>Please describe your home &amp; family - how many bedrooms,  house or apartment, will guest student have own room or room share with exchange participant?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_115' id='input_5_115' class='textarea medium'     aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_5_122\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I can volunteer as a parent driver for some field trip activities while we are hosting:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_122'>\n\t\t\t<div class='gchoice gchoice_5_122_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='Yes'  id='choice_5_122_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_122_0' id='label_5_122_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_122_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_122' type='radio' value='No'  id='choice_5_122_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_122_1' id='label_5_122_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_130\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Do you have a completed drivers abstract on file with the school, if not would you be willing to complete one?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_130'>\n\t\t\t<div class='gchoice gchoice_5_130_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='Yes'  id='choice_5_130_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_130_0' id='label_5_130_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_130_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_130' type='radio' value='No'  id='choice_5_130_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_130_1' id='label_5_130_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_123\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Would you be able to host more than one student in the event that we have more students coming over than are going?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_123'>\n\t\t\t<div class='gchoice gchoice_5_123_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='Yes'  id='choice_5_123_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_123_0' id='label_5_123_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_123_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_123' type='radio' value='No'  id='choice_5_123_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_123_1' id='label_5_123_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_94\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Parent Confirmations - To Be Completed By Parent<\/h3><\/div><fieldset id=\"field_5_96\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand the cost of the exchange (approximate cost may be $4500-$5000), and will be able to make the regular monthly installment payments of $500, and the initial non-refundable deposit of $1000 to secure a spot on  the exchange, if my child is selected to participate.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_96'><div class='gchoice gchoice_5_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='I confirm'  id='choice_5_96_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_96_1' id='label_5_96_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_97\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I also understand the expectations of hosting in October for 3 weeks, and that each parent in the house\/ volunteer driver will need to complete the Criminal record check application upon student acceptance into the exchange, and in September of [currentYear] to complete the volunteer driver forms for school field trips.  (Driver abstract, vehicle insurance, photocopy of driver license)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_97'><div class='gchoice gchoice_5_97_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.1' type='checkbox'  value='I confirm'  id='choice_5_97_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_97_1' id='label_5_97_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_99\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand that as a host parent I will be needed to provide transportation to and from school at some adjusted drop off and pick up times due to some arranged field trips needing an early start to the day and evening return times.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_99'><div class='gchoice gchoice_5_99_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.1' type='checkbox'  value='I confirm'  id='choice_5_99_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_99_1' id='label_5_99_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_100\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >I understand that we will provide a safe family home setting with meals and family activities that include our guest student for the 3 weeks, with appropriate guidance and rules in line with school district 71 host family policies.  (to be provided and reviewed closer to exchange hosting time).<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_5_100'><div class='gchoice gchoice_5_100_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_100.1' type='checkbox'  value='I confirm'  id='choice_5_100_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_100_1' id='label_5_100_1' class='gform-field-label gform-field-label--type-inline'>I confirm<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_101\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Fundraising Questions - To Be Completed By Parent<\/h3><\/div><div id=\"field_5_102\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Fundraising for Exchanges is Optional for raising some money toward offsetting individual costs of participating in the exchange.<\/p>\n<p>Please note, <strong>there is no guarantee of raising significant funds through fundraising<\/strong>, and it must be parent and student driven.  The exchange lead teacher will help facilitate \/ sponsor some fundraising activities.  Parents must have arranged to have full funds organized for the exchange in case fundraising initiative\/ interest is low.<\/p><\/div><fieldset id=\"field_5_103\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I would like to assist with organizing some fundraising activities.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_103'>\n\t\t\t<div class='gchoice gchoice_5_103_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='Yes'  id='choice_5_103_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_103_0' id='label_5_103_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_103_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='No, I&#039;m unable to help'  id='choice_5_103_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_103_1' id='label_5_103_1' class='gform-field-label gform-field-label--type-inline'>No, I'm unable to help<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_103_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_103' type='radio' value='Maybe'  id='choice_5_103_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_103_2' id='label_5_103_2' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_104\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I would like my child to do some fundraising and will support them with this<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_104'>\n\t\t\t<div class='gchoice gchoice_5_104_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='Yes'  id='choice_5_104_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_104_0' id='label_5_104_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_104_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='No, fundraising is not needed'  id='choice_5_104_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_104_1' id='label_5_104_1' class='gform-field-label gform-field-label--type-inline'>No, fundraising is not needed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_104_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_104' type='radio' value='Maybe'  id='choice_5_104_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_104_2' id='label_5_104_2' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_5_105\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I can volunteer to help as a parent at some fundraisers my child participates in<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_5_105'>\n\t\t\t<div class='gchoice gchoice_5_105_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Yes'  id='choice_5_105_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_105_0' id='label_5_105_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_105_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='No, fundraising is not needed'  id='choice_5_105_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_105_1' id='label_5_105_1' class='gform-field-label gform-field-label--type-inline'>No, fundraising is not needed<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_5_105_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_105' type='radio' value='Maybe'  id='choice_5_105_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_5_105_2' id='label_5_105_2' class='gform-field-label gform-field-label--type-inline'>Maybe<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_5_106\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_106'>I have some great fundraising ideas, here they are:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_106' id='input_5_106' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_107\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_107'>What is a reasonable goal amount you hope your child can fundraise?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_107' id='input_5_107' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_120\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Passport Upload<\/h3>\n<hr><\/div><div id=\"field_5_111\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload gfield--width-full 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' for='input_5_111'>If your passport is valid through October 5, [currentYear], please upload a scanned colour copy of the ID picture page here:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='20971520' \/><input name='input_111' id='input_5_111' type='file' class='large' aria-describedby=\"gfield_upload_rules_5_111\" onchange='javascript:gformValidateFileSize( this, 20971520 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_5_111'>Max. file size: 20 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_5_111'><\/div> <\/div><\/div><div id=\"field_5_121\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><hr><\/div><div id=\"field_5_117\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_117'>Questions or Comments:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_117' id='input_5_117' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_5_112\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below 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