{"id":831,"date":"2022-09-30T11:25:28","date_gmt":"2022-09-30T11:25:28","guid":{"rendered":"https:\/\/pennysmiles.org\/?page_id=831"},"modified":"2022-09-30T11:49:24","modified_gmt":"2022-09-30T11:49:24","slug":"registration","status":"publish","type":"page","link":"https:\/\/pennysmiles.org\/index.php\/registration\/","title":{"rendered":"Register"},"content":{"rendered":"\n\n<div class=\"um um-register um-683\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_683_First_Name\" class=\"um-field um-field-text  um-field-First_Name um-field-text um-field-type_text\" data-key=\"First_Name\"><div class=\"um-field-label\"><label for=\"First_Name-683\">First Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"First_Name-683\" id=\"First_Name-683\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"First_Name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_Last_Name\" class=\"um-field um-field-text  um-field-Last_Name um-field-text um-field-type_text\" data-key=\"Last_Name\"><div class=\"um-field-label\"><label for=\"Last_Name-683\">Last Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Last_Name-683\" id=\"Last_Name-683\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Last_Name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_Other_Name\" class=\"um-field um-field-text  um-field-Other_Name um-field-text um-field-type_text\" data-key=\"Other_Name\"><div class=\"um-field-label\"><label for=\"Other_Name-683\">Other Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Other_Name-683\" id=\"Other_Name-683\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Other_Name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_gender_m\" class=\"um-field um-field-radio  um-field-gender_m um-field-radio um-field-type_radio\" data-key=\"gender_m\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"gender_m-683\">Gender<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half \"><input  type=\"radio\" name=\"gender_m[]\" value=\"Male\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Male<\/span><\/label><label class=\"um-field-radio  um-field-half  right \"><input  type=\"radio\" name=\"gender_m[]\" value=\"Female\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Female<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_683_Date_of_birth\" class=\"um-field um-field-date  um-field-Date_of_birth um-field-date um-field-type_date\" data-key=\"Date_of_birth\"><div class=\"um-field-label\"><label for=\"Date_of_birth-683\">Date of Birth<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid not-required um-datepicker \" type=\"text\" name=\"Date_of_birth-683\" id=\"Date_of_birth-683\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Date_of_birth\" data-range=\"years\" data-years=\"100\" data-years_x=\"equal\" data-disabled_weekdays=\"\" data-date_min=\"1976,5,13\" data-date_max=\"2076,5,13\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_Phone_Number\" class=\"um-field um-field-tel  um-field-Phone_Number um-field-tel um-field-type_tel\" data-key=\"Phone_Number\"><div class=\"um-field-label\"><label for=\"Phone_Number-683\">Phone Number<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"tel\" name=\"Phone_Number-683\" id=\"Phone_Number-683\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Phone_Number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-683\">E-mail Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"user_email-683\" id=\"user_email-683\" value=\"\" placeholder=\"\" data-validate=\"custom\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_Residential_address\" class=\"um-field um-field-text  um-field-Residential_address um-field-text um-field-type_text\" data-key=\"Residential_address\"><div class=\"um-field-label\"><label for=\"Residential_address-683\">Residential address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Residential_address-683\" id=\"Residential_address-683\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Residential_address\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_Place_of_Work\" class=\"um-field um-field-text  um-field-Place_of_Work um-field-text um-field-type_text\" data-key=\"Place_of_Work\"><div class=\"um-field-label\"><label for=\"Place_of_Work-683\">Place of Work<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"Place_of_Work-683\" id=\"Place_of_Work-683\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Place_of_Work\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_683_why_psf\" class=\"um-field um-field-textarea  um-field-why_psf um-field-textarea um-field-type_textarea\" data-key=\"why_psf\"><div class=\"um-field-label\"><label for=\"why_psf-683\">Explain briefly why you want to be a member of PSF<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><textarea    style=\"height: 100px;\" class=\"um-form-field valid not-required \" name=\"why_psf\" id=\"why_psf\" placeholder=\"\"  aria-invalid=\"false\" ><\/textarea><\/div><\/div><div  id=\"um_field_683_Upload_Photo\" class=\"um-field um-field-image  um-field-Upload_Photo um-field-image um-field-type_image\" data-key=\"Upload_Photo\" data-mode=\"register\" data-upload-label=\"Upload Photo\"><input type=\"hidden\" name=\"Upload_Photo-683\" id=\"Upload_Photo-683\" value=\"\"  aria-invalid=\"false\" \/><div class=\"um-field-label\"><label for=\"Upload_Photo-683\">Upload Photo<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\" style=\"text-align: center;\"><div class=\"um-single-image-preview \" data-crop=\"0\" data-key=\"Upload_Photo\"><a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a><img decoding=\"async\" class=\"fusion-lazyload-ignore\" src=\"\" alt=\"\" \/><div class=\"um-clear\"><\/div><\/div><a href=\"javascript:void(0);\" data-modal=\"um_upload_single\" data-modal-size=\"normal\" data-modal-copy=\"1\" class=\"um-button um-btn-auto-width\">Upload Photo<\/a><\/div><div class=\"um-modal-hidden-content\"><div class=\"um-modal-header\"> Upload Photo<\/div><div class=\"um-modal-body\"><div class=\"um-single-image-preview \"  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class=\"um-modal-footer\">\n\t\t\t\t\t\t\t\t\t<div class=\"um-modal-right\">\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn um-finish-upload image disabled\" data-key=\"Upload_Photo\" data-change=\"Change photo\" data-processing=\"Processing...\">Apply<\/a>\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"um-modal-btn alt\" data-action=\"um_remove_modal\"> Cancel<\/a>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"um-clear\"><\/div>\n\t\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div  id=\"um_field_683_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-683\">Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-683\" id=\"user_password-683\" value=\"\" placeholder=\"\" 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class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"19aa63e647\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/831\" \/>\n<div class=\"um-field\">\n\t<div class=\"g-recaptcha\" id=\"um-683\" data-type=\"image\" data-size=\"normal\" data-theme=\"dark\" data-sitekey=\"6Ldm3qMqAAAAANQrp5ohSBy2MjyTLTxKGAyssMA7\"><\/div>\n<\/div>\n\n\n<script type=\"text\/javascript\">\n\t\n\t\tvar onloadCallback = function () {\n\t\t\tjQuery('.g-recaptcha').each( function (i) {\n\t\t\t\tgrecaptcha.render( jQuery(this).attr('id'), {\n\t\t\t\t\t'sitekey': jQuery(this).attr('data-sitekey'),\n\t\t\t\t\t'theme': jQuery(this).attr('data-theme')\n\t\t\t\t});\n\t\t\t});\n\t\t};\n\n\t\tfunction um_recaptcha_refresh() {\n\t\t\tjQuery('.g-recaptcha').html('');\n\t\t\tgrecaptcha.reset();\n\t\t\tonloadCallback();\n\t\t}\n\n\t<\/script>\n\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-left um-half\">\n\t\t\t\t<input type=\"submit\" value=\"Register\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"um-right um-half\">\n\t\t\t\t<a href=\"https:\/\/pennysmiles.org\/index.php\/login\/\" class=\"um-button um-alt\">\n\t\t\t\t\tLogin\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-683.um {\n\t\t\tmax-width: 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