{"id":18,"date":"2022-05-17T23:01:11","date_gmt":"2022-05-17T21:01:11","guid":{"rendered":"https:\/\/epadance.co.za\/2\/?page_id=18"},"modified":"2024-04-28T10:36:54","modified_gmt":"2024-04-28T08:36:54","slug":"register-studio","status":"publish","type":"page","link":"https:\/\/epadance.co.za\/2\/register-studio\/","title":{"rendered":"Studio Affiliation Form"},"content":{"rendered":"\n<div class=\"um um-register um-375\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\">\n\t\t\t<div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;padding: 10px 15px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;background-color: #000000;color: #ffffff;\">Studio Information<\/div><div class=\"um-row _um_row_1 \" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;\"><div class=\"um-col-1\"><div  id=\"um_field_375_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-375\">* 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-375\" id=\"user_email-375\" value=\"\" placeholder=\"email@domain.co.za\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_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-375\">* Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-375\" id=\"user_password-375\" value=\"\" placeholder=\"(minimum 8 characters, max 30)\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-375\">Confirm Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-375\" id=\"confirm_user_password-375\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><div  id=\"um_field_375_studio-name\" class=\"um-field um-field-text  um-field-studio-name um-field-text um-field-type_text\" data-key=\"studio-name\"><div class=\"um-field-label\"><label for=\"studio-name-375\">* Name of Studio<\/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=\"studio-name-375\" id=\"studio-name-375\" value=\"\" placeholder=\"Name of Studio\" data-validate=\"\" data-key=\"studio-name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_studio-address\" class=\"um-field um-field-text  um-field-studio-address um-field-text um-field-type_text\" data-key=\"studio-address\"><div class=\"um-field-label\"><label for=\"studio-address-375\">* Studio 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=\"studio-address-375\" id=\"studio-address-375\" value=\"\" placeholder=\"Studio Address\" data-validate=\"\" data-key=\"studio-address\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_dance-forms\" class=\"um-field um-field-checkbox  um-field-dance-forms um-field-checkbox um-field-type_checkbox\" data-key=\"dance-forms\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"dance-forms-375\">* Dance forms taught<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"dance-forms[]\" value=\"Ballet\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Ballet<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right \"><input   type=\"checkbox\" name=\"dance-forms[]\" value=\"Spanish\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Spanish<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"dance-forms[]\" value=\"Modern\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Modern<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right \"><input   type=\"checkbox\" name=\"dance-forms[]\" value=\"Tap\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Tap<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"dance-forms[]\" value=\"Street Dance\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Street Dance<\/span><\/label><label class=\"um-field-checkbox  um-field-half  right \"><input   type=\"checkbox\" name=\"dance-forms[]\" value=\"Acro\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Acro<\/span><\/label><div class=\"um-clear\"><\/div><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"dance-forms[]\" value=\"Drama\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">Drama<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_375_teacher-count\" class=\"um-field um-field-select  um-field-teacher-count um-field-select um-field-type_select\" data-key=\"teacher-count\"><div class=\"um-field-label\"><label for=\"teacher-count-375\">* How many teachers are you affiliating?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"teacher-count\" id=\"teacher-count\" data-validate=\"\" data-key=\"teacher-count\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"Minimum 1, maximum 5\"   aria-invalid=\"false\" ><option value=\"\"><\/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><\/select><\/div><\/div><\/div><\/div><div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;padding: 10px 15px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;background-color: #000000;color: #ffffff;\">Teacher(s) Information<\/div><div class=\"um-row _um_row_2  um-customized-row\" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;color: #000000 !important;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-block  um-is-conditional um-field-block um-field-type_block\" data-key=\"um_block_24_15_17_20\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"0\"><p style=\"background-color: powderblue;text-align: center;color: black\">Teacher <strong>1<\/strong> (of maximum 5)<\/p><\/div><div  id=\"um_field_375_teacher-1\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-1 um-field-text um-field-type_text\" data-key=\"teacher-1\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"0\"><div class=\"um-field-label\"><label for=\"teacher-1-375\">* 1st Teacher Name and Surname<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-1-375\" id=\"teacher-1-375\" value=\"\" placeholder=\"Please enter name &amp; Surname\" data-validate=\"\" data-key=\"teacher-1\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-1-email\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-1-email um-field-text um-field-type_text\" data-key=\"teacher-1-email\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"0\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"0\" data-cond-2-action=\"show\" data-cond-2-field=\"teacher-count\" data-cond-2-operator=\"greater than\" data-cond-2-value=\"0\"><div class=\"um-field-label\"><label for=\"teacher-1-email-375\">* 1st Teacher Email<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-1-email-375\" id=\"teacher-1-email-375\" value=\"\" placeholder=\"email@domain.co.za\" data-validate=\"unique_email\" data-key=\"teacher-1-email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-1-phone\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-1-phone um-field-text um-field-type_text\" data-key=\"teacher-1-phone\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"0\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"0\"><div class=\"um-field-label\"><label for=\"teacher-1-phone-375\">* 1st Teacher 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=\"text\" name=\"teacher-1-phone-375\" id=\"teacher-1-phone-375\" value=\"\" placeholder=\"eg: 072 111 5566\" data-validate=\"phone_number\" data-key=\"teacher-1-phone\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  class=\"um-field um-field-block  um-is-conditional um-field-block um-field-type_block\" data-key=\"um_block_24_15\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"1\"><p style=\"background-color: powderblue;text-align: center;color: black\">Teacher <strong>2<\/strong> (of maximum 5)<\/p><\/div><div  id=\"um_field_375_teacher-2\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-2 um-field-text um-field-type_text\" data-key=\"teacher-2\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"1\"><div class=\"um-field-label\"><label for=\"teacher-2-375\">* 2nd Teacher or Assistant Name &amp; Surname<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-2-375\" id=\"teacher-2-375\" value=\"\" placeholder=\"Please enter name &amp; surname\" data-validate=\"\" data-key=\"teacher-2\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-2-email\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-2-email um-field-text um-field-type_text\" data-key=\"teacher-2-email\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"1\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"1\" data-cond-2-action=\"show\" data-cond-2-field=\"teacher-count\" data-cond-2-operator=\"greater than\" data-cond-2-value=\"1\"><div class=\"um-field-label\"><label for=\"teacher-2-email-375\">* 2nd Teacher or Assistant E-Mail<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-2-email-375\" id=\"teacher-2-email-375\" value=\"\" placeholder=\"email@domain.co.za\" data-validate=\"unique_email\" data-key=\"teacher-2-email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-2-phone\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-2-phone um-field-text um-field-type_text\" data-key=\"teacher-2-phone\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"1\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"1\" data-cond-2-action=\"show\" data-cond-2-field=\"teacher-count\" data-cond-2-operator=\"greater than\" data-cond-2-value=\"1\" data-cond-3-action=\"show\" data-cond-3-field=\"teacher-count\" data-cond-3-operator=\"greater than\" data-cond-3-value=\"1\"><div class=\"um-field-label\"><label for=\"teacher-2-phone-375\">* 2nd Teacher or Assistant Phone Number<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-2-phone-375\" id=\"teacher-2-phone-375\" value=\"\" placeholder=\"eg: 072 111 5566\" data-validate=\"phone_number\" data-key=\"teacher-2-phone\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  class=\"um-field um-field-block  um-is-conditional um-field-block um-field-type_block\" data-key=\"um_block_24_15_17\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"2\"><p style=\"background-color: powderblue;text-align: center;color: black\">Teacher <strong>3<\/strong> (of maximum 5)<\/p><\/div><div  id=\"um_field_375_teacher-3\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-3 um-field-text um-field-type_text\" data-key=\"teacher-3\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"2\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"2\"><div class=\"um-field-label\"><label for=\"teacher-3-375\">* 3rd Teacher or Assistant Name &amp; Surname<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-3-375\" id=\"teacher-3-375\" value=\"\" placeholder=\"Please enter name &amp; surname\" data-validate=\"\" data-key=\"teacher-3\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-3-email\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-3-email um-field-text um-field-type_text\" data-key=\"teacher-3-email\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"2\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"2\" data-cond-2-action=\"show\" data-cond-2-field=\"teacher-count\" data-cond-2-operator=\"greater than\" data-cond-2-value=\"2\"><div class=\"um-field-label\"><label for=\"teacher-3-email-375\">* 3rd Teacher or Assistant E-mail<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-3-email-375\" id=\"teacher-3-email-375\" value=\"\" placeholder=\"email@domain.co.za\" data-validate=\"unique_email\" data-key=\"teacher-3-email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-3-phone\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-3-phone um-field-text um-field-type_text\" data-key=\"teacher-3-phone\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"2\"><div class=\"um-field-label\"><label for=\"teacher-3-phone-375\">* 3rd Teacher or Assistant 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=\"text\" name=\"teacher-3-phone-375\" id=\"teacher-3-phone-375\" value=\"\" placeholder=\"eg: 072 111 5566\" data-validate=\"phone_number\" data-key=\"teacher-3-phone\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  class=\"um-field um-field-block  um-is-conditional um-field-block um-field-type_block\" data-key=\"um_block_24_15_17_23\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"3\"><p style=\"background-color: powderblue;text-align: center;color: black\">Teacher <strong>4<\/strong> (of maximum 5)<\/p><\/div><div  id=\"um_field_375_teacher-4\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-4 um-field-text um-field-type_text\" data-key=\"teacher-4\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"3\"><div class=\"um-field-label\"><label for=\"teacher-4-375\">* 4th Teacher or Assistant Name &amp; Surname<\/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=\"teacher-4-375\" id=\"teacher-4-375\" value=\"\" placeholder=\"Please enter name &amp; surname\" data-validate=\"\" data-key=\"teacher-4\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-4-email\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-4-email um-field-text um-field-type_text\" data-key=\"teacher-4-email\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"3\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"3\"><div class=\"um-field-label\"><label for=\"teacher-4-email-375\">* 4th Teacher or Assistant E-Mail<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-4-email-375\" id=\"teacher-4-email-375\" value=\"\" placeholder=\"email@domain.co.za\" data-validate=\"unique_email\" data-key=\"teacher-4-email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-4-phone\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-4-phone um-field-text um-field-type_text\" data-key=\"teacher-4-phone\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"3\"><div class=\"um-field-label\"><label for=\"teacher-4-phone-375\">* 4th Teacher or Assistant 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=\"text\" name=\"teacher-4-phone-375\" id=\"teacher-4-phone-375\" value=\"\" placeholder=\"eg: 072 111 5566\" data-validate=\"\" data-key=\"teacher-4-phone\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  class=\"um-field um-field-block  um-is-conditional um-field-block um-field-type_block\" data-key=\"um_block_24_15_17_23_24\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"4\"><p style=\"background-color: powderblue;text-align: center;color: black\">Teacher <strong>5<\/strong> (of maximum 5)<\/p>\r\n<\/div><div  id=\"um_field_375_teacher-5\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-5 um-field-text um-field-type_text\" data-key=\"teacher-5\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"4\"><div class=\"um-field-label\"><label for=\"teacher-5-375\">* 5th Teacher or Assistant Name &amp; Surname<\/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=\"teacher-5-375\" id=\"teacher-5-375\" value=\"\" placeholder=\"Please enter name &amp; surname\" data-validate=\"\" data-key=\"teacher-5\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-5-email\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-5-email um-field-text um-field-type_text\" data-key=\"teacher-5-email\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"4\"><div class=\"um-field-label\"><label for=\"teacher-5-email-375\">* 5th Teacher or Assistant E-mail<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"teacher-5-email-375\" id=\"teacher-5-email-375\" value=\"\" placeholder=\"email@domain.co.za\" data-validate=\"unique_email\" data-key=\"teacher-5-email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_teacher-5-phone\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-5-phone um-field-text um-field-type_text\" data-key=\"teacher-5-phone\" data-cond-0-action=\"show\" data-cond-0-field=\"teacher-count\" data-cond-0-operator=\"greater than\" data-cond-0-value=\"4\" data-cond-1-action=\"show\" data-cond-1-field=\"teacher-count\" data-cond-1-operator=\"greater than\" data-cond-1-value=\"4\"><div class=\"um-field-label\"><label for=\"teacher-5-phone-375\">* 5th Teacher or Assistant 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=\"text\" name=\"teacher-5-phone-375\" id=\"teacher-5-phone-375\" value=\"\" placeholder=\"eg: 072 111 5566\" data-validate=\"phone_number\" data-key=\"teacher-5-phone\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div class=\"um-row-heading\" style=\"margin: 0px 0px 30px 0px;margin-bottom: 0px;padding: 10px 15px;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;background-color: #000000;color: #ffffff;\">DECLARATION<\/div><div class=\"um-row _um_row_3  um-customized-row\" style=\"padding: 0px 0px 0px 0px;margin: 0px 0px 30px 0px;margin-top: 0px;border-width: 0px 0px 0px 0px;border-top-width: 0px;border-style: solid;border-radius: 0px 0px 0px 0px;color: #ffffff !important;\"><div class=\"um-col-1\"><div  id=\"um_field_375_accept-tos\" class=\"um-field um-field-checkbox  um-field-accept-tos um-field-checkbox um-field-type_checkbox\" data-key=\"accept-tos\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"accept-tos-375\">* Please confirm<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"accept-tos[]\" value=\"I\/We hereby undertake to abide by the Rules and Regulations as set out by the Committee of the Eisteddfod of the Performing Arts at all times.\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">I\/We hereby undertake to abide by the Rules and Regulations as set out by the Committee of the Eisteddfod of the Performing Arts at all times.<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_375_teacher-declare\" class=\"um-field um-field-text  um-is-conditional um-field-teacher-declare um-field-text um-field-type_text\" data-key=\"teacher-declare\" data-cond-0-action=\"show\" data-cond-0-field=\"accept-tos\" data-cond-0-operator=\"not empty\" data-cond-0-value=\"\"><div class=\"um-field-label\"><label for=\"teacher-declare-375\">* Name of teacher<\/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=\"teacher-declare-375\" id=\"teacher-declare-375\" value=\"\" placeholder=\"(NAME OF TEACHER)\" data-validate=\"\" data-key=\"teacher-declare\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_375_affiliation-date\" class=\"um-field um-field-date  um-is-conditional um-field-affiliation-date um-field-date um-field-type_date\" data-key=\"affiliation-date\" data-cond-0-action=\"show\" data-cond-0-field=\"accept-tos\" data-cond-0-operator=\"not empty\" data-cond-0-value=\"\" data-cond-1-action=\"show\" data-cond-1-field=\"accept-tos\" data-cond-1-operator=\"not empty\" data-cond-1-value=\"\"><div class=\"um-field-label\"><label for=\"affiliation-date-375\">* Affiliation Date<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker \" type=\"text\" name=\"affiliation-date-375\" id=\"affiliation-date-375\" value=\"\" placeholder=\"(DATE)\" data-validate=\"\" data-key=\"affiliation-date\" data-range=\"years\" data-years=\"50\" data-years_x=\"equal\" data-disabled_weekdays=\"\" data-date_min=\"2001,7,14\" data-date_max=\"2051,7,14\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><\/div>\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_375\" value=\"375\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_375\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_375\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"7099a9e898\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/2\/wp-json\/wp\/v2\/pages\/18\" \/>\n<div class=\"g-recaptcha\" id=\"um-375\" data-mode=\"register\"><\/div>\n\n\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-center\">\n\t\t\t\t<input type=\"submit\" value=\"Submit Affiliation Form\" class=\"um-button\" id=\"um-submit-btn\" \/>\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-375.um {\n\t\t\tmax-width: 450px;\n\t\t}\n\t\t<\/style>\n\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-18","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/pages\/18","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/comments?post=18"}],"version-history":[{"count":22,"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/pages\/18\/revisions"}],"predecessor-version":[{"id":376,"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/pages\/18\/revisions\/376"}],"wp:attachment":[{"href":"https:\/\/epadance.co.za\/2\/wp-json\/wp\/v2\/media?parent=18"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}