{"id":2872,"date":"2021-06-30T17:54:43","date_gmt":"2021-06-30T21:54:43","guid":{"rendered":"https:\/\/lhug.linkpc.net\/?page_id=2872"},"modified":"2024-05-26T14:52:25","modified_gmt":"2024-05-26T18:52:25","slug":"lhug-registration-howard-county","status":"publish","type":"page","link":"https:\/\/lhug.net\/?page_id=2872","title":{"rendered":"LHUG Registration \u2013 Howard County"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2872\" class=\"elementor elementor-2872\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f9dd0fe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f9dd0fe\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3d9b834\" data-id=\"3d9b834\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f429fb7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f429fb7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c7e8a72\" data-id=\"c7e8a72\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-78a1441 elementor-widget elementor-widget-text-editor\" data-id=\"78a1441\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><div class=\"wpforms-container wpforms-container-full form_css\" id=\"wpforms-6197\"><form id=\"wpforms-form-6197\" class=\"wpforms-validate wpforms-form\" data-formid=\"6197\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2872\"><div class=\"wpforms-field-container\"><div id=\"wpforms-6197-field_104-container\" class=\"wpforms-field wpforms-field-html wpforms-field wpforms-field-divider\" data-field-id=\"104\"><div id=\"wpforms-6197-field_104\"><div>\r\n<h1>\r\nLubavitch Homeschool Umbrella Group (LHUG)<br\/>\r\nApplication for residents of<br\/>\r\nHOWARD COUNTY\r\n<\/h1>\r\n<\/div>\r\n<br\/><\/div><\/div><div id=\"wpforms-6197-field_7-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_7\">Parent or Legal Guardian Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_7\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][7][first]\" required><label for=\"wpforms-6197-field_7\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_7-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][7][last]\" required><label for=\"wpforms-6197-field_7-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_118-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"118\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_118\">Second Parent or Legal Guardian Name<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_118\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][118][first]\" ><label for=\"wpforms-6197-field_118\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_118-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][118][last]\" ><label for=\"wpforms-6197-field_118-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_34-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"34\"><h3 id=\"wpforms-6197-field_34\" name=\"wpforms[fields][34]\">Minor Child \/ Children Information<\/h3><\/div><div id=\"wpforms-6197-field_32-container\" class=\"wpforms-field wpforms-field-number-slider\" data-field-id=\"32\"><\/div><div id=\"wpforms-6197-field_38-container\" class=\"wpforms-field wpforms-field-number wpforms-one-half wpforms-first wpforms-conditional-trigger\" data-field-id=\"38\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_38\">Number of Children enrolled in LHUG <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-6197-field_38\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][38]\" required><\/div><div id=\"wpforms-6197-field_114-container\" class=\"wpforms-field wpforms-field-select wpforms-one-half\" data-field-id=\"114\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_114\">Is this your first year homeschooling? <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][114]\" id=\"wpforms-6197-field_114\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"Yes\" >Yes<\/option><option value=\"No\" >No<\/option><\/select><\/div><div id=\"wpforms-6197-field_100-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"100\"><\/div><div id=\"wpforms-6197-field_91-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"91\"><ul id=\"wpforms-6197-field_91\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_91_1\" name=\"wpforms[fields][91]\" value=\"&lt;b&gt;First Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_91_1\"><b>First Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_13-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"13\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_13\">child one name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_13\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][13][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_13\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_13-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][13][middle]\" ><label for=\"wpforms-6197-field_13-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_13-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][13][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-6197-field_13-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_65-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first\" data-field-id=\"65\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_65\">child one gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][65]\" id=\"wpforms-6197-field_65\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_15-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third\" data-field-id=\"15\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_15\">child one grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][15]\" id=\"wpforms-6197-field_15\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_17-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third\" data-field-id=\"17\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_17\">child one dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_17\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][17]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_92-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"92\" style=\"display:none;\"><ul id=\"wpforms-6197-field_92\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_92_1\" name=\"wpforms[fields][92]\" value=\"&lt;b&gt;Second Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_92_1\"><b>Second Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_18-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"18\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_18\">child two name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_18\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][18][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_18\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_18-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][18][middle]\" ><label for=\"wpforms-6197-field_18-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_18-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][18][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-6197-field_18-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_68-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"68\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_68\">child two gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][68]\" id=\"wpforms-6197-field_68\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_24-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"24\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_24\">child two grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][24]\" id=\"wpforms-6197-field_24\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_29-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"29\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_29\">child two dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_29\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][29]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_93-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"93\" style=\"display:none;\"><ul id=\"wpforms-6197-field_93\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_93_1\" name=\"wpforms[fields][93]\" value=\"&lt;b&gt;Third Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_93_1\"><b>Third Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_21-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"21\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_21\">child three name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_21\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][21][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_21\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_21-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][21][middle]\" ><label for=\"wpforms-6197-field_21-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_21-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][21][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-6197-field_21-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_69-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"69\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_69\">child three gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][69]\" id=\"wpforms-6197-field_69\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_25-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"25\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_25\">child three grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][25]\" id=\"wpforms-6197-field_25\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_30-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"30\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_30\">child three dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_30\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][30]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_94-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"94\" style=\"display:none;\"><ul id=\"wpforms-6197-field_94\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_94_1\" name=\"wpforms[fields][94]\" value=\"&lt;b&gt;Fourth Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_94_1\"><b>Fourth Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_20-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"20\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_20\">child four name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_20\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][20][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_20\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_20-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][20][middle]\" ><label for=\"wpforms-6197-field_20-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_20-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][20][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-6197-field_20-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_67-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"67\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_67\">child four gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][67]\" id=\"wpforms-6197-field_67\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_28-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"28\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_28\">child four grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][28]\" id=\"wpforms-6197-field_28\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_40-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"40\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_40\">child four dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_40\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][40]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_95-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"95\" style=\"display:none;\"><ul id=\"wpforms-6197-field_95\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_95_1\" name=\"wpforms[fields][95]\" value=\"&lt;b&gt;Fifth Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_95_1\"><b>Fifth Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_19-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"19\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_19\">child five name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_19\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][19][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_19\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_19-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][19][middle]\" ><label for=\"wpforms-6197-field_19-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_19-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][19][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-6197-field_19-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_66-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"66\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_66\">child five gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][66]\" id=\"wpforms-6197-field_66\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_27-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"27\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_27\">child five grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][27]\" id=\"wpforms-6197-field_27\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_42-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"42\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_42\">child five dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_42\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][42]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_97-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"97\" style=\"display:none;\"><ul id=\"wpforms-6197-field_97\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_97_1\" name=\"wpforms[fields][97]\" value=\"&lt;b&gt;Sixth Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_97_1\"><b>Sixth Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_44-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"44\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_44\">child six name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_44\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][44][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_44\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_44-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][44][middle]\" ><label for=\"wpforms-6197-field_44-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_44-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][44][last]\" placeholder=\"First  Name\" required><label for=\"wpforms-6197-field_44-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_71-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"71\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_71\">child six gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][71]\" id=\"wpforms-6197-field_71\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_45-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"45\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_45\">child six grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][45]\" id=\"wpforms-6197-field_45\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_46-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"46\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_46\">child six dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_46\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][46]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_98-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"98\" style=\"display:none;\"><ul id=\"wpforms-6197-field_98\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_98_1\" name=\"wpforms[fields][98]\" value=\"&lt;b&gt;Seventh Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_98_1\"><b>Seventh Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_74-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_74\">child seven name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_74\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][74][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_74\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_74-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][74][middle]\" ><label for=\"wpforms-6197-field_74-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_74-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][74][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-6197-field_74-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_73-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"73\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_73\">child seven gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][73]\" id=\"wpforms-6197-field_73\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_75-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"75\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_75\">child seven grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][75]\" id=\"wpforms-6197-field_75\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_76-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"76\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_76\">child seven dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_76\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][76]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_99-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"99\" style=\"display:none;\"><ul id=\"wpforms-6197-field_99\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-6197-field_99_1\" name=\"wpforms[fields][99]\" value=\"&lt;b&gt;Eighth Child&#039;s Information&lt;\/b&gt;\"   checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_99_1\"><b>Eighth Child&#8217;s Information<\/b><\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_81-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"81\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_81\">child eight name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_81\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][81][first]\" placeholder=\"First Name\" required><label for=\"wpforms-6197-field_81\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-6197-field_81-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][81][middle]\" ><label for=\"wpforms-6197-field_81-middle\" class=\"wpforms-field-sublabel after \">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-6197-field_81-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][81][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-6197-field_81-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_70-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-first wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"70\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_70\">child eight gender <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][70]\" id=\"wpforms-6197-field_70\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Male\" >Male<\/option><option value=\"Female\" >Female<\/option><\/select><div class=\"wpforms-field-description\">Gender<\/div><\/div><div id=\"wpforms-6197-field_79-container\" class=\"wpforms-field wpforms-field-select wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"79\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_79\">child eight grade <span class=\"wpforms-required-label\">*<\/span><\/label><select name=\"wpforms[fields][79]\" id=\"wpforms-6197-field_79\" class=\"wpforms-field-medium wpforms-field-required\"  required><option value=\"\" class=\"placeholder\" disabled  selected='selected'>&#8212;<\/option><option value=\"Kindergarten\" >Kindergarten<\/option><option value=\"Grade 1\" >Grade 1<\/option><option value=\"Grade 2\" >Grade 2<\/option><option value=\"Grade 3\" >Grade 3<\/option><option value=\"Grade 4\" >Grade 4<\/option><option value=\"Grade 5\" >Grade 5<\/option><option value=\"Grade 6\" >Grade 6<\/option><option value=\"Grade 7\" >Grade 7<\/option><option value=\"Grade 8\" >Grade 8<\/option><option value=\"Grade 9\" >Grade 9<\/option><option value=\"Grade 10\" >Grade 10<\/option><option value=\"Grade 11\" >Grade 11<\/option><option value=\"Grade 12\" >Grade 12<\/option><\/select><div class=\"wpforms-field-description\">Grade<\/div><\/div><div id=\"wpforms-6197-field_80-container\" class=\"wpforms-field wpforms-field-text wpforms-one-third wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"80\" style=\"display:none;\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_80\">child eight dob <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6197-field_80\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99\/99\/9999\" name=\"wpforms[fields][80]\" required><div class=\"wpforms-field-description\">Date of Birth<\/div><\/div><div id=\"wpforms-6197-field_78-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"78\"><\/div><div id=\"wpforms-6197-field_101-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"101\"><div class=\"wpforms-field-description\"><b>Minor Child \/ Children Address<\/b><\/div><\/div><div id=\"wpforms-6197-field_49-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"49\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_49\">minor child address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-6197-field_49\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][49][address1]\" required><label for=\"wpforms-6197-field_49\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-6197-field_49-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][49][address2]\" ><label for=\"wpforms-6197-field_49-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-6197-field_49-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][49][city]\" required><label for=\"wpforms-6197-field_49-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-6197-field_49-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][49][state]\" value=\"Maryland\" placeholder=\"Maryland\" required><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\"  selected='selected'>Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-6197-field_49-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-6197-field_49-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99999[-9999]\" data-inputmask-greedy=\"false\" name=\"wpforms[fields][49][postal]\" required><label for=\"wpforms-6197-field_49-postal\" class=\"wpforms-field-sublabel after \">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_83-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"83\"><div id=\"wpforms-6197-field_83\">Lubavitch Homeschool Umbrella Group (LHUG), is a bona-fide religious organization that operates an Education Ministry registered with Maryland State Department of Education. Parents\/guardians who wish to provide home instruction for child(ren) under supervision of LHUG, must hereby agree to be wholly responsible for all aspects of the instruction of the child as per MD Code (COMAR). \r\n<br\/><br\/>\r\nEvery child in Maryland who is 5 years and older and under 18 must attend a public school \u201cunless the child is otherwise receiving regular, thorough instruction during the school year in the studies usually taught in the public schools to children of the same age\u201d or has completed a home instruction program that has been verified by the local school system or supervising entity. <a href=\"https:\/\/www.peoples-law.org\/compulsory-school-attendance\"  target=\"_blank\">Learn more about compulsory school attendance<\/a>.\r\n<br\/><br\/>\r\nParents\/guardians who wish to home school a child should familiarize themselves with the applicable law, including <a href=\"http:\/\/mgaleg.maryland.gov\/mgawebsite\/Laws\/StatuteText?article=ged&#038;section=7-301\" target=\"_blank\">Maryland Code, Education Article, 7-301<\/a> and <a href=\"http:\/\/www.dsd.state.md.us\/comar\/SubtitleSearch.aspx?search=13A.10.01.*\" target=\"_blank\">Code of Maryland Regulations (&#8220;COMAR&#8221;) Title 13A, Subtitle 10<\/a> (&#8220;Home Instruction&#8221;). Note that a local school system may not impose additional requirements for home instruction programs other than those in the Maryland regulations.\r\n<br\/><br\/>\r\nLubavitch Homeschool Umbrella Group (LHUG) Education Ministry provides the following supervision requirements:<br\/>\r\n\u2022Pre-enrollment conferences with parents\/guardians<br\/>\r\n\u2022Review of textbooks, lesson materials and other instructional materials or equipment designed to be used by the pupil at a site other than a school<br\/>\r\n\u2022Annual visits by Ministry personnel to site where pupil receives instruction (audiovisual electronic visits currently qualify as site visits)<br\/>\r\n\u2022Conferences with parents\/guardians at appropriate intervals during enrollment period.<br\/>\r\n<br\/>\r\nIn addition, LHUG is required to comply with the following annual verification and change of status requirements of the Home Instruction regulations:<br\/>\r\n\u2022Verify with the local school superintendent the identification of home schooled students whose instruction is continuing under our supervision<br\/>\r\n\u2022Notify the local school superintendent of the identification of home schooled students whose instruction is newly added to our supervision (Notification of Intent to Homeschool must be (e)filed each year in your city or county of residence)<br\/>\r\n\u2022Provide the local school superintendent with the identification of homeschooled students whose instruction is no longer under our supervision<br\/>\r\n\u2022Notify the local school superintendent if a change occurs in the status of a home schooled student whose instruction was under our supervision during the school year.<br\/>\r\n<br\/>\r\nParents\/guardians hereby commit to full compliance with MD statutes regarding homeschooling, including:<br\/>\r\n\u2022<b>Completing, signing and submitting the legal Dept of Education Homeschool Notification form to the city or county of residence at least 15 days before the beginning of a home instruction program, indicating consent to the state requirements.<\/b>  Per COMAR (Maryland Code) statute, parents\/guardians must ensure each child is instructed as per the standard for like age\/grade children in public school classes in MD.<br\/>\r\n\u2022Verifying the beginning, continuation, and discontinuing of home schooling for each child with LHUG Education Ministry.   Notification to LHUG of any change in status after the beginning of the school year should occur within 15 days of the change in status.<br\/>\r\n\u2022Providing Timely Forms, Payment and Information  (<b>by August 15th<\/b>) to allow LHUG to verify homeschooling status or other information to ensure legal compliance<br\/>\r\n<br\/>\r\nMembership in the LHUG Umbrella group has the following general guidelines:<br\/>\r\n\u2022Parents\/guardians who are new to homeschooling or do not have complete homeschool plan must consult with LHUG personnel before beginning instruction to review and solidify their curricula &#038; instruction plans for the year in the 8 primary subject areas: English, Math, Social Studies, Science, Health, Physical Education, Music and Art.   LHUG personnel will, of course, be happy to assist with guidance or resources for any other subjects or learning goals as well.<br\/>\r\n\u2022Parents\/guardians should connect in to LHUG&#8217;s daily communications group &#8216;Homeschooling Heroes&#8217;.   To sign up for groups or subgroups, please note your phone number and communications App preference below (WhatsApp or Signal, or email if neither)<br\/>\r\n\u2022Families or parents should attend some of the group meetups, including e-meetings, as per interests or family needs.<br\/>\r\n\u2022Families are required to attend a minimum of one meeting with the group per calendar year, for the purpose of Educational Review. <br\/>\r\n\u2022Families are encouraged, but not required, to host  or organize at least one activity, workshop, or class per calendar year.<br\/>\r\n\u2022Parents\/guardians are encouraged, but not required, to support LHUG with a few hours or small support pieces during the year.  Volunteering could include organizing and\/or hosting a zoom LHUG organizational or review meeting, hosting an LHUG family get-together, matching new homeschoolers to experienced mentors, teaching a few classes in parent&#8217;s\/guardian&#8217;s field of expertise or interest, being the games host at regular park meetups, providing carpool rides for common activities, computer or web support, making &#8216;intake&#8217; calls\/sending info emails for new LHUG inquiries, etc.  A small amount of support from everyone allows us to keep costs very low for everyone, as well.\r\n<br\/><br\/>\r\nParents\/guardians also agree to conduct the home instruction program in a manner:<br\/>\r\n\u2022Consistent with Torah Principles<br\/>\r\n\u2022Which does not interfere with LHUG\u2019s operations and<br\/>\r\n\u2022Does not harm the good name &#038; reputation of LHUG.\r\n<br\/><br\/>\r\nParents\/guardians hereby release LHUG and those acting in support or on behalf of LHUG from any and all liability for any injury, harm or lack of success that may result from any act or omission in conjunction with their program of home instruction.  Further, parents\/guardians understand that LHUG&#8217;s mission is to provide a level of support that is minimally invasive to the parent&#8217;s\/guardian&#8217;s homeschool, but offers experience, mutual support, possible resources, connection to activities and available social connection to other homeschoolers who value living and learning through Torah Principles.\r\n<br\/><br\/><b>\r\nThis Agreement is effective for the academic year 2025-2026 upon:<br\/>\r\n\u2022Execution and Submission of this agreement to LHUG by the parents\/guardians signed below<br\/>\r\n\u2022Payment of the annual fee of $50 (payable to Lubavitch Homeschool Umbrella Group)<br\/>\r\nPLEASE NOTE: In Payment Memo: list names of children covered under the agreement, 2025-2026 school year<br\/>\r\n\u2022Execution by Lubavitch Homeschool Umbrella Group (LHUG), indicating acceptance.<\/b>\r\n<br\/><br\/>\r\nLHUG reserves the right to decline or discontinue providing supervision for any parent&#8217;s\/guardian&#8217;s instructional program.<br\/>\r\nEither party is entitled to withdraw from this agreement at any time.\r\n<br\/><\/div><\/div><div id=\"wpforms-6197-field_86-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"86\"><h3 id=\"wpforms-6197-field_86\" name=\"wpforms[fields][86]\">Parent \/ Guardian Information<\/h3><\/div><div id=\"wpforms-6197-field_56-container\" class=\"wpforms-field wpforms-field-address\" data-field-id=\"56\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_56\">Address <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-6197-field_56\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][56][address1]\" required><label for=\"wpforms-6197-field_56\" class=\"wpforms-field-sublabel after \">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-6197-field_56-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][56][address2]\" ><label for=\"wpforms-6197-field_56-address2\" class=\"wpforms-field-sublabel after \">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-6197-field_56-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][56][city]\" required><label for=\"wpforms-6197-field_56-city\" class=\"wpforms-field-sublabel after \">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-6197-field_56-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][56][state]\" value=\"Maryland\" placeholder=\"Maryland\" required><option value=\"AL\" >Alabama<\/option><option value=\"AK\" >Alaska<\/option><option value=\"AZ\" >Arizona<\/option><option value=\"AR\" >Arkansas<\/option><option value=\"CA\" >California<\/option><option value=\"CO\" >Colorado<\/option><option value=\"CT\" >Connecticut<\/option><option value=\"DE\" >Delaware<\/option><option value=\"DC\" >District of Columbia<\/option><option value=\"FL\" >Florida<\/option><option value=\"GA\" >Georgia<\/option><option value=\"HI\" >Hawaii<\/option><option value=\"ID\" >Idaho<\/option><option value=\"IL\" >Illinois<\/option><option value=\"IN\" >Indiana<\/option><option value=\"IA\" >Iowa<\/option><option value=\"KS\" >Kansas<\/option><option value=\"KY\" >Kentucky<\/option><option value=\"LA\" >Louisiana<\/option><option value=\"ME\" >Maine<\/option><option value=\"MD\"  selected='selected'>Maryland<\/option><option value=\"MA\" >Massachusetts<\/option><option value=\"MI\" >Michigan<\/option><option value=\"MN\" >Minnesota<\/option><option value=\"MS\" >Mississippi<\/option><option value=\"MO\" >Missouri<\/option><option value=\"MT\" >Montana<\/option><option value=\"NE\" >Nebraska<\/option><option value=\"NV\" >Nevada<\/option><option value=\"NH\" >New Hampshire<\/option><option value=\"NJ\" >New Jersey<\/option><option value=\"NM\" >New Mexico<\/option><option value=\"NY\" >New York<\/option><option value=\"NC\" >North Carolina<\/option><option value=\"ND\" >North Dakota<\/option><option value=\"OH\" >Ohio<\/option><option value=\"OK\" >Oklahoma<\/option><option value=\"OR\" >Oregon<\/option><option value=\"PA\" >Pennsylvania<\/option><option value=\"RI\" >Rhode Island<\/option><option value=\"SC\" >South Carolina<\/option><option value=\"SD\" >South Dakota<\/option><option value=\"TN\" >Tennessee<\/option><option value=\"TX\" >Texas<\/option><option value=\"UT\" >Utah<\/option><option value=\"VT\" >Vermont<\/option><option value=\"VA\" >Virginia<\/option><option value=\"WA\" >Washington<\/option><option value=\"WV\" >West Virginia<\/option><option value=\"WI\" >Wisconsin<\/option><option value=\"WY\" >Wyoming<\/option><\/select><label for=\"wpforms-6197-field_56-state\" class=\"wpforms-field-sublabel after \">State<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-6197-field_56-postal\" class=\"wpforms-field-address-postal wpforms-field-required wpforms-masked-input\" data-inputmask-mask=\"99999[-9999]\" data-inputmask-greedy=\"false\" name=\"wpforms[fields][56][postal]\" required><label for=\"wpforms-6197-field_56-postal\" class=\"wpforms-field-sublabel after \">Zip Code<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_57-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-third wpforms-first\" data-field-id=\"57\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_57\">Home Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-6197-field_57\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][57]\" required><\/div><div id=\"wpforms-6197-field_58-container\" class=\"wpforms-field wpforms-field-phone wpforms-one-third\" data-field-id=\"58\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_58\">Cell Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-6197-field_58\" class=\"wpforms-field-large wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][58]\" required><\/div><div id=\"wpforms-6197-field_59-container\" class=\"wpforms-field wpforms-field-email wpforms-one-third\" data-field-id=\"59\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_59\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-6197-field_59\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][59]\" required><\/div><div id=\"wpforms-6197-field_106-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"106\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_106\">Contact Preference <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6197-field_106\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_106_1\" name=\"wpforms[fields][106][]\" value=\"Phone\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_106_1\">Phone<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_106_2\" name=\"wpforms[fields][106][]\" value=\"Text\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_106_2\">Text<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_106_3\" name=\"wpforms[fields][106][]\" value=\"Email\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_106_3\">Email<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_106_4\" name=\"wpforms[fields][106][]\" value=\"WhatsApp\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_106_4\">WhatsApp<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_106_5\" name=\"wpforms[fields][106][]\" value=\"Signal\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_106_5\">Signal<\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_61-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"61\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_61\">Emergency Contact Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_61\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][61][first]\" required><label for=\"wpforms-6197-field_61\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_61-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][61][last]\" required><label for=\"wpforms-6197-field_61-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_62-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"62\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_62\">Emergency Contact Phone                                     <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-6197-field_62\" class=\"wpforms-field-small wpforms-field-required wpforms-masked-input\" data-inputmask=\"&#039;mask&#039;: &#039;(999) 999-9999&#039;\" name=\"wpforms[fields][62]\" required><\/div><div id=\"wpforms-6197-field_112-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"112\"><div id=\"wpforms-6197-field_112\">Your signature below denotes that you have the legal right to agree to the terms of this agreement and that you do agree on the date that you submit this application.<br\/><br\/>\r\nI understand and agree to the following:<\/div><\/div><div id=\"wpforms-6197-field_107-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"107\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_107\">Checkbox_1 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6197-field_107\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_107_1\" name=\"wpforms[fields][107][]\" value=\"All forms for LHUG and city\/county and payments must be submitted by August 15th.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_107_1\">All forms for LHUG and city\/county and payments must be submitted by August 15th.<\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_108-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"108\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_108\">Checkbox_2 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6197-field_108\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_108_1\" name=\"wpforms[fields][108][]\" value=\"LHUG registration fee is $50 per family for the year, payments received after August 15th subject to an additional late fee of $15.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_108_1\">LHUG registration fee is $50 per family for the year, payments received after August 15th subject to an additional late fee of $15.<\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_110-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"110\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_110\">Checkbox_4 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-6197-field_110\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_110_1\" name=\"wpforms[fields][110][]\" value=\"I will attend an end of year homeschool review in June\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_110_1\">I will attend an end of year homeschool review in June<\/label><\/li><\/ul><\/div><div id=\"wpforms-6197-field_54-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"54\"><label class=\"wpforms-field-label\" for=\"wpforms-6197-field_54\">Parent or Guardian signature <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_54\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][54][first]\" required><label for=\"wpforms-6197-field_54\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-6197-field_54-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][54][last]\" required><label for=\"wpforms-6197-field_54-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-6197-field_117-container\" class=\"wpforms-field wpforms-field-html\" data-field-id=\"117\"><div id=\"wpforms-6197-field_117\"><b>Please check all the possible concerns that may be important to your family homeschool<\/b><\/div><\/div><div id=\"wpforms-6197-field_116-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"116\"><label class=\"wpforms-field-label wpforms-label-hide\" for=\"wpforms-6197-field_116\">Survey Question<\/label><ul id=\"wpforms-6197-field_116\"><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_4\" name=\"wpforms[fields][116][]\" value=\"Learning Disabilities\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_4\">Learning Disabilities<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_5\" name=\"wpforms[fields][116][]\" value=\"Dyslexia\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_5\">Dyslexia<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_6\" name=\"wpforms[fields][116][]\" value=\"Reading Delay\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_6\">Reading Delay<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_7\" name=\"wpforms[fields][116][]\" value=\"Math Delay\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_7\">Math Delay<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_8\" name=\"wpforms[fields][116][]\" value=\"ADHD - Impatient or Floaty Attention Issues\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_8\">ADHD &#8211; Impatient or Floaty Attention Issues<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_9\" name=\"wpforms[fields][116][]\" value=\"Autism Spectrum Disorder\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_9\">Autism Spectrum Disorder<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_10\" name=\"wpforms[fields][116][]\" value=\"Mood Disorders\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_10\">Mood Disorders<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_11\" name=\"wpforms[fields][116][]\" value=\"Anxiety\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_11\">Anxiety<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_12\" name=\"wpforms[fields][116][]\" value=\"Unidentified Learning Challenges\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_12\">Unidentified Learning Challenges<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_13\" name=\"wpforms[fields][116][]\" value=\"Physical Access\/Impairment\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_13\">Physical Access\/Impairment<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_14\" name=\"wpforms[fields][116][]\" value=\"Hearing  Impairment\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_14\">Hearing  Impairment<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_15\" name=\"wpforms[fields][116][]\" value=\"Sight Impairment\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_15\">Sight Impairment<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_16\" name=\"wpforms[fields][116][]\" value=\"Need Help w\/Curriculum Resources -  Standard Subjects\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_16\">Need Help w\/Curriculum Resources &#8211;  Standard Subjects<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_17\" name=\"wpforms[fields][116][]\" value=\"Need Help w\/Curriculum Resources - Hebrew Subjects\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_17\">Need Help w\/Curriculum Resources &#8211; Hebrew Subjects<\/label><\/li><li class=\"choice-18 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_18\" name=\"wpforms[fields][116][]\" value=\"Have Limited Time to Homeschool\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_18\">Have Limited Time to Homeschool<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-6197-field_116_19\" name=\"wpforms[fields][116][]\" value=\"Have Limited Budget to Homeschool\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6197-field_116_19\">Have Limited Budget to Homeschool<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" 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