{"id":5222,"date":"2023-08-08T19:18:22","date_gmt":"2023-08-09T01:18:22","guid":{"rendered":"https:\/\/bcacalgary.ca\/?page_id=5222"},"modified":"2023-11-29T19:10:43","modified_gmt":"2023-11-30T02:10:43","slug":"register-2","status":"publish","type":"page","link":"https:\/\/bcacalgary.ca\/?page_id=5222","title":{"rendered":"Register"},"content":{"rendered":"\n\n<div class=\"um um-register um-3880\">\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;border-width: 0px 0px 0px 0px;border-style: solid;border-radius: 0px 0px 0px 0px;border-bottom-width: 0px;color: #6b4712;\">Online Registration Form<\/div><div class=\"um-row _um_row_1  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  id=\"um_field_3880_Preferred_Language\" class=\"um-field um-field-multiselect  um-field-Preferred_Language um-field-multiselect um-field-type_multiselect\" data-key=\"Preferred_Language\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-language\" aria-label=\"Preferred Language\"><\/i><\/div><label for=\"Preferred_Language-3880\">Preferred Language<\/label><span class=\"um-tip um-tip-w\" title=\"Languages\"><i class=\"um-icon-help-circled\"><\/i><\/span><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select   multiple=\"multiple\" name=\"Preferred_Language[]\" id=\"Preferred_Language\" data-maxsize=\"0\" data-validate=\"\" data-key=\"Preferred_Language\" class=\"um-form-field valid not-required um-s1 \" style=\"width: 100%\" data-placeholder=\"Please, select your preferred language for correspondance\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Kirundi\" >Kirundi<\/option><option value=\"French\" >French<\/option><option value=\"English\" >English<\/option><\/select><\/div><\/div><div  id=\"um_field_3880_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-ios-personadd\" aria-label=\"First Name\"><\/i><\/div><label for=\"first_name-3880\">First Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"first_name-3880\" id=\"first_name-3880\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_3880_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-ios-personadd-outline\" aria-label=\"Last Name\"><\/i><\/div><label for=\"last_name-3880\">Last Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"last_name-3880\" id=\"last_name-3880\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_3880_birth_date\" class=\"um-field um-field-date  um-field-birth_date um-field-date um-field-type_date\" data-key=\"birth_date\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-calendar\" aria-label=\"Birth Date\"><\/i><\/div><label for=\"birth_date-3880\">Birth Date<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid um-datepicker \" type=\"text\" name=\"birth_date-3880\" id=\"birth_date-3880\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"birth_date\" data-range=\"years\" data-years=\"115\" data-years_x=\"past\" data-disabled_weekdays=\"\" data-date_min=\"1911,4,15\" data-date_max=\"2026,4,15\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_3880_phone_number\" class=\"um-field um-field-tel  um-field-phone_number um-field-tel um-field-type_tel\" data-key=\"phone_number\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-phone\" aria-label=\"Phone Number\"><\/i><\/div><label for=\"phone_number-3880\">Phone Number<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"tel\" name=\"phone_number-3880\" id=\"phone_number-3880\" value=\"\" placeholder=\"\" data-validate=\"phone_number\" data-key=\"phone_number\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_3880_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\"><div class=\"um-field-label-icon\"><i class=\"um-icon-ios-email-outline\" aria-label=\"E-mail Address\"><\/i><\/div><label for=\"user_email-3880\">E-mail 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=\"user_email-3880\" id=\"user_email-3880\" value=\"\" placeholder=\"\" 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_3880_Dependents\" class=\"um-field um-field-text  um-field-Dependents um-field-text um-field-type_text\" data-key=\"Dependents\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-person-stalker\" aria-label=\"Dependents (under 18 years old)\"><\/i><\/div><label for=\"Dependents-3880\">Dependents (under 18 years old)<\/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=\"Dependents-3880\" id=\"Dependents-3880\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Dependents\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_3880_Mailing_Address\" class=\"um-field um-field-text  um-field-Mailing_Address um-field-text um-field-type_text\" data-key=\"Mailing_Address\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-location\" aria-label=\"Mailing Address\"><\/i><\/div><label for=\"Mailing_Address-3880\">Mailing Address<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"Mailing_Address-3880\" id=\"Mailing_Address-3880\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Mailing_Address\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_3880_Contact_Person\" class=\"um-field um-field-text  um-field-Contact_Person um-field-text um-field-type_text\" data-key=\"Contact_Person\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-android-contact\" aria-label=\"Contact Person Names\"><\/i><\/div><label for=\"Contact_Person-3880\">Contact Person Names<span class=\"um-req\" title=\"Required\">*<\/span><\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"Contact_Person-3880\" id=\"Contact_Person-3880\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Contact_Person\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_3880_Contact_Personn\" class=\"um-field um-field-text  um-field-Contact_Personn um-field-text um-field-type_text\" data-key=\"Contact_Personn\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-icon-ios-location-outline\" aria-label=\"Contact Person Mailing Address\"><\/i><\/div><label for=\"Contact_Personn-3880\">Contact Person Mailing 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=\"Contact_Personn-3880\" id=\"Contact_Personn-3880\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"Contact_Personn\"  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_3880\" value=\"3880\" \/>\n\t\t<p class=\"um_request_name\">\n\t\t<label for=\"um_request_3880\">Only fill in if you are not human<\/label>\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_3880\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\n\t<\/p>\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"953fff8103\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5222\" \/>\n\t<div class=\"um-col-alt\">\n\n\t\t\n\t\t\t<div class=\"um-left um-half\">\n\t\t\t\t<input type=\"submit\" value=\"Register\" class=\"um-button\" id=\"um-submit-btn\" \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"um-right um-half\">\n\t\t\t\t<a href=\"https:\/\/bcacalgary.ca\/?page_id=3886\" class=\"um-button um-alt\">\n\t\t\t\t\tLogin\t\t\t\t<\/a>\n\t\t\t<\/div>\n\n\t\t\n\t\t<div class=\"um-clear\"><\/div>\n\n\t<\/div>\n\n\t\t\t<\/form>\n\t<\/div>\n<\/div>\n<style>\n\t\t\t.um-3880.um {\n\t\t\tmax-width: 450px;\n\t\t}\n\t\t<\/style>\n\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":{"_eb_attr":"","footnotes":""},"class_list":["post-5222","page","type-page","status-publish","hentry"],"brizy_media":[],"_links":{"self":[{"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=\/wp\/v2\/pages\/5222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5222"}],"version-history":[{"count":1,"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=\/wp\/v2\/pages\/5222\/revisions"}],"predecessor-version":[{"id":5223,"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=\/wp\/v2\/pages\/5222\/revisions\/5223"}],"wp:attachment":[{"href":"https:\/\/bcacalgary.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}