{"id":209753,"date":"2023-11-10T23:35:44","date_gmt":"2023-11-10T23:35:44","guid":{"rendered":"https:\/\/www.fayac.com\/?page_id=209753"},"modified":"2024-02-12T23:42:44","modified_gmt":"2024-02-12T23:42:44","slug":"swim-lessons","status":"publish","type":"page","link":"https:\/\/www.fayac.com\/forms\/swim-lessons\/","title":{"rendered":"Swim Lessons"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"209753\" class=\"elementor elementor-209753\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55d75f5 form e-flex e-con-boxed e-con e-parent\" data-id=\"55d75f5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-05a4078 elementor-widget elementor-widget-shortcode\" data-id=\"05a4078\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-shortcode\"><script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_safari gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_54' >\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">2024 Summer Swim Lesson and Shark Swim Team Registration Form<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_54'  action='\/wp-json\/wp\/v2\/pages\/209753' data-formid='54' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_54' class='gform_fields top_label form_sublabel_below description_below'><fieldset id=\"field_54_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-three-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_5\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Parent\/ Guardian Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_54_5'>\n                            \n                            <span id='input_54_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_54_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_5.3' id='input_54_5_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_54_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_54_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_5.6' id='input_54_5_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_54_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_7\" ><label class='gfield_label gform-field-label' for='input_54_7'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_7' id='input_54_7' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_54_7_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_54_7_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_54_7' class='gform_hidden' value='https:\/\/www.fayac.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_54_6\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-three-quarter gfield_contains_required field_sublabel_above gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_6\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Participant&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_54_6'>\n                            \n                            <span id='input_54_6_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_54_6_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_6.3' id='input_54_6_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_54_6_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_54_6_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_6.6' id='input_54_6_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_54_8\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-quarter gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_8\" ><label class='gfield_label gform-field-label' for='input_54_8'>Date of birth<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_8' id='input_54_8' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_54_8_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_54_8_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_54_8' class='gform_hidden' value='https:\/\/www.fayac.com\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_54_9\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_9\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_54_9' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_54_9_1_container' >\n                                        <input type='text' name='input_9.1' id='input_54_9_1' value=''    aria-required='true'    \/>\n                                        <label for='input_54_9_1' id='input_54_9_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_54_9_2_container' >\n                                        <input type='text' name='input_9.2' id='input_54_9_2' value=''     aria-required='false'   \/>\n                                        <label for='input_54_9_2' id='input_54_9_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_54_9_3_container' >\n                                    <input type='text' name='input_9.3' id='input_54_9_3' value=''    aria-required='true'    \/>\n                                    <label for='input_54_9_3' id='input_54_9_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_54_9_4_container' >\n                                        <input type='text' name='input_9.4' id='input_54_9_4' value=''      aria-required='true'    \/>\n                                        <label for='input_54_9_4' id='input_54_9_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_54_9_5_container' >\n                                    <input type='text' name='input_9.5' id='input_54_9_5' value=''    aria-required='true'    \/>\n                                    <label for='input_54_9_5' id='input_54_9_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_54_9_6_container' >\n                                        <select name='input_9.6' id='input_54_9_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_54_9_6' id='input_54_9_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_54_11\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_11\" ><label class='gfield_label gform-field-label' for='input_54_11'>Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_11' id='input_54_11' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_54_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_10\" ><label class='gfield_label gform-field-label' for='input_54_10'>Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_54_10' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_54_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_12\" ><h3 class=\"gsection_title\">SWIM LESSON OPTIONS<\/h3><\/div><fieldset id=\"field_54_17\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_54_17\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Small Group Swim Lessons - Choose your level<\/legend><div class='gfield_description' id='gfield_description_54_17'>Our small group swim lessons class size is 2-4 participants.  Each class is 40 minutes long.  They are offered at the same time each day, Monday - Thursday.  Make up lessons, due to inclement weather will be offered on Fridays.  <\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_17'><div class='gchoice gchoice_54_17_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.1' type='checkbox'  value='LEVEL 1 - Beginner level, water comfort'  id='choice_54_17_1'   aria-describedby=\"gfield_description_54_17\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_54_17_1' id='label_54_17_1' class='gform-field-label gform-field-label--type-inline'>LEVEL 1 - Beginner level, water comfort<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_17_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.2' type='checkbox'  value='LEVEL 2 - Water independence'  id='choice_54_17_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_17_2' id='label_54_17_2' class='gform-field-label gform-field-label--type-inline'>LEVEL 2 - Water independence<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_17_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_17.3' type='checkbox'  value='LEVEL 3 - Stroke development'  id='choice_54_17_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_17_3' id='label_54_17_3' class='gform-field-label gform-field-label--type-inline'>LEVEL 3 - Stroke development<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_96\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_54_96\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Small Group Swim Lessons - Choose member or guest<\/legend><div class='gfield_description' id='gfield_description_54_96'>Our small group swim lessons class size is 2-4 participants.  Each class is 40 minutes long.  They are offered at the same time each day, Monday - Thursday.  Make up lessons, due to inclement weather will be offered on Fridays.  <\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_96'><div class='gchoice gchoice_54_96_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.1' type='checkbox'  value='MEMBER RATE:  $ 88\/ 4 LESSONS INCLUDED IN EACH SESSION'  id='choice_54_96_1'   aria-describedby=\"gfield_description_54_96\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_54_96_1' id='label_54_96_1' class='gform-field-label gform-field-label--type-inline'>MEMBER RATE:  $ 88\/ 4 LESSONS INCLUDED IN EACH SESSION<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_96_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_96.2' type='checkbox'  value='GUEST RATE:     $104\/ 4 LESSONS INCLUDED IN EACH SESSION'  id='choice_54_96_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_96_2' id='label_54_96_2' class='gform-field-label gform-field-label--type-inline'>GUEST RATE:     $104\/ 4 LESSONS INCLUDED IN EACH SESSION<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_88\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_88\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >SMALL GROUP SESSIONS:  CHOOSE ONE OR MORE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_88'><div class='gchoice gchoice_54_88_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.1' type='checkbox'  value='SESSION 1:  MAY 28-31, 2024 (Holiday week Tue-Fri)'  id='choice_54_88_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_1' id='label_54_88_1' class='gform-field-label gform-field-label--type-inline'>SESSION 1:  MAY 28-31, 2024 (Holiday week Tue-Fri)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.2' type='checkbox'  value='SESSION 2:  JUNE 3-6, 2024'  id='choice_54_88_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_2' id='label_54_88_2' class='gform-field-label gform-field-label--type-inline'>SESSION 2:  JUNE 3-6, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.3' type='checkbox'  value='SESSION 3: JUNE 10-13, 2024'  id='choice_54_88_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_3' id='label_54_88_3' class='gform-field-label gform-field-label--type-inline'>SESSION 3: JUNE 10-13, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.4' type='checkbox'  value='SESSION 4: JUNE 17-20, 2024'  id='choice_54_88_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_4' id='label_54_88_4' class='gform-field-label gform-field-label--type-inline'>SESSION 4: JUNE 17-20, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.5' type='checkbox'  value='SESSION 5: JUNE 24-27, 2024'  id='choice_54_88_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_5' id='label_54_88_5' class='gform-field-label gform-field-label--type-inline'>SESSION 5: JUNE 24-27, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.6' type='checkbox'  value='SESSION 6: JULY 1,2,3 &amp; 5, 2024 (Holiday week, M\/T\/W\/F)'  id='choice_54_88_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_6' id='label_54_88_6' class='gform-field-label gform-field-label--type-inline'>SESSION 6: JULY 1,2,3 &amp; 5, 2024 (Holiday week, M\/T\/W\/F)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.7' type='checkbox'  value='SESSION 7:  JULY 8-11, 2024'  id='choice_54_88_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_7' id='label_54_88_7' class='gform-field-label gform-field-label--type-inline'>SESSION 7:  JULY 8-11, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.8' type='checkbox'  value='SESSION 8: JULY 15-18, 2024'  id='choice_54_88_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_8' id='label_54_88_8' class='gform-field-label gform-field-label--type-inline'>SESSION 8: JULY 15-18, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.9' type='checkbox'  value='SESSION 9:  JULY 22-25, 2024'  id='choice_54_88_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_9' id='label_54_88_9' class='gform-field-label gform-field-label--type-inline'>SESSION 9:  JULY 22-25, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.11' type='checkbox'  value='SESSION 10: JULY 29 - AUGUST 1, 2024'  id='choice_54_88_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_11' id='label_54_88_11' class='gform-field-label gform-field-label--type-inline'>SESSION 10: JULY 29 - AUGUST 1, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.12' type='checkbox'  value='SESSION 11: AUGUST 5-8, 2024'  id='choice_54_88_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_12' id='label_54_88_12' class='gform-field-label gform-field-label--type-inline'>SESSION 11: AUGUST 5-8, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_88_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_88.13' type='checkbox'  value='SESSION 12: AUGUST 12-15, 2024'  id='choice_54_88_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_88_13' id='label_54_88_13' class='gform-field-label gform-field-label--type-inline'>SESSION 12: AUGUST 12-15, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_98\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_54_98\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >SMALL GROUP SESSIONS:  CHOOSE YOUR CLASS TIME<\/legend><div class='gfield_description' id='gfield_description_54_98'>Please note:  Due to summer camp field trips, summer camper's swim lesson times must be scheduled at 5:00 or 5:45 PM.  This will ensure that no classes will be missed due to an extra long, fun and exciting field trip.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_98'><div class='gchoice gchoice_54_98_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.1' type='checkbox'  value='8:45 AM'  id='choice_54_98_1'   aria-describedby=\"gfield_description_54_98\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_54_98_1' id='label_54_98_1' class='gform-field-label gform-field-label--type-inline'>8:45 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_98_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.2' type='checkbox'  value='9:30 AM'  id='choice_54_98_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_98_2' id='label_54_98_2' class='gform-field-label gform-field-label--type-inline'>9:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_98_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.3' type='checkbox'  value='10:15 AM'  id='choice_54_98_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_98_3' id='label_54_98_3' class='gform-field-label gform-field-label--type-inline'>10:15 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_98_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.4' type='checkbox'  value='3:30 PM'  id='choice_54_98_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_98_4' id='label_54_98_4' class='gform-field-label gform-field-label--type-inline'>3:30 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_98_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.5' type='checkbox'  value='4:15 PM'  id='choice_54_98_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_98_5' id='label_54_98_5' class='gform-field-label gform-field-label--type-inline'>4:15 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_98_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.6' type='checkbox'  value='5:00 PM - Summer Camper priority'  id='choice_54_98_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_98_6' id='label_54_98_6' class='gform-field-label gform-field-label--type-inline'>5:00 PM - Summer Camper priority<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_98_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_98.7' type='checkbox'  value='5:45 PM - Summer Camper priority'  id='choice_54_98_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_98_7' id='label_54_98_7' class='gform-field-label gform-field-label--type-inline'>5:45 PM - Summer Camper priority<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_69\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_54_69\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >FAC SHARKS SWIM TEAM - CHOOSE YOUR SESSION(S)<\/legend><div class='gfield_description' id='gfield_description_54_69'>FAC Sharks is a fun, competitive swim team.  The monthly fees include all of the weekly practice times listed below.  Your swimmer is welcome to attend 1,2,3 or all 4 practices each week.  All new swim team participants are welcome to meet with the Head Coach for a tryout prior to joining the team.  If you have additional questions regarding the FAC Sharks Swim Team, feel free to email our Aquatics Director:  Aquatics@fayac.com.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_69'><div class='gchoice gchoice_54_69_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.1' type='checkbox'  value='APRIL 2024 - FAC Sharks Practice time Monday-Thursday,  6:00 - 7:00 PM'  id='choice_54_69_1'   aria-describedby=\"gfield_description_54_69\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_1' id='label_54_69_1' class='gform-field-label gform-field-label--type-inline'>APRIL 2024 - FAC Sharks Practice time Monday-Thursday,  6:00 - 7:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_69_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.2' type='checkbox'  value='APRIL 2024 - FAC Sharks Practice time Monday-Thursday,  6:00 - 7:00 PM'  id='choice_54_69_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_2' id='label_54_69_2' class='gform-field-label gform-field-label--type-inline'>APRIL 2024 - FAC Sharks Practice time Monday-Thursday,  6:00 - 7:00 PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_69_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.3' type='checkbox'  value='MAY 2024 - Great White Sharks (10yrs +) Practice Tue\/Thu 5:30 PM and Sat 9:30 AM'  id='choice_54_69_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_3' id='label_54_69_3' class='gform-field-label gform-field-label--type-inline'>MAY 2024 - Great White Sharks (10yrs +) Practice Tue\/Thu 5:30 PM and Sat 9:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_69_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.4' type='checkbox'  value='MAY 2024 - Hammerhead Sharks (9 yrs + under) Practice time T\/Th 4:30  PM and Sat 10:30 AM'  id='choice_54_69_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_4' id='label_54_69_4' class='gform-field-label gform-field-label--type-inline'>MAY 2024 - Hammerhead Sharks (9 yrs + under) Practice time T\/Th 4:30  PM and Sat 10:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_69_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.5' type='checkbox'  value='JUNE 2024 - Great White Sharks (10yrs +) Practice times Mon\/Wed 5:30 PM and Tue\/Thu 9:30 AM'  id='choice_54_69_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_5' id='label_54_69_5' class='gform-field-label gform-field-label--type-inline'>JUNE 2024 - Great White Sharks (10yrs +) Practice times Mon\/Wed 5:30 PM and Tue\/Thu 9:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_69_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.6' type='checkbox'  value='JUNE 2024 - Hammerhead Sharks (9 yrs + under) Practice times Mon\/Wed 4:30 PM and Tue\/Thu 10:30 AM'  id='choice_54_69_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_6' id='label_54_69_6' class='gform-field-label gform-field-label--type-inline'>JUNE 2024 - Hammerhead Sharks (9 yrs + under) Practice times Mon\/Wed 4:30 PM and Tue\/Thu 10:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_69_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.7' type='checkbox'  value='JULY 2024 - Great White Sharks (10yrs +) Practice times Mon\/Wed 5:30 PM and Tue\/Thu 9:30 AM'  id='choice_54_69_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_7' id='label_54_69_7' class='gform-field-label gform-field-label--type-inline'>JULY 2024 - Great White Sharks (10yrs +) Practice times Mon\/Wed 5:30 PM and Tue\/Thu 9:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_69_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_69.8' type='checkbox'  value='JULY 2024 - Hammerhead Sharks (9 yrs + under) Practice times Mon\/Wed 4:30 PM and Tue\/Thu 10:30 AM'  id='choice_54_69_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_69_8' id='label_54_69_8' class='gform-field-label gform-field-label--type-inline'>JULY 2024 - Hammerhead Sharks (9 yrs + under) Practice times Mon\/Wed 4:30 PM and Tue\/Thu 10:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_70\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_54_70\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >FAC SHARKS - CHOOSE ONE OR MORE<\/legend><div class='gfield_description' id='gfield_description_54_70'>FAC Sharks is a competitive Swim Team.   FAC Sharks is paid monthly and includes all practices listed below.  You may choose to swim 1,2,3 or all 4 practices each week.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_70'><div class='gchoice gchoice_54_70_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.1' type='checkbox'  value='SHARKS MEMBER RATE:  $85 PER MONTH\/ PER SWIMMER'  id='choice_54_70_1'   aria-describedby=\"gfield_description_54_70\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_54_70_1' id='label_54_70_1' class='gform-field-label gform-field-label--type-inline'>SHARKS MEMBER RATE:  $85 PER MONTH\/ PER SWIMMER<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_70_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.2' type='checkbox'  value='SHARKS GUEST RATE:  $105 PER MONTH\/ PER SWIMMER'  id='choice_54_70_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_70_2' id='label_54_70_2' class='gform-field-label gform-field-label--type-inline'>SHARKS GUEST RATE:  $105 PER MONTH\/ PER SWIMMER<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_70_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.3' type='checkbox'  value='FAC SHARKS TEAM T-SHIRT  -  $12'  id='choice_54_70_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_70_3' id='label_54_70_3' class='gform-field-label gform-field-label--type-inline'>FAC SHARKS TEAM T-SHIRT  -  $12<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_70_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.4' type='checkbox'  value='FAC SHARKS SWIM CAP  -  $8'  id='choice_54_70_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_70_4' id='label_54_70_4' class='gform-field-label gform-field-label--type-inline'>FAC SHARKS SWIM CAP  -  $8<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_70_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_70.5' type='checkbox'  value='FAC SHARKS T-SHIRT\/SWIM CAP BUNDLE - $15'  id='choice_54_70_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_70_5' id='label_54_70_5' class='gform-field-label gform-field-label--type-inline'>FAC SHARKS T-SHIRT\/SWIM CAP BUNDLE - $15<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_99\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible\"  data-js-reload=\"field_54_99\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >PRIVATE SWIM LESSONS<\/legend><div class='gfield_description' id='gfield_description_54_99'>Please note:  Private lessons will only be offered during the times listed below.<\/div><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_99'><div class='gchoice gchoice_54_99_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.1' type='checkbox'  value='Private Lessons - MEMBER RATE: $120  Includes 4, 30 minute 1:1 private lessons'  id='choice_54_99_1'   aria-describedby=\"gfield_description_54_99\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_54_99_1' id='label_54_99_1' class='gform-field-label gform-field-label--type-inline'>Private Lessons - MEMBER RATE: $120  Includes 4, 30 minute 1:1 private lessons<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_99_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_99.2' type='checkbox'  value='Private Lessons - GUEST RATE: $136 Includes 4, 30 minute 1:1 private lessons'  id='choice_54_99_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_99_2' id='label_54_99_2' class='gform-field-label gform-field-label--type-inline'>Private Lessons - GUEST RATE: $136 Includes 4, 30 minute 1:1 private lessons<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_97\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_97\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >PRIVATE LESSON DATE PREFERENCES<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_97'><div class='gchoice gchoice_54_97_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.1' type='checkbox'  value='WEEK OF:  JUNE 2-8, 2024'  id='choice_54_97_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_1' id='label_54_97_1' class='gform-field-label gform-field-label--type-inline'>WEEK OF:  JUNE 2-8, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.2' type='checkbox'  value='WEEK OF: JUNE 9-15, 2024'  id='choice_54_97_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_2' id='label_54_97_2' class='gform-field-label gform-field-label--type-inline'>WEEK OF: JUNE 9-15, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.3' type='checkbox'  value='WEEK OF: JUNE 16-22, 2024'  id='choice_54_97_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_3' id='label_54_97_3' class='gform-field-label gform-field-label--type-inline'>WEEK OF: JUNE 16-22, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.4' type='checkbox'  value='WEEK OF: JUNE 23-29, 2024'  id='choice_54_97_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_4' id='label_54_97_4' class='gform-field-label gform-field-label--type-inline'>WEEK OF: JUNE 23-29, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.5' type='checkbox'  value='WEEK OF: JULY 7-13, 2024'  id='choice_54_97_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_5' id='label_54_97_5' class='gform-field-label gform-field-label--type-inline'>WEEK OF: JULY 7-13, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.6' type='checkbox'  value='WEEK OF:  JULY 14-20, 2024'  id='choice_54_97_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_6' id='label_54_97_6' class='gform-field-label gform-field-label--type-inline'>WEEK OF:  JULY 14-20, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.7' type='checkbox'  value='WEEK OF: JULY 21-27, 2024'  id='choice_54_97_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_7' id='label_54_97_7' class='gform-field-label gform-field-label--type-inline'>WEEK OF: JULY 21-27, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.8' type='checkbox'  value='WEEK OF: JULY 28 - AUGUST 3, 2024'  id='choice_54_97_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_8' id='label_54_97_8' class='gform-field-label gform-field-label--type-inline'>WEEK OF: JULY 28 - AUGUST 3, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_97_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_97.9' type='checkbox'  value='WEEK OF: AUGUST 4-10, 2024'  id='choice_54_97_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_97_9' id='label_54_97_9' class='gform-field-label gform-field-label--type-inline'>WEEK OF: AUGUST 4-10, 2024<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_54_89\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_89\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >PRIVATE LESSONS - SELECT DAY\/TIME PREFERENCE<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox' id='input_54_89'><div class='gchoice gchoice_54_89_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.1' type='checkbox'  value='MONDAY 1:00PM'  id='choice_54_89_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_1' id='label_54_89_1' class='gform-field-label gform-field-label--type-inline'>MONDAY 1:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.2' type='checkbox'  value='MONDAY 1:30PM'  id='choice_54_89_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_2' id='label_54_89_2' class='gform-field-label gform-field-label--type-inline'>MONDAY 1:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.3' type='checkbox'  value='MONDAY 2:00PM'  id='choice_54_89_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_3' id='label_54_89_3' class='gform-field-label gform-field-label--type-inline'>MONDAY 2:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.4' type='checkbox'  value='MONDAY 2:30PM'  id='choice_54_89_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_4' id='label_54_89_4' class='gform-field-label gform-field-label--type-inline'>MONDAY 2:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.5' type='checkbox'  value='TUESDAY 1:00PM'  id='choice_54_89_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_5' id='label_54_89_5' class='gform-field-label gform-field-label--type-inline'>TUESDAY 1:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.6' type='checkbox'  value='TUESDAY 1:30PM'  id='choice_54_89_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_6' id='label_54_89_6' class='gform-field-label gform-field-label--type-inline'>TUESDAY 1:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.7' type='checkbox'  value='TUESDAY 2:00PM'  id='choice_54_89_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_7' id='label_54_89_7' class='gform-field-label gform-field-label--type-inline'>TUESDAY 2:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.8' type='checkbox'  value='TUESDAY 2:30PM'  id='choice_54_89_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_8' id='label_54_89_8' class='gform-field-label gform-field-label--type-inline'>TUESDAY 2:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.9' type='checkbox'  value='WEDNESDAY 1:00PM'  id='choice_54_89_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_9' id='label_54_89_9' class='gform-field-label gform-field-label--type-inline'>WEDNESDAY 1:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.11' type='checkbox'  value='WEDNESDAY 1:30PM'  id='choice_54_89_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_11' id='label_54_89_11' class='gform-field-label gform-field-label--type-inline'>WEDNESDAY 1:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.12' type='checkbox'  value='WEDNESDAY 2:00PM'  id='choice_54_89_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_12' id='label_54_89_12' class='gform-field-label gform-field-label--type-inline'>WEDNESDAY 2:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.13' type='checkbox'  value='WEDNESDAY 2:30PM'  id='choice_54_89_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_13' id='label_54_89_13' class='gform-field-label gform-field-label--type-inline'>WEDNESDAY 2:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.14' type='checkbox'  value='THURSDAY 1:00PM'  id='choice_54_89_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_14' id='label_54_89_14' class='gform-field-label gform-field-label--type-inline'>THURSDAY 1:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.15' type='checkbox'  value='THURSDAY 1:30PM'  id='choice_54_89_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_15' id='label_54_89_15' class='gform-field-label gform-field-label--type-inline'>THURSDAY 1:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.16' type='checkbox'  value='THURSDAY 2:00PM'  id='choice_54_89_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_16' id='label_54_89_16' class='gform-field-label gform-field-label--type-inline'>THURSDAY 2:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.17' type='checkbox'  value='THURSDAY 2:30PM'  id='choice_54_89_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_17' id='label_54_89_17' class='gform-field-label gform-field-label--type-inline'>THURSDAY 2:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.18' type='checkbox'  value='FRIDAY 1:00PM'  id='choice_54_89_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_18' id='label_54_89_18' class='gform-field-label gform-field-label--type-inline'>FRIDAY 1:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.19' type='checkbox'  value='FRIDAY 1:30PM'  id='choice_54_89_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_19' id='label_54_89_19' class='gform-field-label gform-field-label--type-inline'>FRIDAY 1:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.21' type='checkbox'  value='FRIDAY 2:00PM'  id='choice_54_89_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_21' id='label_54_89_21' class='gform-field-label gform-field-label--type-inline'>FRIDAY 2:00PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_22'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.22' type='checkbox'  value='FRIDAY 2:30PM'  id='choice_54_89_22'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_22' id='label_54_89_22' class='gform-field-label gform-field-label--type-inline'>FRIDAY 2:30PM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_23'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.23' type='checkbox'  value='SATURDAY 8:00 AM'  id='choice_54_89_23'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_23' id='label_54_89_23' class='gform-field-label gform-field-label--type-inline'>SATURDAY 8:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_24'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.24' type='checkbox'  value='SATURDAY 8:30 AM'  id='choice_54_89_24'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_24' id='label_54_89_24' class='gform-field-label gform-field-label--type-inline'>SATURDAY 8:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_25'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.25' type='checkbox'  value='SATURDAY 9:00 AM'  id='choice_54_89_25'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_25' id='label_54_89_25' class='gform-field-label gform-field-label--type-inline'>SATURDAY 9:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_26'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.26' type='checkbox'  value='SATURDAY 9:30 AM'  id='choice_54_89_26'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_26' id='label_54_89_26' class='gform-field-label gform-field-label--type-inline'>SATURDAY 9:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_27'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.27' type='checkbox'  value='SATURDAY 10:00 AM'  id='choice_54_89_27'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_27' id='label_54_89_27' class='gform-field-label gform-field-label--type-inline'>SATURDAY 10:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_28'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.28' type='checkbox'  value='SATURDAY 10:30 AM'  id='choice_54_89_28'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_28' id='label_54_89_28' class='gform-field-label gform-field-label--type-inline'>SATURDAY 10:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_29'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.29' type='checkbox'  value='SUNDAY 8:00 AM'  id='choice_54_89_29'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_29' id='label_54_89_29' class='gform-field-label gform-field-label--type-inline'>SUNDAY 8:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_31'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.31' type='checkbox'  value='SUNDAY 8:00 AM'  id='choice_54_89_31'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_31' id='label_54_89_31' class='gform-field-label gform-field-label--type-inline'>SUNDAY 8:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_32'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.32' type='checkbox'  value='SUNDAY 9:00 AM'  id='choice_54_89_32'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_32' id='label_54_89_32' class='gform-field-label gform-field-label--type-inline'>SUNDAY 9:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_33'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.33' type='checkbox'  value='SUNDAY 9:30 AM'  id='choice_54_89_33'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_33' id='label_54_89_33' class='gform-field-label gform-field-label--type-inline'>SUNDAY 9:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_34'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.34' type='checkbox'  value='SUNDAY 10:00 AM'  id='choice_54_89_34'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_34' id='label_54_89_34' class='gform-field-label gform-field-label--type-inline'>SUNDAY 10:00 AM<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_54_89_35'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_89.35' type='checkbox'  value='SUNDAY 10:30 AM'  id='choice_54_89_35'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_54_89_35' id='label_54_89_35' class='gform-field-label gform-field-label--type-inline'>SUNDAY 10:30 AM<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_54_36\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_36\" ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_54_83\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_83\" ><label class='gfield_label gform-field-label' for='input_54_83'>Credit Card Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_83' id='input_54_83' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_54_84\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_84\" ><label class='gfield_label gform-field-label' for='input_54_84'>Name on Card<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_84' id='input_54_84' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_54_85\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_85\" ><label class='gfield_label gform-field-label' for='input_54_85'>Expiration date (month\/year)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_85' id='input_54_85' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_54_86\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_86\" ><label class='gfield_label gform-field-label' for='input_54_86'>CVV<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_54_86' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_54_24\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_24\" ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_24.1' id='input_54_24_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_54_24_1' >I agree to assume full risk and release all claims I and\/or the participants may have against the Fayetteville Athletic Club (FAC), including it's agents, servants, and employees, from such claims resulting from injury, damages or loss sustained during participation in any FAC program or event.  I understand that I am responsible for all personal medical insurance and the participant's family must cover any cost incurred.  I also understand that every precaution is taken to protect the safety of all participants.  I agree to any emergency treatment by a physician or hospital in the event that the emergency contact can not be reached.<\/label><input type='hidden' name='input_24.2' value='I agree to assume full risk and release all claims I and\/or the participants may have against the Fayetteville Athletic Club (FAC), including it&#039;s agents, servants, and employees, from such claims resulting from injury, damages or loss sustained during participation in any FAC program or event.  I understand that I am responsible for all personal medical insurance and the participant&#039;s family must cover any cost incurred.  I also understand that every precaution is taken to protect the safety of all participants.  I agree to any emergency treatment by a physician or hospital in the event that the emergency contact can not be reached.' class='gform_hidden' \/><input type='hidden' name='input_24.3' value='6' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_54_25\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_54_25\" ><label class='gfield_label gform-field-label' for='input_54_25'>Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_54_25_Container' class='gfield_signature_container ginput_container' style='height:180px; width:300px; ' ><input type='hidden' class='gform_hidden' name='input_54_25_valid' id='input_54_25_valid' \/><canvas id='input_54_25' width='300' height='180'><\/canvas><div class='gfield_signature_reset_container'><svg id=\"input_54_25_resetIcon\" class=\"gfield_signature_reset_icon\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"26\" height=\"26\" viewBox=\"0 0 26 26\">\n\t\t\t\t\t<title>Reset signature<\/title>\n\t\t\t\t\t<path fill=\"#00f\" d=\"M13 6.906v1.939c0 0.487 0.585 0.726 0.921 0.379l3.022-3.023c0.217-0.217 0.217-0.553 0-0.769l-3.022-3.022c-0.336-0.336-0.921-0.098-0.921 0.39v1.939c-4.788 0-8.667 3.878-8.667 8.667 0 1.127 0.217 2.21 0.617 3.196 0.293 0.726 1.224 0.921 1.777 0.368 0.292-0.292 0.412-0.737 0.249-1.127-0.314-0.748-0.477-1.582-0.477-2.438 0-3.586 2.914-6.5 6.5-6.5zM19.273 9.842c-0.293 0.293-0.412 0.748-0.249 1.127 0.303 0.758 0.477 1.582 0.477 2.438 0 3.586-2.914 6.5-6.5 6.5v-1.939c0-0.488-0.585-0.726-0.921-0.379l-3.023 3.023c-0.217 0.217-0.217 0.552 0 0.769l3.023 3.023c0.336 0.336 0.921 0.098 0.921-0.379v-1.95c4.788 0 8.667-3.878 8.667-8.667 0-1.127-0.217-2.21-0.618-3.196-0.292-0.726-1.224-0.921-1.777-0.368z\"><\/path>\n\t\t\t\t<\/svg><svg id=\"input_54_25_lockedReset\" class=\"gform_signature_locked_reset\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"18\" height=\"18\" viewBox=\"0 0 26 26\">\n\t\t\t\t\t<title>Signature locked. 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