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            font-weight: bold;
        }
        .large_banner .wrapper-message {
            margin-block: 1.5em !important;
        }
        .sPromo-wrap .caption {
            color: black !important;
        }
        .sPromo-wrap img {
            border: 0px !important;
        }
        .custom_message .message {
            color: black !important;
        }
        .custom_message .title {
            color: #004aad !important;
        }
        .custom_message .read-more_link a {
            color: #004aad !important;
            border: 3px solid #004aad !important;
        }
        .custom_message .read-more_link a:hover {
            background: #004aad !important;
            color: white !important;
        }
        .prepResource-title, .co_calendar_head div, .features_title {
            font-size: 25pt !important;
            color: #004aad !important;
        }
        .prep-title, .feature_caption a {
            color: #004aad !important;
        }
        .zmanim .zman-1, .zmanim .zman-2 {
            border-radius: 10px !important;
            background: #004aad !important;
            margin: 5px 0px !important;
        }
        #co_calendar div.co_calendar_body .item.item.first,
        #co_calendar div.co_calendar_body .item:nth-child(3),
        #co_calendar div.co_calendar_body .item:nth-child(6),
        #co_calendar div.co_calendar_body .item:nth-child(8) {
            background: #004aad;
        }
        #co_calendar div.co_calendar_body .item:nth-child(2),
        #co_calendar div.co_calendar_body .item:nth-child(4),
        #co_calendar div.co_calendar_body .item:nth-child(5),
        #co_calendar div.co_calendar_body .item:nth-child(7) {
            background: #004aad;
        }
        .footer, .footer a {
            background: #004aad;
            color: white !important;
        }
        .cco_templateless_template a,
        .div#chabad_head .chabad_navigator_bar,
        #menu .item,
        #navigation,
        #menu a {
            background: #004aad !important;
        }
        #menu a {
            color: white !important;
            border: 0px !important;
        }
        .selected a {
            text-decoration: underline !important;
        }
        #menu .item {
            color: transparent !important;
        }
        .titleIcon img {
            width: 125px !important;
            display: none !important;
        }
        .co_calendar_head:before,
        .pesach-resources .titleIcon {
            display: none !important;
        }
        div#chabad_body_content {
            background: transparent !important;
        }
        .co_calendar_text {
            background-color: transparent !important;
        }

  
        @media all and (max-width: 500px) {
            .chabad_header {
                height: 200px !important;
            }
            .headerTitle {
                display: none;
            }
            .body.section_root .bh {
                right: 25px !important;
                color: white !important;
            }
        }
    `;
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}</script><script>
if ( document.location.href.indexOf('7266012') > -1) {
const style = document.createElement('style');
    style.innerHTML = `
        .cco_templateless_page #chabad_main_content {
            background: url('https://chabadwestboynton.com/media/images/1357/hPPV13572582.png') !important;
            background-size: cover !important;
            background-position: bottom !important;
        }
        .footer, .footer a {
            background-color: #004aad !important;
            color: white !important;
        }
        .chabad_header {
            background: url('https://chabadwestboynton.com/media/images/1357/aIgK13572648.png');
            background-size: 100% 100%;
            background-repeat: no-repeat;
            background-color: #004aad;
        }
        .cco_templateless_page .chabad_header, .chabad_header {
            background-blend-mode: normal !important;
        }
        .chabad_header div {
            visibility: hidden;
        }
        div.chabad_left_column {
            background: transparent;
        }
        .large_banner, .sPromo-wrap {
            border: 2px solid #004aad;
        }
        .large_banner .bannerCta button {
            background: #004aad;
            border: 3px solid #004aad;
        }
        .large_banner .big {
            color: #004aad;
            font-weight: bold;
        }
        .large_banner .wrapper-message {
            margin-block: 1.5em !important;
        }
        .sPromo-wrap .caption {
            color: black !important;
        }
        .sPromo-wrap img {
            border: 0px !important;
        }
        .custom_message .message {
            color: black !important;
        }
        .custom_message .title {
            color: #004aad !important;
        }
        .custom_message .read-more_link a {
            color: #004aad !important;
            border: 3px solid #004aad !important;
        }
        .custom_message .read-more_link a:hover {
            background: #004aad !important;
            color: white !important;
        }
        .prepResource-title, .co_calendar_head div, .features_title {
            font-size: 25pt !important;
            color: #004aad !important;
        }
        .prep-title, .feature_caption a {
            color: #004aad !important;
        }
        .zmanim .zman-1, .zmanim .zman-2 {
            border-radius: 10px !important;
            background: #004aad !important;
            margin: 5px 0px !important;
        }
        #co_calendar div.co_calendar_body .item.item.first,
        #co_calendar div.co_calendar_body .item:nth-child(3),
        #co_calendar div.co_calendar_body .item:nth-child(6),
        #co_calendar div.co_calendar_body .item:nth-child(8) {
            background: #004aad;
        }
        #co_calendar div.co_calendar_body .item:nth-child(2),
        #co_calendar div.co_calendar_body .item:nth-child(4),
        #co_calendar div.co_calendar_body .item:nth-child(5),
        #co_calendar div.co_calendar_body .item:nth-child(7) {
            background: #004aad;
        }
        .footer, .footer a {
            background: #004aad;
            color: white !important;
        }
        .cco_templateless_template a,
        .div#chabad_head .chabad_navigator_bar,
        #menu .item,
        #navigation,
        #menu a {
            background: #004aad !important;
        }
        #menu a {
            color: white !important;
            border: 0px !important;
        }
        .selected a {
            text-decoration: underline !important;
        }
        #menu .item {
            color: transparent !important;
        }
        .titleIcon img {
            width: 125px !important;
            display: none !important;
        }
        .co_calendar_head:before,
        .pesach-resources .titleIcon {
            display: none !important;
        }
        div#chabad_body_content {
            background: transparent !important;
        }
        .co_calendar_text {
            background-color: transparent !important;
        }

  
        @media all and (max-width: 500px) {
            .chabad_header {
                height: 200px !important;
            }
            .headerTitle {
                display: none;
            }
            .body.section_root .bh {
                right: 25px !important;
                color: white !important;
            }
        }
    `;
    document.head.appendChild(style);
}</script><script>
if ( document.location.href.indexOf('7273284') > -1) {
const style = document.createElement('style');
    style.innerHTML = `
        .cco_templateless_page #chabad_main_content {
            background: url('https://chabadwestboynton.com/media/images/1359/HlKC13598309.png') !important;
            background-size: cover !important;
            background-position: bottom !important;
        }
        .footer, .footer a {
            background-color: #e7be53 !important;
            color: white !important;
        }
        .chabad_header {
            background: url('https://chabadwestboynton.com/media/images/1359/Ivjs13598307.png');
            background-size: 100% 100%;
            background-repeat: no-repeat;
            background-color: #e7be53;
        }
        .cco_templateless_page .chabad_header, .chabad_header {
            background-blend-mode: normal !important;
        }
        .chabad_header div {
            visibility: hidden;
        }
        div.chabad_left_column {
            background: transparent;
        }
        .large_banner, .sPromo-wrap {
            border: 2px solid #e7be53;
        }
        .large_banner .bannerCta button {
            


background: #e7be53;
            border: 3px solid #e7be53;
        }
        .large_banner .big {
            color: #e7be53;
            font-weight: bold;
        }
        .large_banner .wrapper-message {
            margin-block: 1.5em !important;
        }
        .sPromo-wrap .caption {
            color: black !important;
        }
        .sPromo-wrap img {
            border: 0px !important;
        }
        .custom_message .message {
            color: #e7be53 !important;
        }
        .custom_message .title {
            color: #e7be53 !important;
        }
        .custom_message .read-more_link a {
            color: #e7be53 !important;
            border: 3px solid #1e7dad !important;
        }
        .custom_message .read-more_link a:hover {
            background: white !important;
            color: #e7be53 !important;
        }
        .prepResource-title, .co_calendar_head div, .features_title {
            font-size: 25pt !important;
            color: #e7be53 !important;
        }
        .prep-title, .feature_caption a {
            color: #e7be53 !important;
        }
        .zmanim .zman-1, .zmanim .zman-2 {
            border-radius: 10px !important;
            background: #e7be53 !important;
            margin: 5px 0px !important;
        }
        #co_calendar div.co_calendar_body .item.item.first,
        #co_calendar div.co_calendar_body .item:nth-child(3),
        #co_calendar div.co_calendar_body .item:nth-child(6),
        #co_calendar div.co_calendar_body .item:nth-child(8) {
            background: #bea76d;
        }
        #co_calendar div.co_calendar_body .item:nth-child(2),
        #co_calendar div.co_calendar_body .item:nth-child(4),
        #co_calendar div.co_calendar_body .item:nth-child(5),
        #co_calendar div.co_calendar_body .item:nth-child(7) {
            background: #bea76d;
        }
        .footer, .footer a {
            background: #1e7dad;
            color: white !important;
        }
        .cco_templateless_template a,
        .div#chabad_head .chabad_navigator_bar,
        #menu .item,
        #navigation,
        #menu a {
            background: #e7be53 !important;
        }
        #menu a {
            color: white !important;
            border: 0px !important;
        }
        .selected a {
            text-decoration: underline !important;
        }
        #menu .item {
            color: transparent !important;
        }
        .titleIcon img {
            width: 125px !important;
            display: none !important;
        }
        .co_calendar_head:before,
        .pesach-resources .titleIcon {
            display: none !important;
        }
        div#chabad_body_content {
            background: transparent !important;
        }
        .co_calendar_text {
            background-color: transparent !important;
        }

        /* Icons */
        .content-area-parent > .custom_message .title:before {
            content: '';
            background: url('https://chabadwestboynton.com/media/images/1359/gTkr13598312.png');
            display: block;
            width: 75px;
            height: 75px;
            background-size: contain;
            filter: contrast(94%);
            margin: 0 auto;
        }
        .content-area-parent > .custom_message.appeal .title:before {
            display: none;
        }
        #co_calendar:before {
            content: '';
            background: url('https://chabadwestboynton.com/media/images/1359/WkSG13598313.png');
            display: block;
            width: 75px;
            height: 75px;
            background-size: contain;
            filter: contrast(94%);
            margin: 0 auto;
        }
        .latest_features .features_title.titleIcon:before {
            content: '';
            background: url('https://chabadwestboynton.com/media/images/1359/wMAy13598314.png');
            display: block;
            width: 75px;
            height: 75px;
            background-size: contain;
            filter: contrast(94%);
            margin: 0 auto;
        }

        @media all and (max-width: 500px) {
            .chabad_header {
                height: 200px !important;
            }
            .headerTitle {
                display: none;
            }
            .body.section_root .bh {
                right: 25px !important;
                color: white !important;
            }
        }
    `;
    document.head.appendChild(style);
}</script><script>
if ( document.location.href.indexOf('7268138') > -1) {
const style = document.createElement('style');
    style.innerHTML = `
        .cco_templateless_page #chabad_main_content {
            background: url('https://chabadwestboynton.com/media/images/1359/HlKC13598309.png') !important;
            background-size: cover !important;
            background-position: bottom !important;
        }
        .footer, .footer a {
            background-color: #e7be53 !important;
            color: white !important;
        }
        .chabad_header {
            background: url('https://chabadwestboynton.com/media/images/1359/Ivjs13598307.png');
            background-size: 100% 100%;
            background-repeat: no-repeat;
            background-color: #e7be53;
        }
        .cco_templateless_page .chabad_header, .chabad_header {
            background-blend-mode: normal !important;
        }
        .chabad_header div {
            visibility: hidden;
        }
        div.chabad_left_column {
            background: transparent;
        }
        .large_banner, .sPromo-wrap {
            border: 2px solid #e7be53;
        }
        .large_banner .bannerCta button {
            


background: #e7be53;
            border: 3px solid #e7be53;
        }
        .large_banner .big {
            color: #e7be53;
            font-weight: bold;
        }
        .large_banner .wrapper-message {
            margin-block: 1.5em !important;
        }
        .sPromo-wrap .caption {
            color: white !important;
        }
        .sPromo-wrap img {
            border: 0px !important;
        }
        .custom_message .message {
            color: #e7be53 !important;
        }
        .custom_message .title {
            color: #e7be53 !important;
        }
        .custom_message .read-more_link a {
            color: #e7be53 !important;
            border: 3px solid #1e7dad !important;
        }
        .custom_message .read-more_link a:hover {
            background: white !important;
            color: #e7be53 !important;
        }
        .prepResource-title, .co_calendar_head div, .features_title {
            font-size: 25pt !important;
            color: #e7be53 !important;
        }
        .prep-title, .feature_caption a {
            color: #e7be53 !important;
        }
        .zmanim .zman-1, .zmanim .zman-2 {
            border-radius: 10px !important;
            background: #e7be53 !important;
            margin: 5px 0px !important;
        }
        #co_calendar div.co_calendar_body .item.item.first,
        #co_calendar div.co_calendar_body .item:nth-child(3),
        #co_calendar div.co_calendar_body .item:nth-child(6),
        #co_calendar div.co_calendar_body .item:nth-child(8) {
            background: #bea76d;
        }
        #co_calendar div.co_calendar_body .item:nth-child(2),
        #co_calendar div.co_calendar_body .item:nth-child(4),
        #co_calendar div.co_calendar_body .item:nth-child(5),
        #co_calendar div.co_calendar_body .item:nth-child(7) {
            background: #bea76d;
        }
        .footer, .footer a {
            background: #1e7dad;
            color: white !important;
        }
        .cco_templateless_template a,
        .div#chabad_head .chabad_navigator_bar,
        #menu .item,
        #navigation,
        #menu a {
            background: #e7be53 !important;
        }
        #menu a {
            color: white !important;
            border: 0px !important;
        }
        .selected a {
            text-decoration: underline !important;
        }
        #menu .item {
            color: transparent !important;
        }
        .titleIcon img {
            width: 125px !important;
            display: none !important;
        }
        .co_calendar_head:before,
        .pesach-resources .titleIcon {
            display: none !important;
        }
        div#chabad_body_content {
            background: white !important;
        }
        .co_calendar_text {
            background-color: transparent !important;
        }

   @media all and (max-width: 500px) {
            .chabad_header {
                height: 200px !important;
            }
            .headerTitle {
                display: none;
            }
            .body.section_root .bh {
                right: 25px !important;
                color: white !important;
            }
        }
    `;
    document.head.appendChild(style);
}</script><script>
if ( document.location.href.indexOf('7276231') > -1) {
const style = document.createElement('style');
    style.innerHTML = `
        .cco_templateless_page #chabad_main_content {
            background: url('https://chabadwestboynton.com/media/images/1359/HlKC13598309.png') !important;
            background-size: cover !important;
            background-position: bottom !important;
        }
        .footer, .footer a {
            background-color: #e7be53 !important;
            color: white !important;
        }
        .chabad_header {
            background: url('https://chabadwestboynton.com/media/images/1359/Ivjs13598307.png');
            background-size: 100% 100%;
            background-repeat: no-repeat;
            background-color: #e7be53;
        }
        .cco_templateless_page .chabad_header, .chabad_header {
            background-blend-mode: normal !important;
        }
        .chabad_header div {
            visibility: hidden;
        }
        div.chabad_left_column {
            background: transparent;
        }
        .large_banner, .sPromo-wrap {
            border: 2px solid #e7be53;
        }
        .large_banner .bannerCta button {
            


background: #e7be53;
            border: 3px solid #e7be53;
        }
        .large_banner .big {
            color: #e7be53;
            font-weight: bold;
        }
        .large_banner .wrapper-message {
            margin-block: 1.5em !important;
        }
        .sPromo-wrap .caption {
            color: white !important;
        }
        .sPromo-wrap img {
            border: 0px !important;
        }
        .custom_message .message {
            color: #e7be53 !important;
        }
        .custom_message .title {
            color: #e7be53 !important;
        }
        .custom_message .read-more_link a {
            color: #e7be53 !important;
            border: 3px solid #1e7dad !important;
        }
        .custom_message .read-more_link a:hover {
            background: white !important;
            color: #e7be53 !important;
        }
        .prepResource-title, .co_calendar_head div, .features_title {
            font-size: 25pt !important;
            color: #e7be53 !important;
        }
        .prep-title, .feature_caption a {
            color: #e7be53 !important;
        }
        .zmanim .zman-1, .zmanim .zman-2 {
            border-radius: 10px !important;
            background: #e7be53 !important;
            margin: 5px 0px !important;
        }
        #co_calendar div.co_calendar_body .item.item.first,
        #co_calendar div.co_calendar_body .item:nth-child(3),
        #co_calendar div.co_calendar_body .item:nth-child(6),
        #co_calendar div.co_calendar_body .item:nth-child(8) {
            background: #bea76d;
        }
        #co_calendar div.co_calendar_body .item:nth-child(2),
        #co_calendar div.co_calendar_body .item:nth-child(4),
        #co_calendar div.co_calendar_body .item:nth-child(5),
        #co_calendar div.co_calendar_body .item:nth-child(7) {
            background: #bea76d;
        }
        .footer, .footer a {
            background: #1e7dad;
            color: white !important;
        }
        .cco_templateless_template a,
        .div#chabad_head .chabad_navigator_bar,
        #menu .item,
        #navigation,
        #menu a {
            background: #e7be53 !important;
        }
        #menu a {
            color: white !important;
            border: 0px !important;
        }
        .selected a {
            text-decoration: underline !important;
        }
        #menu .item {
            color: transparent !important;
        }
        .titleIcon img {
            width: 125px !important;
            display: none !important;
        }
        .co_calendar_head:before,
        .pesach-resources .titleIcon {
            display: none !important;
        }
        div#chabad_body_content {
            background: white !important;
        }
        .co_calendar_text {
            background-color: transparent !important;
        }

   @media all and (max-width: 500px) {
            .chabad_header {
                height: 200px !important;
            }
            .headerTitle {
                display: none;
            }
            .body.section_root .bh {
                right: 25px !important;
                color: white !important;
            }
        }
    `;
    document.head.appendChild(style);
}</script><script>
if ( document.location.href.indexOf('7276269') > -1) {
const style = document.createElement('style');
    style.innerHTML = `
        .cco_templateless_page #chabad_main_content {
            background: url('https://chabadwestboynton.com/media/images/1359/HlKC13598309.png') !important;
            background-size: cover !important;
            background-position: bottom !important;
        }
        .footer, .footer a {
            background-color: #e7be53 !important;
            color: white !important;
        }
        .chabad_header {
            background: url('https://chabadwestboynton.com/media/images/1359/Ivjs13598307.png');
            background-size: 100% 100%;
            background-repeat: no-repeat;
            background-color: #e7be53;
        }
        .cco_templateless_page .chabad_header, .chabad_header {
            background-blend-mode: normal !important;
        }
        .chabad_header div {
            visibility: hidden;
        }
        div.chabad_left_column {
            background: transparent;
        }
        .large_banner, .sPromo-wrap {
            border: 2px solid #e7be53;
        }
        .large_banner .bannerCta button {
            


background: #e7be53;
            border: 3px solid #e7be53;
        }
        .large_banner .big {
            color: #e7be53;
            font-weight: bold;
        }
        .large_banner .wrapper-message {
            margin-block: 1.5em !important;
        }
        .sPromo-wrap .caption {
            color: white !important;
        }
        .sPromo-wrap img {
            border: 0px !important;
        }
        .custom_message .message {
            color: #e7be53 !important;
        }
        .custom_message .title {
            color: #e7be53 !important;
        }
        .custom_message .read-more_link a {
            color: #e7be53 !important;
            border: 3px solid #1e7dad !important;
        }
        .custom_message .read-more_link a:hover {
            background: white !important;
            color: #e7be53 !important;
        }
        .prepResource-title, .co_calendar_head div, .features_title {
            font-size: 25pt !important;
            color: #e7be53 !important;
        }
        .prep-title, .feature_caption a {
            color: #e7be53 !important;
        }
        .zmanim .zman-1, .zmanim .zman-2 {
            border-radius: 10px !important;
            background: #e7be53 !important;
            margin: 5px 0px !important;
        }
        #co_calendar div.co_calendar_body .item.item.first,
        #co_calendar div.co_calendar_body .item:nth-child(3),
        #co_calendar div.co_calendar_body .item:nth-child(6),
        #co_calendar div.co_calendar_body .item:nth-child(8) {
            background: #bea76d;
        }
        #co_calendar div.co_calendar_body .item:nth-child(2),
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			<h1 class="article-header__title js-article-title js-page-title">Bat Mitzvah Club Signup</h1>
		
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<form class="userform-form" action="" method="post" name="form_5696270" id="5696270" accept-charset="utf-8"><input type="hidden" name="formID" value="5696270" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_18"><div id="cid_18" class="form-input-wide"> <div id="text_18" class="form-html"><p style="text-align: center;"><span style="font-size:20px;">Scroll down to register</span></p>
</div> </div></li><li class="form-line" id="id_11"><div id="cid_11" class="form-input-wide"> <div style="text-align:center;"><img alt="" class="form-image" border="0" src="https://w2.chabad.org/media/images/1330/LbQt13306623.jpg" height="950" width="674" /></div> </div></li><li class="form-line" id="id_10"><div id="cid_10" class="form-input-wide"> <div id="text_10" class="form-html"><p style="text-align: center;"><span style="font-size:18px;"><strong>The Bat Mitzvah Club! </strong><br />
<br />
Discover what it is to become a Bat Mitzvah through unique crafts, interesting and engaging discussion, and fun activities.<br />
<br />
<strong>When: </strong>The <strong>First Monday of every month</strong> beginning <strong>November 3rd</strong><br />
➢ Calendar will be sent out upon registration.<br />
➢ 8 meetings including the finale event with family.<br />
<br />
<strong>Time: </strong>6-7 PM<br />
<br />
Sign up below! </span></p>

<hr /></div> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Parent Name<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fullName[first]" id="first_3" autocomplete="given-name" />  <label class="form-sub-label" for="first_3" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fullName[last]" id="last_3" autocomplete="family-name" />  <label class="form-sub-label" for="last_3" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> Parent E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_5" name="q5_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_6"><div class="form-label-left form-label-hidden" id="label_6"></div><div id="cid_6" class="form-input"> <div class="form-single-column form-checkbox-item"><input name="optin" value="true" type="checkbox" checked="checked" class="form-checkbox" id="input_6" /><label id="label_input_6" for="input_6">I would like to receive news and updates by email</label></div> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> Daughter Name <span class="form-required">*</span> </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q4_fullName4[first]" id="first_4" autocomplete="given-name" />  <label class="form-sub-label" for="first_4" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q4_fullName4[last]" id="last_4" autocomplete="family-name" />  <label class="form-sub-label" for="last_4" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> Daughter's Age<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_7_0" name="q7_input7[]" value="11" /><label id="label_input_7_0" for="input_7_0"><span>11</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_7_1" name="q7_input7[]" value="12" /><label id="label_input_7_1" for="input_7_1"><span>12</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox validate[required]" id="input_7_2" name="q7_input7[]" value="13" /><label id="label_input_7_2" for="input_7_2"><span>13</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> School Attending </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_8" name="q8_input8" size="20" value="" /> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> Have there been any conversions or adoptions in the family?<span class="form-required">*</span> </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_13_0" name="q13_input13" value="Yes" /><label id="label_input_13_0" for="input_13_0"><span>Yes</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_13_1" name="q13_input13" value="No" /><label id="label_input_13_1" for="input_13_1"><span>No</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> Please explain the answer above </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <textarea id="input_14" class="form-textarea" name="q14_input14" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> Pricing<span class="form-required">*</span> </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_15" name="q15_input15"><option value="">Amount</option><option value="$120 - includes all meetings and finale event ">$120 - includes all meetings and finale event </option><option value="$80 - for currently enrolled Hebrew school students">$80 - for currently enrolled Hebrew school students</option></select> </div></li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Total </label></div><div id="cid_16" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> Questions or comments: </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <textarea id="input_9" class="form-textarea" name="q9_input9" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Payment </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_17_creditCard" name="q17_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_17_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[paymentMethod] form-radio" type="radio" id="input_17_other" name="q17_payment[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_17_other">Check</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q17_payment[cc_type]" id="input_17_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[visible, creditcard]" type="text" name="q17_payment[cc_number]" id="input_17_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_17_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q17_payment[cc_ccv]" id="input_17_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_17_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[visible]" type="text" name="q17_payment[cc_nameOnCard]" id="input_17_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_17_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q17_payment[cc_exp_month]" id="input_17_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_17_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[visible]" name="q17_payment[cc_exp_year]" id="input_17_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option></select>  <label class="form-sub-label" for="input_17_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="other hide"><td colspan="2"></td></tr><tr class="billing_address hide"><th colspan="2">Billing Address</th></tr><tr class="billing_address hide"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line" type="text" name="q17_payment[addr_line1]" id="input_17_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_17_addr_line1" id="sublabel_17_addr_line1">Street Address</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-city" type="text" name="q17_payment[city]" id="input_17_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_17_city" id="sublabel_17_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox form-address-state" type="text" name="q17_payment[state]" id="input_17_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_17_state" id="sublabel_17_state">State / Province</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox form-address-postal" type="text" name="q17_payment[postal]" id="input_17_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_17_postal" id="sublabel_17_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown form-address-country" name="q17_payment[country]" id="input_17_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</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="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="The Bahamas">The 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="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</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="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</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 Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The 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="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="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="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</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="Macau">Macau</option><option value="Macedonia">Macedonia</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="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</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 Islands">Pitcairn Islands</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="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint 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