{"id":1617,"date":"2022-02-14T19:47:13","date_gmt":"2022-02-15T01:47:13","guid":{"rendered":"https:\/\/campamentolacanada.com.mx\/registration-form\/"},"modified":"2026-02-16T17:58:22","modified_gmt":"2026-02-16T23:58:22","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/campamentolacanada.com.mx\/en\/registration-form\/","title":{"rendered":"Registration form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1617\" class=\"elementor elementor-1617 elementor-1081\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ae156b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ae156b6\" data-element_type=\"section\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-08e80c2\" data-id=\"08e80c2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b1cfabf elementor-widget elementor-widget-heading\" data-id=\"b1cfabf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Registration Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-04d74a2 elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"04d74a2\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"dce-conditions-js-error-notice elementor-message elementor-message-danger\" style=\"display: none;\">A problem was detected in the following Form. Submitting it could result in errors. Please contact the site administrator.<\/div>\t\t\t<script>\n\t\t\tsetTimeout(function() {\n\t\t\t\tlet el = document.querySelector(\".dce-conditions-js-error-notice\");\n\t\t\t\tif (el)\n\t\t\t\t\tel.style.display = \"block\";\n\t\t\t}, 6000);\n\t\t\t<\/script>\t\t<form class=\"elementor-form\" method=\"post\" name=\"Camper data\" aria-label=\"Camper data\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"1617\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"04d74a2\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Registration form\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"1617\"\/>\n\t\t\t\n\t\t\t<div data-field-conditions=\"[{&quot;id&quot;:&quot;cual_seguro_medico&quot;,&quot;condition&quot;:&quot;(tiene_seguro_medico == \\&quot;Si\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false},{&quot;id&quot;:&quot;cual_enfermedad&quot;,&quot;condition&quot;:&quot;(padece_enfermedad == \\&quot;Si\\&quot;)&quot;,&quot;mode&quot;:&quot;show&quot;,&quot;disableOnly&quot;:false}]\" data-field-ids=\"[&quot;nombre&quot;,&quot;apellido_paterno&quot;,&quot;apellido_materno&quot;,&quot;edad&quot;,&quot;nacimiento&quot;,&quot;sexo&quot;,&quot;semana&quot;,&quot;fecha_inicio&quot;,&quot;fecha_salida&quot;,&quot;numero_semanas&quot;,&quot;escuela&quot;,&quot;grado&quot;,&quot;asistido_campamento&quot;,&quot;field_257bdb4&quot;,&quot;field_5c820ef&quot;,&quot;calle&quot;,&quot;num&quot;,&quot;field_82f8044&quot;,&quot;codigo_postal&quot;,&quot;ciudad&quot;,&quot;estado&quot;,&quot;telefono_casa&quot;,&quot;nombre_mama&quot;,&quot;celular_mama&quot;,&quot;email_mama&quot;,&quot;ocupacion_mama&quot;,&quot;tel_mama&quot;,&quot;nombre_papa&quot;,&quot;celular_papa&quot;,&quot;email_papa&quot;,&quot;ocupacion_papa&quot;,&quot;tel_papa&quot;,&quot;field_8be3717&quot;,&quot;nombre_emergencia&quot;,&quot;parentesco_emergencia&quot;,&quot;celular_emergencia&quot;,&quot;field_21cc514&quot;,&quot;tiene_seguro_medico&quot;,&quot;cual_seguro_medico&quot;,&quot;actividades_evitar&quot;,&quot;padece_enfermedad&quot;,&quot;cual_enfermedad&quot;,&quot;quien_recomendo&quot;,&quot;nombre_quien_firma&quot;,&quot;firma_imagen&quot;,&quot;field_8601782&quot;,&quot;field_21f8e0b&quot;]\" class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre]\" id=\"form-field-nombre\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido_paterno elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido_paterno\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tLast name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido_paterno]\" id=\"form-field-apellido_paterno\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Last name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-apellido_materno elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-apellido_materno\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMother's last name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[apellido_materno]\" id=\"form-field-apellido_materno\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Mother&#039;s last name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-edad elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-edad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAge they will have when attending the camp\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[edad]\" id=\"form-field-edad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Age\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nacimiento elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nacimiento\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nacimiento]\" id=\"form-field-nacimiento\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"dd\/mm\/aaaa\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-sexo elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-sexo\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSex\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[sexo]\" id=\"form-field-sexo\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Male\">Male<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Female\">Female<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-semana elementor-col-100 elementor-field-type-select-multiple elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-semana\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWeek\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[semana][]\" id=\"form-field-semana\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\" multiple=\"\">\n\t\t\t\t\t\t\t\t\t<option value=\"1st Week\">1st Week<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd Week\">2nd Week<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd Week\">3rd Week<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th Week\">4th Week<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecha_inicio elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fecha_inicio\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStart date\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecha_inicio]\" id=\"form-field-fecha_inicio\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Start date\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-fecha_salida elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-fecha_salida\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDeparture date\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[fecha_salida]\" id=\"form-field-fecha_salida\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Departure date\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-numero_semanas elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-numero_semanas\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t# of weeks\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[numero_semanas]\" id=\"form-field-numero_semanas\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"# of weeks\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-escuela elementor-col-66 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-escuela\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[escuela]\" id=\"form-field-escuela\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-grado elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-grado\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDegree\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[grado]\" id=\"form-field-grado\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Degree\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-asistido_campamento elementor-col-33 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-asistido_campamento\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHave you attended the glen in the summer?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[asistido_campamento]\" id=\"form-field-asistido_campamento\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Yes\">Yes<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_257bdb4 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_5c820ef elementor-col-100\">\n\t\t\t\t\t<strong style=\"font-size:1.4em;\">DATA OF THE PARENTS<\/strong><br><span style=\"font-size:1.2em; font-weight:bold;\">ADDRESS<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-calle elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-calle\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStreet\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[calle]\" id=\"form-field-calle\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Street\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-num elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-num\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tNum.\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[num]\" id=\"form-field-num\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Street\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_82f8044 elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_82f8044\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSuburb\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_82f8044]\" id=\"form-field-field_82f8044\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Suburb\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-codigo_postal elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-codigo_postal\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tZIP\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[codigo_postal]\" id=\"form-field-codigo_postal\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"ZIP\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-ciudad elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-ciudad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCity\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[ciudad]\" id=\"form-field-ciudad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-estado elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-estado\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tState\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[estado]\" id=\"form-field-estado\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"State\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-telefono_casa elementor-col-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-telefono_casa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel. home\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[telefono_casa]\" id=\"form-field-telefono_casa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tel. home\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre_mama elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre_mama\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMom's name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre_mama]\" id=\"form-field-nombre_mama\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Mom&#039;s name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-celular_mama elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-celular_mama\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCell phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[celular_mama]\" id=\"form-field-celular_mama\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Cell phone\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email_mama elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email_mama\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email_mama]\" id=\"form-field-email_mama\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-ocupacion_mama elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-ocupacion_mama\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOccupation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[ocupacion_mama]\" id=\"form-field-ocupacion_mama\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Occupation\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-tel_mama elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tel_mama\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel. office\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[tel_mama]\" id=\"form-field-tel_mama\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tel. office\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre_papa elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre_papa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDad's name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre_papa]\" id=\"form-field-nombre_papa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Dad&#039;s name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-celular_papa elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-celular_papa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCell phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[celular_papa]\" id=\"form-field-celular_papa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Cell phone\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-email_papa elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email_papa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[email_papa]\" id=\"form-field-email_papa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-ocupacion_papa elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-ocupacion_papa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tOccupation\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[ocupacion_papa]\" id=\"form-field-ocupacion_papa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Occupation\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-tel_papa elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tel_papa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tTel. office\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[tel_papa]\" id=\"form-field-tel_papa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Tel. office\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8be3717 elementor-col-100\">\n\t\t\t\t\t<span style=\"font-size:1.3em;\">In case of emergency, in addition to the parents, call:<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre_emergencia elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre_emergencia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre_emergencia]\" id=\"form-field-nombre_emergencia\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-parentesco_emergencia elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-parentesco_emergencia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRelationship\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[parentesco_emergencia]\" id=\"form-field-parentesco_emergencia\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Relationship\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-celular_emergencia elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-celular_emergencia\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tCell phone\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[celular_emergencia]\" id=\"form-field-celular_emergencia\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Cell phone\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_21cc514 elementor-col-100\">\n\t\t\t\t\t<strong style=\"font-size:1.4em;margin-top:30px;\">ADDITIONAL DATA<\/strong>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-tiene_seguro_medico elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-tiene_seguro_medico\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you have health insurance?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[tiene_seguro_medico]\" id=\"form-field-tiene_seguro_medico\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Yes\">Yes<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-cual_seguro_medico elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cual_seguro_medico\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[cual_seguro_medico]\" id=\"form-field-cual_seguro_medico\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Which?\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-actividades_evitar elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-actividades_evitar\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSpecific activities to avoid\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[actividades_evitar]\" id=\"form-field-actividades_evitar\" rows=\"3\" placeholder=\"Specific activities to avoid\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-padece_enfermedad elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-padece_enfermedad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDo you have any illness?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[padece_enfermedad]\" id=\"form-field-padece_enfermedad\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"No\">No<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Yes\">Yes<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-cual_enfermedad elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-cual_enfermedad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWhich?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[cual_enfermedad]\" id=\"form-field-cual_enfermedad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Which?\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-quien_recomendo elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-quien_recomendo\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tWho recommended the camp to you?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[quien_recomendo]\" id=\"form-field-quien_recomendo\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Who recommended the camp to you?\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-nombre_quien_firma elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-nombre_quien_firma\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of the person signing\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[nombre_quien_firma]\" id=\"form-field-nombre_quien_firma\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name of the person signing\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-dce_form_signature elementor-field-group elementor-column elementor-field-group-firma_imagen elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-firma_imagen\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSignature\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div style=\"width: 100%; display: block;\">\n\t\t\t<div class=\"dce-signature-wrapper\" style=\"width: var(--canvas-width); min-width: 200px;\">\n\t\t\t\t<div style=\"position: relative; display: inline-block; width: 100%;\">\n\t\t\t\t\t<button type=\"button\"\n\t\t\t\t\t\t\tclass=\"dce-signature-button-clear\"\n\t\t\t\t\t\t\tdata-action=\"clear\"\n\t\t\t\t\t\t\tstyle=\"position: absolute; top: 0; right: 0; z-index: 10;\">\n\t\t\t\t\t\t<i class=\"eicon-close\"><\/i>\t\t\t\t\t<\/button>\n\t\t\t\t\t<input type=\"dce_form_signature\" name=\"form_fields[firma_imagen]\" id=\"form-field-firma_imagen\" class=\"elementor-field elementor-size-sm \" required=\"required\" style=\"width: 0; height: 0; opacity: 0; position: absolute; pointer-events: none;\">\n\t\t\t\t\t<canvas class=\"dce-signature-canvas\" data-pen-color=\"#000000\" data-background-color=\"#ffffff\" data-jpeg=\"yes\" data-aspect-ratio=\"2\" width=\"1\" height=\"1\" style=\"width: 100%; height: calc(100% \/ 2); border-style: solid; touch-action: none; user-select: none;\"><\/canvas>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8601782 elementor-col-100\">\n\t\t\t\t\tIMPORTANT: <u>Filling out this registration form does not reserve your spot in the camp, only the payment of the corresponding 50% deposit does. <\/u>. It is absolutely NECESSARY and indispensable to sign this registration form and the liability waiver to be enrolled in the camp.\n Registrations will be confirmed once the advance payment of 50% of the total payment has been received.<br><br><center>I AUTHORIZE THAT THE IMAGE OF MY CHILD MAY BE USED IN THE ADVERTISING MEDIA OF CAMPAMENTO LA CA\u00d1ADA SA DE CV, INCLUDING PRINTED MEDIA, BOTH DIGITAL (WEB PAGE AND SOCIAL NETWORKS) FOR PURPOSES OF ADVERTISING CAMPAMENTO.<\/center>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_21f8e0b elementor-col-100\">\n\t\t\t\t\t<span style=\"font-size:1.1em;\">I confirm that this information is reliable, in the same way I understand that any omission and\/or erroneous information affects the responsibility of the Camp towards my child.<\/span>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Registration Form<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1617","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/pages\/1617","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/comments?post=1617"}],"version-history":[{"count":5,"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/pages\/1617\/revisions"}],"predecessor-version":[{"id":5695,"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/pages\/1617\/revisions\/5695"}],"wp:attachment":[{"href":"https:\/\/campamentolacanada.com.mx\/en\/wp-json\/wp\/v2\/media?parent=1617"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}