{"id":310,"date":"2020-02-27T15:07:26","date_gmt":"2020-02-27T07:07:26","guid":{"rendered":"http:\/\/capoeira.org.hk\/?page_id=310"},"modified":"2020-05-25T15:36:59","modified_gmt":"2020-05-25T07:36:59","slug":"memberships","status":"publish","type":"page","link":"http:\/\/capoeira.org.hk\/zh\/memberships\/","title":{"rendered":"\u6703\u54e1\u8cc7\u683c"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"310\" class=\"elementor elementor-310\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e81ec7a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e81ec7a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-556a9cd\" data-id=\"556a9cd\" 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-a94a7d9 elementor-widget elementor-widget-text-editor\" data-id=\"a94a7d9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"color: #000000;\"> \u8acb\u67e5\u770bCFHK\u63d0\u4f9b\u7684\u4ee5\u4e0b\u985e\u578b\u7684\u6703\u54e1\u8cc7\u683c\uff0c\u9ede\u64ca\u76f8\u61c9\u7684\u6703\u54e1\u8cc7\u683c\u5373\u53ef\u5728\u7dda\u7533\u8acb\u6703\u54e1\u3002<\/span><\/p>\t\t\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2409a20 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2409a20\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&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-70ce141\" data-id=\"70ce141\" 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-1f44a89 elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"1f44a89\" data-element_type=\"widget\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-1f44a89\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"1f44a89\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n            <div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-3271\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\">\u5354\u6703\u6210\u54e1<\/span><i aria-hidden=\"true\" class=\"fa-toggle fas fa-angle-right\"><\/i><\/div><div id=\"elementor-tab-content-3271\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"\"><p> \u6e96\u6703\u54e1\u662f\u6307\u500b\u4eba\u52a0\u5165CFHK\u4e14\u5e0c\u671b\u53c3\u8207\u4efb\u4f55Capoeira\u5718\u968a\uff0c\u4ff1\u6a02\u90e8\uff0c\u5b78\u6821\uff0c\u9ad4\u80b2\u9928\u6216\u5354\u6703\u7684\u6703\u54e1\u3002<br \/><span style=\"color: #ffffff;\">\uff0d<\/span><br \/>\u4efb\u4f55\u4eba\u90fd\u53ef\u4ee5\u7533\u8acb\u6210\u70ba\u6e96\u6703\u54e1\u3002<br \/><span style=\"color: #ffffff;\">\uff0d<\/span><br \/>\u8acb\u5728\u6b64\u8655\u7533\u8acb\u6703\u54e1\u8cc7\u683c\uff1a\u201c\u6e96\u6703\u54e1\u7533\u8acb\u8868\u201d <\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><div class=\"caldera-grid\" id=\"caldera_form_1\" data-cf-ver=\"1.9.4\" data-cf-form-id=\"CF5ec8f978ca22d\"><div id=\"caldera_notices_1\" data-spinner=\"http:\/\/capoeira.org.hk\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"1\" class=\"CF5ec8f978ca22d caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5ec8f978ca22d_1\" data-form-id=\"CF5ec8f978ca22d\" aria-label=\"Associate Members Application Form\" data-target=\"#caldera_notices_1\" data-template=\"#cfajax_CF5ec8f978ca22d-tmpl\" data-cfajax=\"CF5ec8f978ca22d\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"http:\/\/capoeira.org.hk\/zh\/cf-api\/CF5ec8f978ca22d\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5ec8f978ca22d\" name=\"_cf_verify\" value=\"b4d30f7753\"  data-nonce-time=\"1784306323\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/zh\/memberships\/\" \/><div id=\"cf2-CF5ec8f978ca22d_1\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5ec8f978ca22d\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"1\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5ec8f978ca22d\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"310\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Company<\/label><input type=\"text\" name=\"company\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5ec8f978ca22d_1-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_1081756\" class=\"form-group\" id=\"fld_1081756_1-wrap\">\r\n\t<label id=\"fld_1081756Label\" for=\"fld_1081756_1\" class=\"control-label\">English Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1081756\" class=\" form-control\" id=\"fld_1081756_1\" name=\"fld_1081756\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1081756Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6169636\" class=\"form-group\" id=\"fld_6169636_1-wrap\">\r\n\t<label id=\"fld_6169636Label\" for=\"fld_6169636_1\" class=\"control-label\">\u4e2d\u6587\u540d<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6169636\" class=\" form-control\" id=\"fld_6169636_1\" name=\"fld_6169636\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6169636Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5ec8f978ca22d_1-row-2\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_1301037\" class=\"form-group\" id=\"fld_1301037_1-wrap\">\r\n\t<label id=\"fld_1301037Label\" for=\"fld_1301037_1\" class=\"control-label\">Phone Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"tel\" data-field=\"fld_1301037\" class=\" form-control\" id=\"fld_1301037_1\" name=\"fld_1301037\" value=\"+852\" data-type=\"phone_better\" aria-required=\"true\"   aria-labelledby=\"fld_1301037Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \">\n<div data-field-wrapper=\"fld_4776201\" class=\"form-group\" id=\"fld_4776201_1-wrap\">\r\n\t<label id=\"fld_4776201Label\" for=\"fld_4776201_1\" class=\"control-label\">Date of Birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_4776201\" value=\"\" id=\"fld_4776201_1\" data-field=\"fld_4776201\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" required=\"1\" data-date-start-view=\"month\" data-date-language=\"en-GB\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_4776201Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_485942\" class=\"form-group\" id=\"fld_485942_1-wrap\">\r\n\t<label id=\"fld_485942Label\" for=\"fld_485942_1\" class=\"control-label\">HKID or Passport Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_485942\" class=\" form-control\" id=\"fld_485942_1\" name=\"fld_485942\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_485942Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_2676044\" class=\"form-group\" id=\"fld_2676044_1-wrap\">\r\n\t<label id=\"fld_2676044Label\" for=\"fld_2676044_1\" class=\"control-label\">Nationality<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_2676044\" value=\"\" data-field=\"fld_2676044\" class=\"form-control\" id=\"fld_2676044_1\"    aria-labelledby=\"fld_2676044Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Hong Kong\"  data-calc-value=\"Hong Kong\" >\n\t\t\t\t\t\tHong Kong\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Afghanistan\"  data-calc-value=\"Afghanistan\" >\n\t\t\t\t\t\tAfghanistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u00c5land Islands\"  data-calc-value=\"\u00c5land Islands\" >\n\t\t\t\t\t\t\u00c5land Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Albania\"  data-calc-value=\"Albania\" >\n\t\t\t\t\t\tAlbania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Algeria\"  data-calc-value=\"Algeria\" >\n\t\t\t\t\t\tAlgeria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"American Samoa\"  data-calc-value=\"American Samoa\" >\n\t\t\t\t\t\tAmerican Samoa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Andorra\"  data-calc-value=\"Andorra\" >\n\t\t\t\t\t\tAndorra\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Angola\"  data-calc-value=\"Angola\" >\n\t\t\t\t\t\tAngola\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Anguilla\"  data-calc-value=\"Anguilla\" >\n\t\t\t\t\t\tAnguilla\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Antarctica\"  data-calc-value=\"Antarctica\" >\n\t\t\t\t\t\tAntarctica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Antigua and Barbuda\"  data-calc-value=\"Antigua and Barbuda\" >\n\t\t\t\t\t\tAntigua and Barbuda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Argentina\"  data-calc-value=\"Argentina\" >\n\t\t\t\t\t\tArgentina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Armenia\"  data-calc-value=\"Armenia\" >\n\t\t\t\t\t\tArmenia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Aruba\"  data-calc-value=\"Aruba\" >\n\t\t\t\t\t\tAruba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Australia\"  data-calc-value=\"Australia\" >\n\t\t\t\t\t\tAustralia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Austria\"  data-calc-value=\"Austria\" >\n\t\t\t\t\t\tAustria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Azerbaijan\"  data-calc-value=\"Azerbaijan\" >\n\t\t\t\t\t\tAzerbaijan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bahamas\"  data-calc-value=\"Bahamas\" >\n\t\t\t\t\t\tBahamas\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bahrain\"  data-calc-value=\"Bahrain\" >\n\t\t\t\t\t\tBahrain\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bangladesh\"  data-calc-value=\"Bangladesh\" >\n\t\t\t\t\t\tBangladesh\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Barbados\"  data-calc-value=\"Barbados\" >\n\t\t\t\t\t\tBarbados\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belarus\"  data-calc-value=\"Belarus\" >\n\t\t\t\t\t\tBelarus\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belgium\"  data-calc-value=\"Belgium\" >\n\t\t\t\t\t\tBelgium\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belize\"  data-calc-value=\"Belize\" >\n\t\t\t\t\t\tBelize\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Benin\"  data-calc-value=\"Benin\" >\n\t\t\t\t\t\tBenin\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bermuda\"  data-calc-value=\"Bermuda\" >\n\t\t\t\t\t\tBermuda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bhutan\"  data-calc-value=\"Bhutan\" >\n\t\t\t\t\t\tBhutan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bolivia, Plurinational State of\"  data-calc-value=\"Bolivia, Plurinational State of\" >\n\t\t\t\t\t\tBolivia, Plurinational State of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bonaire, Sint Eustatius and Saba\"  data-calc-value=\"Bonaire, Sint Eustatius and Saba\" >\n\t\t\t\t\t\tBonaire, Sint Eustatius and Saba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bosnia and Herzegovina\"  data-calc-value=\"Bosnia and Herzegovina\" >\n\t\t\t\t\t\tBosnia and Herzegovina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Botswana\"  data-calc-value=\"Botswana\" >\n\t\t\t\t\t\tBotswana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bouvet Island\"  data-calc-value=\"Bouvet Island\" >\n\t\t\t\t\t\tBouvet Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Brazil\"  data-calc-value=\"Brazil\" >\n\t\t\t\t\t\tBrazil\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"British Indian Ocean Territory\"  data-calc-value=\"British Indian Ocean Territory\" >\n\t\t\t\t\t\tBritish Indian Ocean Territory\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Brunei Darussalam\"  data-calc-value=\"Brunei Darussalam\" >\n\t\t\t\t\t\tBrunei Darussalam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bulgaria\"  data-calc-value=\"Bulgaria\" >\n\t\t\t\t\t\tBulgaria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Burkina Faso\"  data-calc-value=\"Burkina Faso\" >\n\t\t\t\t\t\tBurkina Faso\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Burundi\"  data-calc-value=\"Burundi\" >\n\t\t\t\t\t\tBurundi\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cambodia\"  data-calc-value=\"Cambodia\" >\n\t\t\t\t\t\tCambodia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cameroon\"  data-calc-value=\"Cameroon\" >\n\t\t\t\t\t\tCameroon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Canada\"  data-calc-value=\"Canada\" >\n\t\t\t\t\t\tCanada\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cape Verde\"  data-calc-value=\"Cape Verde\" >\n\t\t\t\t\t\tCape Verde\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cayman Islands\"  data-calc-value=\"Cayman Islands\" >\n\t\t\t\t\t\tCayman Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Central African Republic\"  data-calc-value=\"Central African Republic\" >\n\t\t\t\t\t\tCentral African Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chad\"  data-calc-value=\"Chad\" >\n\t\t\t\t\t\tChad\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chile\"  data-calc-value=\"Chile\" >\n\t\t\t\t\t\tChile\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"China\"  data-calc-value=\"China\" >\n\t\t\t\t\t\tChina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Christmas Island\"  data-calc-value=\"Christmas Island\" >\n\t\t\t\t\t\tChristmas Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cocos (Keeling) Islands\"  data-calc-value=\"Cocos (Keeling) Islands\" >\n\t\t\t\t\t\tCocos (Keeling) Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Colombia\"  data-calc-value=\"Colombia\" >\n\t\t\t\t\t\tColombia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Comoros\"  data-calc-value=\"Comoros\" >\n\t\t\t\t\t\tComoros\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Congo\"  data-calc-value=\"Congo\" >\n\t\t\t\t\t\tCongo\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Congo, the Democratic Republic of the\"  data-calc-value=\"Congo, the Democratic Republic of the\" >\n\t\t\t\t\t\tCongo, the Democratic Republic of the\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cook Islands\"  data-calc-value=\"Cook Islands\" >\n\t\t\t\t\t\tCook Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Costa Rica\"  data-calc-value=\"Costa Rica\" >\n\t\t\t\t\t\tCosta Rica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"C\u00f4te d&#039;Ivoire\"  data-calc-value=\"C\u00f4te d&#039;Ivoire\" >\n\t\t\t\t\t\tC\u00f4te d&#039;Ivoire\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Croatia\"  data-calc-value=\"Croatia\" >\n\t\t\t\t\t\tCroatia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cuba\"  data-calc-value=\"Cuba\" >\n\t\t\t\t\t\tCuba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cura\u00e7ao\"  data-calc-value=\"Cura\u00e7ao\" >\n\t\t\t\t\t\tCura\u00e7ao\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cyprus\"  data-calc-value=\"Cyprus\" >\n\t\t\t\t\t\tCyprus\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Czech Republic\"  data-calc-value=\"Czech Republic\" >\n\t\t\t\t\t\tCzech Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Denmark\"  data-calc-value=\"Denmark\" >\n\t\t\t\t\t\tDenmark\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Djibouti\"  data-calc-value=\"Djibouti\" >\n\t\t\t\t\t\tDjibouti\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dominica\"  data-calc-value=\"Dominica\" >\n\t\t\t\t\t\tDominica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dominican Republic\"  data-calc-value=\"Dominican Republic\" >\n\t\t\t\t\t\tDominican Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ecuador\"  data-calc-value=\"Ecuador\" >\n\t\t\t\t\t\tEcuador\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Egypt\"  data-calc-value=\"Egypt\" >\n\t\t\t\t\t\tEgypt\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"El Salvador\"  data-calc-value=\"El Salvador\" >\n\t\t\t\t\t\tEl Salvador\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Equatorial Guinea\"  data-calc-value=\"Equatorial Guinea\" >\n\t\t\t\t\t\tEquatorial Guinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Eritrea\"  data-calc-value=\"Eritrea\" >\n\t\t\t\t\t\tEritrea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Estonia\"  data-calc-value=\"Estonia\" >\n\t\t\t\t\t\tEstonia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ethiopia\"  data-calc-value=\"Ethiopia\" >\n\t\t\t\t\t\tEthiopia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Falkland Islands (Malvinas)\"  data-calc-value=\"Falkland Islands (Malvinas)\" >\n\t\t\t\t\t\tFalkland Islands (Malvinas)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Faroe Islands\"  data-calc-value=\"Faroe Islands\" >\n\t\t\t\t\t\tFaroe Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Fiji\"  data-calc-value=\"Fiji\" >\n\t\t\t\t\t\tFiji\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Finland\"  data-calc-value=\"Finland\" >\n\t\t\t\t\t\tFinland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"France\"  data-calc-value=\"France\" >\n\t\t\t\t\t\tFrance\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Guiana\"  data-calc-value=\"French Guiana\" >\n\t\t\t\t\t\tFrench Guiana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Polynesia\"  data-calc-value=\"French Polynesia\" >\n\t\t\t\t\t\tFrench Polynesia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Southern Territories\"  data-calc-value=\"French Southern Territories\" >\n\t\t\t\t\t\tFrench Southern Territories\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gabon\"  data-calc-value=\"Gabon\" >\n\t\t\t\t\t\tGabon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gambia\"  data-calc-value=\"Gambia\" >\n\t\t\t\t\t\tGambia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Georgia\"  data-calc-value=\"Georgia\" >\n\t\t\t\t\t\tGeorgia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Germany\"  data-calc-value=\"Germany\" >\n\t\t\t\t\t\tGermany\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ghana\"  data-calc-value=\"Ghana\" >\n\t\t\t\t\t\tGhana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gibraltar\"  data-calc-value=\"Gibraltar\" >\n\t\t\t\t\t\tGibraltar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Greece\"  data-calc-value=\"Greece\" >\n\t\t\t\t\t\tGreece\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Greenland\"  data-calc-value=\"Greenland\" >\n\t\t\t\t\t\tGreenland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Grenada\"  data-calc-value=\"Grenada\" >\n\t\t\t\t\t\tGrenada\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guadeloupe\"  data-calc-value=\"Guadeloupe\" >\n\t\t\t\t\t\tGuadeloupe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guam\"  data-calc-value=\"Guam\" >\n\t\t\t\t\t\tGuam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guatemala\"  data-calc-value=\"Guatemala\" >\n\t\t\t\t\t\tGuatemala\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guernsey\"  data-calc-value=\"Guernsey\" >\n\t\t\t\t\t\tGuernsey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guinea\"  data-calc-value=\"Guinea\" >\n\t\t\t\t\t\tGuinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guinea-Bissau\"  data-calc-value=\"Guinea-Bissau\" >\n\t\t\t\t\t\tGuinea-Bissau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guyana\"  data-calc-value=\"Guyana\" >\n\t\t\t\t\t\tGuyana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Haiti\"  data-calc-value=\"Haiti\" >\n\t\t\t\t\t\tHaiti\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Heard Island and McDonald Islands\"  data-calc-value=\"Heard Island and McDonald Islands\" >\n\t\t\t\t\t\tHeard Island and McDonald Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Holy See (Vatican City State)\"  data-calc-value=\"Holy See (Vatican City State)\" >\n\t\t\t\t\t\tHoly See (Vatican City State)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Honduras\"  data-calc-value=\"Honduras\" >\n\t\t\t\t\t\tHonduras\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Hungary\"  data-calc-value=\"Hungary\" >\n\t\t\t\t\t\tHungary\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iceland\"  data-calc-value=\"Iceland\" >\n\t\t\t\t\t\tIceland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"India\"  data-calc-value=\"India\" >\n\t\t\t\t\t\tIndia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Indonesia\"  data-calc-value=\"Indonesia\" >\n\t\t\t\t\t\tIndonesia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iran, Islamic Republic of\"  data-calc-value=\"Iran, Islamic Republic of\" >\n\t\t\t\t\t\tIran, Islamic Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iraq\"  data-calc-value=\"Iraq\" >\n\t\t\t\t\t\tIraq\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ireland\"  data-calc-value=\"Ireland\" >\n\t\t\t\t\t\tIreland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Isle of Man\"  data-calc-value=\"Isle of Man\" >\n\t\t\t\t\t\tIsle of Man\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Israel\"  data-calc-value=\"Israel\" >\n\t\t\t\t\t\tIsrael\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Italy\"  data-calc-value=\"Italy\" >\n\t\t\t\t\t\tItaly\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jamaica\"  data-calc-value=\"Jamaica\" >\n\t\t\t\t\t\tJamaica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Japan\"  data-calc-value=\"Japan\" >\n\t\t\t\t\t\tJapan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jersey\"  data-calc-value=\"Jersey\" >\n\t\t\t\t\t\tJersey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jordan\"  data-calc-value=\"Jordan\" >\n\t\t\t\t\t\tJordan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kazakhstan\"  data-calc-value=\"Kazakhstan\" >\n\t\t\t\t\t\tKazakhstan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kenya\"  data-calc-value=\"Kenya\" >\n\t\t\t\t\t\tKenya\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kiribati\"  data-calc-value=\"Kiribati\" >\n\t\t\t\t\t\tKiribati\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Korea, Democratic People&#039;s Republic of\"  data-calc-value=\"Korea, Democratic People&#039;s Republic of\" >\n\t\t\t\t\t\tKorea, Democratic People&#039;s Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Korea, Republic of\"  data-calc-value=\"Korea, Republic of\" >\n\t\t\t\t\t\tKorea, Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kuwait\"  data-calc-value=\"Kuwait\" >\n\t\t\t\t\t\tKuwait\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kyrgyzstan\"  data-calc-value=\"Kyrgyzstan\" >\n\t\t\t\t\t\tKyrgyzstan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lao People&#039;s Democratic Republic\"  data-calc-value=\"Lao People&#039;s Democratic Republic\" >\n\t\t\t\t\t\tLao People&#039;s Democratic Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Latvia\"  data-calc-value=\"Latvia\" >\n\t\t\t\t\t\tLatvia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lebanon\"  data-calc-value=\"Lebanon\" >\n\t\t\t\t\t\tLebanon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lesotho\"  data-calc-value=\"Lesotho\" >\n\t\t\t\t\t\tLesotho\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Liberia\"  data-calc-value=\"Liberia\" >\n\t\t\t\t\t\tLiberia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Libya\"  data-calc-value=\"Libya\" >\n\t\t\t\t\t\tLibya\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Liechtenstein\"  data-calc-value=\"Liechtenstein\" >\n\t\t\t\t\t\tLiechtenstein\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lithuania\"  data-calc-value=\"Lithuania\" >\n\t\t\t\t\t\tLithuania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Luxembourg\"  data-calc-value=\"Luxembourg\" >\n\t\t\t\t\t\tLuxembourg\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Macao\"  data-calc-value=\"Macao\" >\n\t\t\t\t\t\tMacao\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Macedonia, the former Yugoslav Republic of\"  data-calc-value=\"Macedonia, the former Yugoslav Republic of\" >\n\t\t\t\t\t\tMacedonia, the former Yugoslav Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Madagascar\"  data-calc-value=\"Madagascar\" >\n\t\t\t\t\t\tMadagascar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malawi\"  data-calc-value=\"Malawi\" >\n\t\t\t\t\t\tMalawi\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malaysia\"  data-calc-value=\"Malaysia\" >\n\t\t\t\t\t\tMalaysia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Maldives\"  data-calc-value=\"Maldives\" >\n\t\t\t\t\t\tMaldives\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mali\"  data-calc-value=\"Mali\" >\n\t\t\t\t\t\tMali\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malta\"  data-calc-value=\"Malta\" >\n\t\t\t\t\t\tMalta\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Marshall Islands\"  data-calc-value=\"Marshall Islands\" >\n\t\t\t\t\t\tMarshall Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Martinique\"  data-calc-value=\"Martinique\" >\n\t\t\t\t\t\tMartinique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mauritania\"  data-calc-value=\"Mauritania\" >\n\t\t\t\t\t\tMauritania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mauritius\"  data-calc-value=\"Mauritius\" >\n\t\t\t\t\t\tMauritius\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mayotte\"  data-calc-value=\"Mayotte\" >\n\t\t\t\t\t\tMayotte\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mexico\"  data-calc-value=\"Mexico\" >\n\t\t\t\t\t\tMexico\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Micronesia, Federated States of\"  data-calc-value=\"Micronesia, Federated States of\" >\n\t\t\t\t\t\tMicronesia, Federated States of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Moldova, Republic of\"  data-calc-value=\"Moldova, Republic of\" >\n\t\t\t\t\t\tMoldova, Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monaco\"  data-calc-value=\"Monaco\" >\n\t\t\t\t\t\tMonaco\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mongolia\"  data-calc-value=\"Mongolia\" >\n\t\t\t\t\t\tMongolia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Montenegro\"  data-calc-value=\"Montenegro\" >\n\t\t\t\t\t\tMontenegro\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Montserrat\"  data-calc-value=\"Montserrat\" >\n\t\t\t\t\t\tMontserrat\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Morocco\"  data-calc-value=\"Morocco\" >\n\t\t\t\t\t\tMorocco\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mozambique\"  data-calc-value=\"Mozambique\" >\n\t\t\t\t\t\tMozambique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Myanmar\"  data-calc-value=\"Myanmar\" >\n\t\t\t\t\t\tMyanmar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Namibia\"  data-calc-value=\"Namibia\" >\n\t\t\t\t\t\tNamibia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nauru\"  data-calc-value=\"Nauru\" >\n\t\t\t\t\t\tNauru\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nepal\"  data-calc-value=\"Nepal\" >\n\t\t\t\t\t\tNepal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Netherlands\"  data-calc-value=\"Netherlands\" >\n\t\t\t\t\t\tNetherlands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"New Caledonia\"  data-calc-value=\"New Caledonia\" >\n\t\t\t\t\t\tNew Caledonia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"New Zealand\"  data-calc-value=\"New Zealand\" >\n\t\t\t\t\t\tNew Zealand\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nicaragua\"  data-calc-value=\"Nicaragua\" >\n\t\t\t\t\t\tNicaragua\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Niger\"  data-calc-value=\"Niger\" >\n\t\t\t\t\t\tNiger\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nigeria\"  data-calc-value=\"Nigeria\" >\n\t\t\t\t\t\tNigeria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Niue\"  data-calc-value=\"Niue\" >\n\t\t\t\t\t\tNiue\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Norfolk Island\"  data-calc-value=\"Norfolk Island\" >\n\t\t\t\t\t\tNorfolk Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Northern Mariana Islands\"  data-calc-value=\"Northern Mariana Islands\" >\n\t\t\t\t\t\tNorthern Mariana Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Norway\"  data-calc-value=\"Norway\" >\n\t\t\t\t\t\tNorway\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Oman\"  data-calc-value=\"Oman\" >\n\t\t\t\t\t\tOman\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pakistan\"  data-calc-value=\"Pakistan\" >\n\t\t\t\t\t\tPakistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Palau\"  data-calc-value=\"Palau\" >\n\t\t\t\t\t\tPalau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Palestinian Territory, Occupied\"  data-calc-value=\"Palestinian Territory, Occupied\" >\n\t\t\t\t\t\tPalestinian Territory, Occupied\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Panama\"  data-calc-value=\"Panama\" >\n\t\t\t\t\t\tPanama\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Papua New Guinea\"  data-calc-value=\"Papua New Guinea\" >\n\t\t\t\t\t\tPapua New Guinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Paraguay\"  data-calc-value=\"Paraguay\" >\n\t\t\t\t\t\tParaguay\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Peru\"  data-calc-value=\"Peru\" >\n\t\t\t\t\t\tPeru\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Philippines\"  data-calc-value=\"Philippines\" >\n\t\t\t\t\t\tPhilippines\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pitcairn\"  data-calc-value=\"Pitcairn\" >\n\t\t\t\t\t\tPitcairn\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Poland\"  data-calc-value=\"Poland\" >\n\t\t\t\t\t\tPoland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Portugal\"  data-calc-value=\"Portugal\" >\n\t\t\t\t\t\tPortugal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Puerto Rico\"  data-calc-value=\"Puerto Rico\" >\n\t\t\t\t\t\tPuerto Rico\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Qatar\"  data-calc-value=\"Qatar\" >\n\t\t\t\t\t\tQatar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9union\"  data-calc-value=\"R\u00e9union\" >\n\t\t\t\t\t\tR\u00e9union\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Romania\"  data-calc-value=\"Romania\" >\n\t\t\t\t\t\tRomania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Russian Federation\"  data-calc-value=\"Russian Federation\" >\n\t\t\t\t\t\tRussian Federation\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Rwanda\"  data-calc-value=\"Rwanda\" >\n\t\t\t\t\t\tRwanda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Barth\u00e9lemy\"  data-calc-value=\"Saint Barth\u00e9lemy\" >\n\t\t\t\t\t\tSaint Barth\u00e9lemy\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Helena, Ascension and Tristan da Cunha\"  data-calc-value=\"Saint Helena, Ascension and Tristan da Cunha\" >\n\t\t\t\t\t\tSaint Helena, Ascension and Tristan da Cunha\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Kitts and Nevis\"  data-calc-value=\"Saint Kitts and Nevis\" >\n\t\t\t\t\t\tSaint Kitts and Nevis\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Lucia\"  data-calc-value=\"Saint Lucia\" >\n\t\t\t\t\t\tSaint Lucia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Martin (French part)\"  data-calc-value=\"Saint Martin (French part)\" >\n\t\t\t\t\t\tSaint Martin (French part)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Pierre and Miquelon\"  data-calc-value=\"Saint Pierre and Miquelon\" >\n\t\t\t\t\t\tSaint Pierre and Miquelon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Vincent and the Grenadines\"  data-calc-value=\"Saint Vincent and the Grenadines\" >\n\t\t\t\t\t\tSaint Vincent and the Grenadines\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Samoa\"  data-calc-value=\"Samoa\" >\n\t\t\t\t\t\tSamoa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"San Marino\"  data-calc-value=\"San Marino\" >\n\t\t\t\t\t\tSan Marino\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sao Tome and Principe\"  data-calc-value=\"Sao Tome and Principe\" >\n\t\t\t\t\t\tSao Tome and Principe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saudi Arabia\"  data-calc-value=\"Saudi Arabia\" >\n\t\t\t\t\t\tSaudi Arabia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Senegal\"  data-calc-value=\"Senegal\" >\n\t\t\t\t\t\tSenegal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Serbia\"  data-calc-value=\"Serbia\" >\n\t\t\t\t\t\tSerbia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Seychelles\"  data-calc-value=\"Seychelles\" >\n\t\t\t\t\t\tSeychelles\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sierra Leone\"  data-calc-value=\"Sierra Leone\" >\n\t\t\t\t\t\tSierra Leone\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Singapore\"  data-calc-value=\"Singapore\" >\n\t\t\t\t\t\tSingapore\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sint Maarten (Dutch part)\"  data-calc-value=\"Sint Maarten (Dutch part)\" >\n\t\t\t\t\t\tSint Maarten (Dutch part)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Slovakia\"  data-calc-value=\"Slovakia\" >\n\t\t\t\t\t\tSlovakia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Slovenia\"  data-calc-value=\"Slovenia\" >\n\t\t\t\t\t\tSlovenia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Solomon Islands\"  data-calc-value=\"Solomon Islands\" >\n\t\t\t\t\t\tSolomon Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Somalia\"  data-calc-value=\"Somalia\" >\n\t\t\t\t\t\tSomalia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Africa\"  data-calc-value=\"South Africa\" >\n\t\t\t\t\t\tSouth Africa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Georgia and the South Sandwich Islands\"  data-calc-value=\"South Georgia and the South Sandwich Islands\" >\n\t\t\t\t\t\tSouth Georgia and the South Sandwich Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Sudan\"  data-calc-value=\"South Sudan\" >\n\t\t\t\t\t\tSouth Sudan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Spain\"  data-calc-value=\"Spain\" >\n\t\t\t\t\t\tSpain\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sri Lanka\"  data-calc-value=\"Sri Lanka\" >\n\t\t\t\t\t\tSri Lanka\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sudan\"  data-calc-value=\"Sudan\" >\n\t\t\t\t\t\tSudan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Suriname\"  data-calc-value=\"Suriname\" >\n\t\t\t\t\t\tSuriname\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Svalbard and Jan Mayen\"  data-calc-value=\"Svalbard and Jan Mayen\" >\n\t\t\t\t\t\tSvalbard and Jan Mayen\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Swaziland\"  data-calc-value=\"Swaziland\" >\n\t\t\t\t\t\tSwaziland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sweden\"  data-calc-value=\"Sweden\" >\n\t\t\t\t\t\tSweden\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Switzerland\"  data-calc-value=\"Switzerland\" >\n\t\t\t\t\t\tSwitzerland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Syrian Arab Republic\"  data-calc-value=\"Syrian Arab Republic\" >\n\t\t\t\t\t\tSyrian Arab Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Taiwan, Province of China\"  data-calc-value=\"Taiwan, Province of China\" >\n\t\t\t\t\t\tTaiwan, Province of China\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tajikistan\"  data-calc-value=\"Tajikistan\" >\n\t\t\t\t\t\tTajikistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tanzania, United Republic of\"  data-calc-value=\"Tanzania, United Republic of\" >\n\t\t\t\t\t\tTanzania, United Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thailand\"  data-calc-value=\"Thailand\" >\n\t\t\t\t\t\tThailand\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Timor-Leste\"  data-calc-value=\"Timor-Leste\" >\n\t\t\t\t\t\tTimor-Leste\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Togo\"  data-calc-value=\"Togo\" >\n\t\t\t\t\t\tTogo\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tokelau\"  data-calc-value=\"Tokelau\" >\n\t\t\t\t\t\tTokelau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tonga\"  data-calc-value=\"Tonga\" >\n\t\t\t\t\t\tTonga\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Trinidad and Tobago\"  data-calc-value=\"Trinidad and Tobago\" >\n\t\t\t\t\t\tTrinidad and Tobago\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tunisia\"  data-calc-value=\"Tunisia\" >\n\t\t\t\t\t\tTunisia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turkey\"  data-calc-value=\"Turkey\" >\n\t\t\t\t\t\tTurkey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turkmenistan\"  data-calc-value=\"Turkmenistan\" >\n\t\t\t\t\t\tTurkmenistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turks and Caicos Islands\"  data-calc-value=\"Turks and Caicos Islands\" >\n\t\t\t\t\t\tTurks and Caicos Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuvalu\"  data-calc-value=\"Tuvalu\" >\n\t\t\t\t\t\tTuvalu\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uganda\"  data-calc-value=\"Uganda\" >\n\t\t\t\t\t\tUganda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ukraine\"  data-calc-value=\"Ukraine\" >\n\t\t\t\t\t\tUkraine\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United Arab Emirates\"  data-calc-value=\"United Arab Emirates\" >\n\t\t\t\t\t\tUnited Arab Emirates\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United Kingdom\"  data-calc-value=\"United Kingdom\" >\n\t\t\t\t\t\tUnited Kingdom\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United States\"  data-calc-value=\"United States\" >\n\t\t\t\t\t\tUnited States\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United States Minor Outlying Islands\"  data-calc-value=\"United States Minor Outlying Islands\" >\n\t\t\t\t\t\tUnited States Minor Outlying Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uruguay\"  data-calc-value=\"Uruguay\" >\n\t\t\t\t\t\tUruguay\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uzbekistan\"  data-calc-value=\"Uzbekistan\" >\n\t\t\t\t\t\tUzbekistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Vanuatu\"  data-calc-value=\"Vanuatu\" >\n\t\t\t\t\t\tVanuatu\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Venezuela, Bolivarian Republic of\"  data-calc-value=\"Venezuela, Bolivarian Republic of\" >\n\t\t\t\t\t\tVenezuela, Bolivarian Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Viet Nam\"  data-calc-value=\"Viet Nam\" >\n\t\t\t\t\t\tViet Nam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands, British\"  data-calc-value=\"Virgin Islands, British\" >\n\t\t\t\t\t\tVirgin Islands, British\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands, U.S.\"  data-calc-value=\"Virgin Islands, U.S.\" >\n\t\t\t\t\t\tVirgin Islands, U.S.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wallis and Futuna\"  data-calc-value=\"Wallis and Futuna\" >\n\t\t\t\t\t\tWallis and Futuna\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Western Sahara\"  data-calc-value=\"Western Sahara\" >\n\t\t\t\t\t\tWestern Sahara\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Yemen\"  data-calc-value=\"Yemen\" >\n\t\t\t\t\t\tYemen\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Zambia\"  data-calc-value=\"Zambia\" >\n\t\t\t\t\t\tZambia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Zimbabwe\"  data-calc-value=\"Zimbabwe\" >\n\t\t\t\t\t\tZimbabwe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5ec8f978ca22d_1-row-3\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_6651061\" class=\"form-group\" id=\"fld_6651061_1-wrap\">\r\n\t<label id=\"fld_6651061Label\" for=\"fld_6651061_1\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_6651061\" class=\" form-control\" id=\"fld_6651061_1\" name=\"fld_6651061\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_6651061Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6150415\" class=\"form-group\" id=\"fld_6150415_1-wrap\">\r\n\t<label id=\"fld_6150415Label\" for=\"fld_6150415_1\" class=\"control-label\">Residential Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6150415\" class=\" form-control\" id=\"fld_6150415_1\" name=\"fld_6150415\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6150415Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5ec8f978ca22d_1-row-4\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_3663349\" class=\"form-group\" id=\"fld_3663349_1-wrap\">\r\n\t<label id=\"fld_3663349Label\" for=\"fld_3663349_1\" class=\"control-label\">Years of Capoeira Experience <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_3663349\" value=\"\" data-field=\"fld_3663349\" class=\"form-control\" id=\"fld_3663349_1\"  required=\"required\"  aria-labelledby=\"fld_3663349Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"&lt; 1 year\"  data-calc-value=\"&lt; 1 year\" >\n\t\t\t\t\t\t&lt; 1 year\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"1 year\"  data-calc-value=\"1 year\" >\n\t\t\t\t\t\t1 year\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"2 years\"  data-calc-value=\"2 years\" >\n\t\t\t\t\t\t2 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"3 years\"  data-calc-value=\"3 years\" >\n\t\t\t\t\t\t3 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"4 years\"  data-calc-value=\"4 years\" >\n\t\t\t\t\t\t4 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"5 years\"  data-calc-value=\"5 years\" >\n\t\t\t\t\t\t5 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"6 years\"  data-calc-value=\"6 years\" >\n\t\t\t\t\t\t6 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"7-10 years\"  data-calc-value=\"7-10 years\" >\n\t\t\t\t\t\t7-10 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"&gt; 10 years\"  data-calc-value=\"&gt; 10 years\" >\n\t\t\t\t\t\t&gt; 10 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_1064067\" class=\"form-group\" id=\"fld_1064067_1-wrap\">\r\n\t<label id=\"fld_1064067Label\" for=\"fld_1064067_1\" class=\"control-label\">Your Title (if any)<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_1064067\" value=\"\" data-field=\"fld_1064067\" class=\"form-control\" id=\"fld_1064067_1\"    aria-labelledby=\"fld_1064067Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Monitor\"  data-calc-value=\"Monitor\" >\n\t\t\t\t\t\tMonitor\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Estrangeiro\"  data-calc-value=\"Estrangeiro\" >\n\t\t\t\t\t\tEstrangeiro\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Instrutor\"  data-calc-value=\"Instrutor\" >\n\t\t\t\t\t\tInstrutor\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Professor\"  data-calc-value=\"Professor\" >\n\t\t\t\t\t\tProfessor\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Formando\"  data-calc-value=\"Formando\" >\n\t\t\t\t\t\tFormando\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Contra-Mestre\"  data-calc-value=\"Contra-Mestre\" >\n\t\t\t\t\t\tContra-Mestre\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Formado\"  data-calc-value=\"Formado\" >\n\t\t\t\t\t\tFormado\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mestre\"  data-calc-value=\"Mestre\" >\n\t\t\t\t\t\tMestre\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_7196645\" class=\"form-group\" id=\"fld_7196645_1-wrap\">\r\n\t<label id=\"fld_7196645Label\" for=\"fld_7196645_1\" class=\"control-label\">Areas of Interest in CFHK <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_1_opt933680\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_1\" data-parsley-multiple=\"fld_7196645_1\"                                type=\"checkbox\"\n                                data-label=\"Competition Athlete\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_1_opt933680\"\n                                class=\"fld_7196645_1 option-required\"\n                                name=\"fld_7196645[opt933680]\"\n                                value=\"Competition Athlete\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_1\"\n                                                                data-calc-value=\"Competition Athlete\"\n                            >\n                    Competition Athlete                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_1_opt1387177\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_1\" data-parsley-multiple=\"fld_7196645_1\"                                type=\"checkbox\"\n                                data-label=\"Coach\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_1_opt1387177\"\n                                class=\"fld_7196645_1 option-required\"\n                                name=\"fld_7196645[opt1387177]\"\n                                value=\"Coach\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_1\"\n                                                                data-calc-value=\"Coach\"\n                            >\n                    Coach                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_1_opt2762800\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_1\" data-parsley-multiple=\"fld_7196645_1\"                                type=\"checkbox\"\n                                data-label=\"Official\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_1_opt2762800\"\n                                class=\"fld_7196645_1 option-required\"\n                                name=\"fld_7196645[opt2762800]\"\n                                value=\"Official\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_1\"\n                                                                data-calc-value=\"Official\"\n                            >\n                    Official                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_1_opt4161940\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_1\" data-parsley-multiple=\"fld_7196645_1\"                                type=\"checkbox\"\n                                data-label=\"Cultural Events\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_1_opt4161940\"\n                                class=\"fld_7196645_1 option-required\"\n                                name=\"fld_7196645[opt4161940]\"\n                                value=\"Cultural Events\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_1\"\n                                                                data-calc-value=\"Cultural Events\"\n                            >\n                    Cultural Events                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_1_opt4318411\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_1\" data-parsley-multiple=\"fld_7196645_1\"                                type=\"checkbox\"\n                                data-label=\"Volunteering\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_1_opt4318411\"\n                                class=\"fld_7196645_1 option-required\"\n                                name=\"fld_7196645[opt4318411]\"\n                                value=\"Volunteering\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_1\"\n                                                                data-calc-value=\"Volunteering\"\n                            >\n                    Volunteering                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_1_opt1738124\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_1\" data-parsley-multiple=\"fld_7196645_1\"                                type=\"checkbox\"\n                                data-label=\"Others\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_1_opt1738124\"\n                                class=\"fld_7196645_1 option-required\"\n                                name=\"fld_7196645[opt1738124]\"\n                                value=\"Others\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_1\"\n                                                                data-calc-value=\"Others\"\n                            >\n                    Others                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9852410\" class=\"form-group\" id=\"fld_9852410_1-wrap\">\r\n\t<label id=\"fld_9852410Label\" for=\"fld_9852410_1\" class=\"control-label\">Please state other Interests Here<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9852410\" class=\" form-control\" id=\"fld_9852410_1\" name=\"fld_9852410\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9852410Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5ec8f978ca22d_1-row-5\"  class=\"row  last_row\"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_2942210\" class=\"form-group\" id=\"fld_2942210_1-wrap\">\r\n<div class=\"\">\r\n\n<div class=\"checkbox-inline caldera-forms-consent-field\">\n    <input data-parsley-required=\"true\" data-parsley-group=\"fld_2942210_1\" data-parsley-multiple=\"fld_2942210_1\"        type=\"checkbox\" data-label=\"Terms of Membership\"\n        data-field=\"fld_2942210\"\n        id=\"fld_2942210_1\"\n        class=\"fld_2942210_1 option-required\"\n        name=\"fld_2942210\"\n        value=\"1\"\n        data-type=\"checkbox\"\n        data-checkbox-field=\"fld_2942210_1\"\n    >\n    <label for=\"fld_2942210_1\"\n           class=\"caldera-forms-gdpr-field-label\"\n           style=\"display:inline; margin-left: 0.5rem;\"\n    >\n        Terms of Membership        <p\n            class=\"caldera-forms-consent-field-agreement\"\n        >\n            &#8211; I hereby agree to the Codes of Conduct &amp; terms of Membership of the CFHK.        <\/p>\n        <a href=\"\"\n           target=\"_blank\"\n                title=\"Privacy Policy Page\"\n            class=\"caldera-forms-consent-field-linked_text\"\n            >\n            &#8211; (read here) &#8211;        <\/a>\n    <\/label>\n    <span style=\"color:#ff0000;\">*<\/span>\n<\/div>\n\n<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_5269097\" class=\"form-group\" id=\"fld_5269097_1-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_5269097\" id=\"fld_5269097_1\" value=\"Submit\" data-field=\"fld_5269097\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_1\" type=\"hidden\" name=\"fld_5269097\" id=\"fld_5269097_1_btn\" value=\"\" data-field=\"fld_5269097\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n<\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"2\" aria-controls=\"elementor-tab-content-3272\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\">\u500b\u4eba\u6703\u54e1<\/span><i aria-hidden=\"true\" class=\"fa-toggle fas fa-angle-right\"><\/i><\/div><div id=\"elementor-tab-content-3272\" class=\"eael-accordion-content clearfix\" data-tab=\"2\" aria-labelledby=\"\"><p> \u500b\u4eba\u6703\u54e1\u662f\u6307\u9999\u6e2f\u5df4\u897f\u6230\u821e\u5718\u9ad4\uff0c\u4ff1\u6a02\u90e8\uff0c\u5b78\u6821\uff0c\u9ad4\u80b2\u9928\u6216\u5354\u6703\u7684\u6703\u54e1\uff0c\u8a72\u6703\u54e1\u662fCFHK\u7684\u8a3b\u518a\u6295\u7968\u6703\u54e1\u3002<br \/><span style=\"color: #ffffff;\">\uff0d<\/span><br \/>\u6bcf\u500b\u4f5c\u70baCFHK\u6295\u7968\u6703\u54e1\u7684\u7d44\u7e54\u6bcf\u5e74\u5747\u53ef\u7372\u5f9715\u500b\u4eba\u514d\u6703\u54e1\u5e74\u8cbb\u3002 \u8207\u60a8\u7d44\u7e54\u7684\u8ca0\u8cac\u4eba\u806f\u7e6b\u4ee5\u7372\u53d6\u6709\u95dc\u8cc7\u683c\u7684\u4fe1\u606f\u3002<br \/><span style=\"color: #ffffff;\">\uff0d<\/span><br \/>\u6bcf\u500b\u500b\u4eba\u6703\u54e1\u53ea\u80fd\u7533\u8acb\u4e00\uff081\uff09\u500b\u8a3b\u518a\u7d44\u7e54\u7684\u5354\u6703\u3002<br \/><span style=\"color: #ffffff;\">\uff0d<\/span><br \/>\u8acb\u5728\u9019\u88e1\u7533\u8acb\u6703\u54e1\u8cc7\u683c\uff1a\u201c\u500b\u4eba\u6703\u54e1\u7533\u8acb\u8868\u201d<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><div class=\"caldera-grid\" id=\"caldera_form_2\" data-cf-ver=\"1.9.4\" data-cf-form-id=\"CF5eca3ffe5ee05\"><div id=\"caldera_notices_2\" data-spinner=\"http:\/\/capoeira.org.hk\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"2\" class=\"CF5eca3ffe5ee05 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5eca3ffe5ee05_2\" data-form-id=\"CF5eca3ffe5ee05\" aria-label=\"Individual Members Application Form\" data-target=\"#caldera_notices_2\" data-template=\"#cfajax_CF5eca3ffe5ee05-tmpl\" data-cfajax=\"CF5eca3ffe5ee05\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"http:\/\/capoeira.org.hk\/zh\/cf-api\/CF5eca3ffe5ee05\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5eca3ffe5ee05\" name=\"_cf_verify\" value=\"81a552dc6a\"  data-nonce-time=\"1784306323\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/zh\/memberships\/\" \/><div id=\"cf2-CF5eca3ffe5ee05_2\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5eca3ffe5ee05\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"2\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5eca3ffe5ee05\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"310\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Url<\/label><input type=\"text\" name=\"url\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5eca3ffe5ee05_2-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_1081756\" class=\"form-group\" id=\"fld_1081756_2-wrap\">\r\n\t<label id=\"fld_1081756Label\" for=\"fld_1081756_2\" class=\"control-label\">English Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1081756\" class=\" form-control\" id=\"fld_1081756_2\" name=\"fld_1081756\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1081756Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6169636\" class=\"form-group\" id=\"fld_6169636_2-wrap\">\r\n\t<label id=\"fld_6169636Label\" for=\"fld_6169636_2\" class=\"control-label\">\u4e2d\u6587\u540d<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6169636\" class=\" form-control\" id=\"fld_6169636_2\" name=\"fld_6169636\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6169636Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca3ffe5ee05_2-row-2\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_1301037\" class=\"form-group\" id=\"fld_1301037_2-wrap\">\r\n\t<label id=\"fld_1301037Label\" for=\"fld_1301037_2\" class=\"control-label\">Phone Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"tel\" data-field=\"fld_1301037\" class=\" form-control\" id=\"fld_1301037_2\" name=\"fld_1301037\" value=\"+852\" data-type=\"phone_better\" aria-required=\"true\"   aria-labelledby=\"fld_1301037Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \">\n<div data-field-wrapper=\"fld_4776201\" class=\"form-group\" id=\"fld_4776201_2-wrap\">\r\n\t<label id=\"fld_4776201Label\" for=\"fld_4776201_2\" class=\"control-label\">Date of Birth <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_4776201\" value=\"\" id=\"fld_4776201_2\" data-field=\"fld_4776201\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" required=\"1\" data-date-start-view=\"month\" data-date-language=\"en-GB\" data-date-autoclose=\"true\"   aria-labelledby=\"fld_4776201Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_485942\" class=\"form-group\" id=\"fld_485942_2-wrap\">\r\n\t<label id=\"fld_485942Label\" for=\"fld_485942_2\" class=\"control-label\">HKID or Passport Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_485942\" class=\" form-control\" id=\"fld_485942_2\" name=\"fld_485942\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_485942Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3  last_col\"><div data-field-wrapper=\"fld_2676044\" class=\"form-group\" id=\"fld_2676044_2-wrap\">\r\n\t<label id=\"fld_2676044Label\" for=\"fld_2676044_2\" class=\"control-label\">Nationality<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_2676044\" value=\"\" data-field=\"fld_2676044\" class=\"form-control\" id=\"fld_2676044_2\"    aria-labelledby=\"fld_2676044Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Hong Kong\"  data-calc-value=\"Hong Kong\" >\n\t\t\t\t\t\tHong Kong\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Afghanistan\"  data-calc-value=\"Afghanistan\" >\n\t\t\t\t\t\tAfghanistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"\u00c5land Islands\"  data-calc-value=\"\u00c5land Islands\" >\n\t\t\t\t\t\t\u00c5land Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Albania\"  data-calc-value=\"Albania\" >\n\t\t\t\t\t\tAlbania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Algeria\"  data-calc-value=\"Algeria\" >\n\t\t\t\t\t\tAlgeria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"American Samoa\"  data-calc-value=\"American Samoa\" >\n\t\t\t\t\t\tAmerican Samoa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Andorra\"  data-calc-value=\"Andorra\" >\n\t\t\t\t\t\tAndorra\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Angola\"  data-calc-value=\"Angola\" >\n\t\t\t\t\t\tAngola\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Anguilla\"  data-calc-value=\"Anguilla\" >\n\t\t\t\t\t\tAnguilla\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Antarctica\"  data-calc-value=\"Antarctica\" >\n\t\t\t\t\t\tAntarctica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Antigua and Barbuda\"  data-calc-value=\"Antigua and Barbuda\" >\n\t\t\t\t\t\tAntigua and Barbuda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Argentina\"  data-calc-value=\"Argentina\" >\n\t\t\t\t\t\tArgentina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Armenia\"  data-calc-value=\"Armenia\" >\n\t\t\t\t\t\tArmenia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Aruba\"  data-calc-value=\"Aruba\" >\n\t\t\t\t\t\tAruba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Australia\"  data-calc-value=\"Australia\" >\n\t\t\t\t\t\tAustralia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Austria\"  data-calc-value=\"Austria\" >\n\t\t\t\t\t\tAustria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Azerbaijan\"  data-calc-value=\"Azerbaijan\" >\n\t\t\t\t\t\tAzerbaijan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bahamas\"  data-calc-value=\"Bahamas\" >\n\t\t\t\t\t\tBahamas\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bahrain\"  data-calc-value=\"Bahrain\" >\n\t\t\t\t\t\tBahrain\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bangladesh\"  data-calc-value=\"Bangladesh\" >\n\t\t\t\t\t\tBangladesh\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Barbados\"  data-calc-value=\"Barbados\" >\n\t\t\t\t\t\tBarbados\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belarus\"  data-calc-value=\"Belarus\" >\n\t\t\t\t\t\tBelarus\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belgium\"  data-calc-value=\"Belgium\" >\n\t\t\t\t\t\tBelgium\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Belize\"  data-calc-value=\"Belize\" >\n\t\t\t\t\t\tBelize\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Benin\"  data-calc-value=\"Benin\" >\n\t\t\t\t\t\tBenin\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bermuda\"  data-calc-value=\"Bermuda\" >\n\t\t\t\t\t\tBermuda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bhutan\"  data-calc-value=\"Bhutan\" >\n\t\t\t\t\t\tBhutan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bolivia, Plurinational State of\"  data-calc-value=\"Bolivia, Plurinational State of\" >\n\t\t\t\t\t\tBolivia, Plurinational State of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bonaire, Sint Eustatius and Saba\"  data-calc-value=\"Bonaire, Sint Eustatius and Saba\" >\n\t\t\t\t\t\tBonaire, Sint Eustatius and Saba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bosnia and Herzegovina\"  data-calc-value=\"Bosnia and Herzegovina\" >\n\t\t\t\t\t\tBosnia and Herzegovina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Botswana\"  data-calc-value=\"Botswana\" >\n\t\t\t\t\t\tBotswana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bouvet Island\"  data-calc-value=\"Bouvet Island\" >\n\t\t\t\t\t\tBouvet Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Brazil\"  data-calc-value=\"Brazil\" >\n\t\t\t\t\t\tBrazil\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"British Indian Ocean Territory\"  data-calc-value=\"British Indian Ocean Territory\" >\n\t\t\t\t\t\tBritish Indian Ocean Territory\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Brunei Darussalam\"  data-calc-value=\"Brunei Darussalam\" >\n\t\t\t\t\t\tBrunei Darussalam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Bulgaria\"  data-calc-value=\"Bulgaria\" >\n\t\t\t\t\t\tBulgaria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Burkina Faso\"  data-calc-value=\"Burkina Faso\" >\n\t\t\t\t\t\tBurkina Faso\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Burundi\"  data-calc-value=\"Burundi\" >\n\t\t\t\t\t\tBurundi\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cambodia\"  data-calc-value=\"Cambodia\" >\n\t\t\t\t\t\tCambodia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cameroon\"  data-calc-value=\"Cameroon\" >\n\t\t\t\t\t\tCameroon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Canada\"  data-calc-value=\"Canada\" >\n\t\t\t\t\t\tCanada\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cape Verde\"  data-calc-value=\"Cape Verde\" >\n\t\t\t\t\t\tCape Verde\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cayman Islands\"  data-calc-value=\"Cayman Islands\" >\n\t\t\t\t\t\tCayman Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Central African Republic\"  data-calc-value=\"Central African Republic\" >\n\t\t\t\t\t\tCentral African Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chad\"  data-calc-value=\"Chad\" >\n\t\t\t\t\t\tChad\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Chile\"  data-calc-value=\"Chile\" >\n\t\t\t\t\t\tChile\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"China\"  data-calc-value=\"China\" >\n\t\t\t\t\t\tChina\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Christmas Island\"  data-calc-value=\"Christmas Island\" >\n\t\t\t\t\t\tChristmas Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cocos (Keeling) Islands\"  data-calc-value=\"Cocos (Keeling) Islands\" >\n\t\t\t\t\t\tCocos (Keeling) Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Colombia\"  data-calc-value=\"Colombia\" >\n\t\t\t\t\t\tColombia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Comoros\"  data-calc-value=\"Comoros\" >\n\t\t\t\t\t\tComoros\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Congo\"  data-calc-value=\"Congo\" >\n\t\t\t\t\t\tCongo\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Congo, the Democratic Republic of the\"  data-calc-value=\"Congo, the Democratic Republic of the\" >\n\t\t\t\t\t\tCongo, the Democratic Republic of the\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cook Islands\"  data-calc-value=\"Cook Islands\" >\n\t\t\t\t\t\tCook Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Costa Rica\"  data-calc-value=\"Costa Rica\" >\n\t\t\t\t\t\tCosta Rica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"C\u00f4te d&#039;Ivoire\"  data-calc-value=\"C\u00f4te d&#039;Ivoire\" >\n\t\t\t\t\t\tC\u00f4te d&#039;Ivoire\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Croatia\"  data-calc-value=\"Croatia\" >\n\t\t\t\t\t\tCroatia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cuba\"  data-calc-value=\"Cuba\" >\n\t\t\t\t\t\tCuba\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cura\u00e7ao\"  data-calc-value=\"Cura\u00e7ao\" >\n\t\t\t\t\t\tCura\u00e7ao\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Cyprus\"  data-calc-value=\"Cyprus\" >\n\t\t\t\t\t\tCyprus\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Czech Republic\"  data-calc-value=\"Czech Republic\" >\n\t\t\t\t\t\tCzech Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Denmark\"  data-calc-value=\"Denmark\" >\n\t\t\t\t\t\tDenmark\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Djibouti\"  data-calc-value=\"Djibouti\" >\n\t\t\t\t\t\tDjibouti\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dominica\"  data-calc-value=\"Dominica\" >\n\t\t\t\t\t\tDominica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Dominican Republic\"  data-calc-value=\"Dominican Republic\" >\n\t\t\t\t\t\tDominican Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ecuador\"  data-calc-value=\"Ecuador\" >\n\t\t\t\t\t\tEcuador\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Egypt\"  data-calc-value=\"Egypt\" >\n\t\t\t\t\t\tEgypt\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"El Salvador\"  data-calc-value=\"El Salvador\" >\n\t\t\t\t\t\tEl Salvador\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Equatorial Guinea\"  data-calc-value=\"Equatorial Guinea\" >\n\t\t\t\t\t\tEquatorial Guinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Eritrea\"  data-calc-value=\"Eritrea\" >\n\t\t\t\t\t\tEritrea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Estonia\"  data-calc-value=\"Estonia\" >\n\t\t\t\t\t\tEstonia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ethiopia\"  data-calc-value=\"Ethiopia\" >\n\t\t\t\t\t\tEthiopia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Falkland Islands (Malvinas)\"  data-calc-value=\"Falkland Islands (Malvinas)\" >\n\t\t\t\t\t\tFalkland Islands (Malvinas)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Faroe Islands\"  data-calc-value=\"Faroe Islands\" >\n\t\t\t\t\t\tFaroe Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Fiji\"  data-calc-value=\"Fiji\" >\n\t\t\t\t\t\tFiji\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Finland\"  data-calc-value=\"Finland\" >\n\t\t\t\t\t\tFinland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"France\"  data-calc-value=\"France\" >\n\t\t\t\t\t\tFrance\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Guiana\"  data-calc-value=\"French Guiana\" >\n\t\t\t\t\t\tFrench Guiana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Polynesia\"  data-calc-value=\"French Polynesia\" >\n\t\t\t\t\t\tFrench Polynesia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"French Southern Territories\"  data-calc-value=\"French Southern Territories\" >\n\t\t\t\t\t\tFrench Southern Territories\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gabon\"  data-calc-value=\"Gabon\" >\n\t\t\t\t\t\tGabon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gambia\"  data-calc-value=\"Gambia\" >\n\t\t\t\t\t\tGambia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Georgia\"  data-calc-value=\"Georgia\" >\n\t\t\t\t\t\tGeorgia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Germany\"  data-calc-value=\"Germany\" >\n\t\t\t\t\t\tGermany\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ghana\"  data-calc-value=\"Ghana\" >\n\t\t\t\t\t\tGhana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Gibraltar\"  data-calc-value=\"Gibraltar\" >\n\t\t\t\t\t\tGibraltar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Greece\"  data-calc-value=\"Greece\" >\n\t\t\t\t\t\tGreece\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Greenland\"  data-calc-value=\"Greenland\" >\n\t\t\t\t\t\tGreenland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Grenada\"  data-calc-value=\"Grenada\" >\n\t\t\t\t\t\tGrenada\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guadeloupe\"  data-calc-value=\"Guadeloupe\" >\n\t\t\t\t\t\tGuadeloupe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guam\"  data-calc-value=\"Guam\" >\n\t\t\t\t\t\tGuam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guatemala\"  data-calc-value=\"Guatemala\" >\n\t\t\t\t\t\tGuatemala\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guernsey\"  data-calc-value=\"Guernsey\" >\n\t\t\t\t\t\tGuernsey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guinea\"  data-calc-value=\"Guinea\" >\n\t\t\t\t\t\tGuinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guinea-Bissau\"  data-calc-value=\"Guinea-Bissau\" >\n\t\t\t\t\t\tGuinea-Bissau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Guyana\"  data-calc-value=\"Guyana\" >\n\t\t\t\t\t\tGuyana\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Haiti\"  data-calc-value=\"Haiti\" >\n\t\t\t\t\t\tHaiti\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Heard Island and McDonald Islands\"  data-calc-value=\"Heard Island and McDonald Islands\" >\n\t\t\t\t\t\tHeard Island and McDonald Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Holy See (Vatican City State)\"  data-calc-value=\"Holy See (Vatican City State)\" >\n\t\t\t\t\t\tHoly See (Vatican City State)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Honduras\"  data-calc-value=\"Honduras\" >\n\t\t\t\t\t\tHonduras\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Hungary\"  data-calc-value=\"Hungary\" >\n\t\t\t\t\t\tHungary\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iceland\"  data-calc-value=\"Iceland\" >\n\t\t\t\t\t\tIceland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"India\"  data-calc-value=\"India\" >\n\t\t\t\t\t\tIndia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Indonesia\"  data-calc-value=\"Indonesia\" >\n\t\t\t\t\t\tIndonesia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iran, Islamic Republic of\"  data-calc-value=\"Iran, Islamic Republic of\" >\n\t\t\t\t\t\tIran, Islamic Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Iraq\"  data-calc-value=\"Iraq\" >\n\t\t\t\t\t\tIraq\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ireland\"  data-calc-value=\"Ireland\" >\n\t\t\t\t\t\tIreland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Isle of Man\"  data-calc-value=\"Isle of Man\" >\n\t\t\t\t\t\tIsle of Man\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Israel\"  data-calc-value=\"Israel\" >\n\t\t\t\t\t\tIsrael\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Italy\"  data-calc-value=\"Italy\" >\n\t\t\t\t\t\tItaly\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jamaica\"  data-calc-value=\"Jamaica\" >\n\t\t\t\t\t\tJamaica\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Japan\"  data-calc-value=\"Japan\" >\n\t\t\t\t\t\tJapan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jersey\"  data-calc-value=\"Jersey\" >\n\t\t\t\t\t\tJersey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Jordan\"  data-calc-value=\"Jordan\" >\n\t\t\t\t\t\tJordan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kazakhstan\"  data-calc-value=\"Kazakhstan\" >\n\t\t\t\t\t\tKazakhstan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kenya\"  data-calc-value=\"Kenya\" >\n\t\t\t\t\t\tKenya\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kiribati\"  data-calc-value=\"Kiribati\" >\n\t\t\t\t\t\tKiribati\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Korea, Democratic People&#039;s Republic of\"  data-calc-value=\"Korea, Democratic People&#039;s Republic of\" >\n\t\t\t\t\t\tKorea, Democratic People&#039;s Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Korea, Republic of\"  data-calc-value=\"Korea, Republic of\" >\n\t\t\t\t\t\tKorea, Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kuwait\"  data-calc-value=\"Kuwait\" >\n\t\t\t\t\t\tKuwait\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Kyrgyzstan\"  data-calc-value=\"Kyrgyzstan\" >\n\t\t\t\t\t\tKyrgyzstan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lao People&#039;s Democratic Republic\"  data-calc-value=\"Lao People&#039;s Democratic Republic\" >\n\t\t\t\t\t\tLao People&#039;s Democratic Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Latvia\"  data-calc-value=\"Latvia\" >\n\t\t\t\t\t\tLatvia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lebanon\"  data-calc-value=\"Lebanon\" >\n\t\t\t\t\t\tLebanon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lesotho\"  data-calc-value=\"Lesotho\" >\n\t\t\t\t\t\tLesotho\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Liberia\"  data-calc-value=\"Liberia\" >\n\t\t\t\t\t\tLiberia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Libya\"  data-calc-value=\"Libya\" >\n\t\t\t\t\t\tLibya\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Liechtenstein\"  data-calc-value=\"Liechtenstein\" >\n\t\t\t\t\t\tLiechtenstein\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Lithuania\"  data-calc-value=\"Lithuania\" >\n\t\t\t\t\t\tLithuania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Luxembourg\"  data-calc-value=\"Luxembourg\" >\n\t\t\t\t\t\tLuxembourg\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Macao\"  data-calc-value=\"Macao\" >\n\t\t\t\t\t\tMacao\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Macedonia, the former Yugoslav Republic of\"  data-calc-value=\"Macedonia, the former Yugoslav Republic of\" >\n\t\t\t\t\t\tMacedonia, the former Yugoslav Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Madagascar\"  data-calc-value=\"Madagascar\" >\n\t\t\t\t\t\tMadagascar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malawi\"  data-calc-value=\"Malawi\" >\n\t\t\t\t\t\tMalawi\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malaysia\"  data-calc-value=\"Malaysia\" >\n\t\t\t\t\t\tMalaysia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Maldives\"  data-calc-value=\"Maldives\" >\n\t\t\t\t\t\tMaldives\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mali\"  data-calc-value=\"Mali\" >\n\t\t\t\t\t\tMali\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Malta\"  data-calc-value=\"Malta\" >\n\t\t\t\t\t\tMalta\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Marshall Islands\"  data-calc-value=\"Marshall Islands\" >\n\t\t\t\t\t\tMarshall Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Martinique\"  data-calc-value=\"Martinique\" >\n\t\t\t\t\t\tMartinique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mauritania\"  data-calc-value=\"Mauritania\" >\n\t\t\t\t\t\tMauritania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mauritius\"  data-calc-value=\"Mauritius\" >\n\t\t\t\t\t\tMauritius\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mayotte\"  data-calc-value=\"Mayotte\" >\n\t\t\t\t\t\tMayotte\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mexico\"  data-calc-value=\"Mexico\" >\n\t\t\t\t\t\tMexico\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Micronesia, Federated States of\"  data-calc-value=\"Micronesia, Federated States of\" >\n\t\t\t\t\t\tMicronesia, Federated States of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Moldova, Republic of\"  data-calc-value=\"Moldova, Republic of\" >\n\t\t\t\t\t\tMoldova, Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Monaco\"  data-calc-value=\"Monaco\" >\n\t\t\t\t\t\tMonaco\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mongolia\"  data-calc-value=\"Mongolia\" >\n\t\t\t\t\t\tMongolia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Montenegro\"  data-calc-value=\"Montenegro\" >\n\t\t\t\t\t\tMontenegro\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Montserrat\"  data-calc-value=\"Montserrat\" >\n\t\t\t\t\t\tMontserrat\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Morocco\"  data-calc-value=\"Morocco\" >\n\t\t\t\t\t\tMorocco\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mozambique\"  data-calc-value=\"Mozambique\" >\n\t\t\t\t\t\tMozambique\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Myanmar\"  data-calc-value=\"Myanmar\" >\n\t\t\t\t\t\tMyanmar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Namibia\"  data-calc-value=\"Namibia\" >\n\t\t\t\t\t\tNamibia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nauru\"  data-calc-value=\"Nauru\" >\n\t\t\t\t\t\tNauru\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nepal\"  data-calc-value=\"Nepal\" >\n\t\t\t\t\t\tNepal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Netherlands\"  data-calc-value=\"Netherlands\" >\n\t\t\t\t\t\tNetherlands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"New Caledonia\"  data-calc-value=\"New Caledonia\" >\n\t\t\t\t\t\tNew Caledonia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"New Zealand\"  data-calc-value=\"New Zealand\" >\n\t\t\t\t\t\tNew Zealand\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nicaragua\"  data-calc-value=\"Nicaragua\" >\n\t\t\t\t\t\tNicaragua\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Niger\"  data-calc-value=\"Niger\" >\n\t\t\t\t\t\tNiger\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Nigeria\"  data-calc-value=\"Nigeria\" >\n\t\t\t\t\t\tNigeria\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Niue\"  data-calc-value=\"Niue\" >\n\t\t\t\t\t\tNiue\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Norfolk Island\"  data-calc-value=\"Norfolk Island\" >\n\t\t\t\t\t\tNorfolk Island\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Northern Mariana Islands\"  data-calc-value=\"Northern Mariana Islands\" >\n\t\t\t\t\t\tNorthern Mariana Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Norway\"  data-calc-value=\"Norway\" >\n\t\t\t\t\t\tNorway\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Oman\"  data-calc-value=\"Oman\" >\n\t\t\t\t\t\tOman\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pakistan\"  data-calc-value=\"Pakistan\" >\n\t\t\t\t\t\tPakistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Palau\"  data-calc-value=\"Palau\" >\n\t\t\t\t\t\tPalau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Palestinian Territory, Occupied\"  data-calc-value=\"Palestinian Territory, Occupied\" >\n\t\t\t\t\t\tPalestinian Territory, Occupied\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Panama\"  data-calc-value=\"Panama\" >\n\t\t\t\t\t\tPanama\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Papua New Guinea\"  data-calc-value=\"Papua New Guinea\" >\n\t\t\t\t\t\tPapua New Guinea\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Paraguay\"  data-calc-value=\"Paraguay\" >\n\t\t\t\t\t\tParaguay\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Peru\"  data-calc-value=\"Peru\" >\n\t\t\t\t\t\tPeru\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Philippines\"  data-calc-value=\"Philippines\" >\n\t\t\t\t\t\tPhilippines\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Pitcairn\"  data-calc-value=\"Pitcairn\" >\n\t\t\t\t\t\tPitcairn\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Poland\"  data-calc-value=\"Poland\" >\n\t\t\t\t\t\tPoland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Portugal\"  data-calc-value=\"Portugal\" >\n\t\t\t\t\t\tPortugal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Puerto Rico\"  data-calc-value=\"Puerto Rico\" >\n\t\t\t\t\t\tPuerto Rico\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Qatar\"  data-calc-value=\"Qatar\" >\n\t\t\t\t\t\tQatar\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"R\u00e9union\"  data-calc-value=\"R\u00e9union\" >\n\t\t\t\t\t\tR\u00e9union\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Romania\"  data-calc-value=\"Romania\" >\n\t\t\t\t\t\tRomania\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Russian Federation\"  data-calc-value=\"Russian Federation\" >\n\t\t\t\t\t\tRussian Federation\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Rwanda\"  data-calc-value=\"Rwanda\" >\n\t\t\t\t\t\tRwanda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Barth\u00e9lemy\"  data-calc-value=\"Saint Barth\u00e9lemy\" >\n\t\t\t\t\t\tSaint Barth\u00e9lemy\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Helena, Ascension and Tristan da Cunha\"  data-calc-value=\"Saint Helena, Ascension and Tristan da Cunha\" >\n\t\t\t\t\t\tSaint Helena, Ascension and Tristan da Cunha\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Kitts and Nevis\"  data-calc-value=\"Saint Kitts and Nevis\" >\n\t\t\t\t\t\tSaint Kitts and Nevis\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Lucia\"  data-calc-value=\"Saint Lucia\" >\n\t\t\t\t\t\tSaint Lucia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Martin (French part)\"  data-calc-value=\"Saint Martin (French part)\" >\n\t\t\t\t\t\tSaint Martin (French part)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Pierre and Miquelon\"  data-calc-value=\"Saint Pierre and Miquelon\" >\n\t\t\t\t\t\tSaint Pierre and Miquelon\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saint Vincent and the Grenadines\"  data-calc-value=\"Saint Vincent and the Grenadines\" >\n\t\t\t\t\t\tSaint Vincent and the Grenadines\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Samoa\"  data-calc-value=\"Samoa\" >\n\t\t\t\t\t\tSamoa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"San Marino\"  data-calc-value=\"San Marino\" >\n\t\t\t\t\t\tSan Marino\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sao Tome and Principe\"  data-calc-value=\"Sao Tome and Principe\" >\n\t\t\t\t\t\tSao Tome and Principe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Saudi Arabia\"  data-calc-value=\"Saudi Arabia\" >\n\t\t\t\t\t\tSaudi Arabia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Senegal\"  data-calc-value=\"Senegal\" >\n\t\t\t\t\t\tSenegal\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Serbia\"  data-calc-value=\"Serbia\" >\n\t\t\t\t\t\tSerbia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Seychelles\"  data-calc-value=\"Seychelles\" >\n\t\t\t\t\t\tSeychelles\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sierra Leone\"  data-calc-value=\"Sierra Leone\" >\n\t\t\t\t\t\tSierra Leone\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Singapore\"  data-calc-value=\"Singapore\" >\n\t\t\t\t\t\tSingapore\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sint Maarten (Dutch part)\"  data-calc-value=\"Sint Maarten (Dutch part)\" >\n\t\t\t\t\t\tSint Maarten (Dutch part)\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Slovakia\"  data-calc-value=\"Slovakia\" >\n\t\t\t\t\t\tSlovakia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Slovenia\"  data-calc-value=\"Slovenia\" >\n\t\t\t\t\t\tSlovenia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Solomon Islands\"  data-calc-value=\"Solomon Islands\" >\n\t\t\t\t\t\tSolomon Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Somalia\"  data-calc-value=\"Somalia\" >\n\t\t\t\t\t\tSomalia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Africa\"  data-calc-value=\"South Africa\" >\n\t\t\t\t\t\tSouth Africa\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Georgia and the South Sandwich Islands\"  data-calc-value=\"South Georgia and the South Sandwich Islands\" >\n\t\t\t\t\t\tSouth Georgia and the South Sandwich Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"South Sudan\"  data-calc-value=\"South Sudan\" >\n\t\t\t\t\t\tSouth Sudan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Spain\"  data-calc-value=\"Spain\" >\n\t\t\t\t\t\tSpain\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sri Lanka\"  data-calc-value=\"Sri Lanka\" >\n\t\t\t\t\t\tSri Lanka\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sudan\"  data-calc-value=\"Sudan\" >\n\t\t\t\t\t\tSudan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Suriname\"  data-calc-value=\"Suriname\" >\n\t\t\t\t\t\tSuriname\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Svalbard and Jan Mayen\"  data-calc-value=\"Svalbard and Jan Mayen\" >\n\t\t\t\t\t\tSvalbard and Jan Mayen\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Swaziland\"  data-calc-value=\"Swaziland\" >\n\t\t\t\t\t\tSwaziland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Sweden\"  data-calc-value=\"Sweden\" >\n\t\t\t\t\t\tSweden\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Switzerland\"  data-calc-value=\"Switzerland\" >\n\t\t\t\t\t\tSwitzerland\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Syrian Arab Republic\"  data-calc-value=\"Syrian Arab Republic\" >\n\t\t\t\t\t\tSyrian Arab Republic\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Taiwan, Province of China\"  data-calc-value=\"Taiwan, Province of China\" >\n\t\t\t\t\t\tTaiwan, Province of China\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tajikistan\"  data-calc-value=\"Tajikistan\" >\n\t\t\t\t\t\tTajikistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tanzania, United Republic of\"  data-calc-value=\"Tanzania, United Republic of\" >\n\t\t\t\t\t\tTanzania, United Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Thailand\"  data-calc-value=\"Thailand\" >\n\t\t\t\t\t\tThailand\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Timor-Leste\"  data-calc-value=\"Timor-Leste\" >\n\t\t\t\t\t\tTimor-Leste\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Togo\"  data-calc-value=\"Togo\" >\n\t\t\t\t\t\tTogo\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tokelau\"  data-calc-value=\"Tokelau\" >\n\t\t\t\t\t\tTokelau\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tonga\"  data-calc-value=\"Tonga\" >\n\t\t\t\t\t\tTonga\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Trinidad and Tobago\"  data-calc-value=\"Trinidad and Tobago\" >\n\t\t\t\t\t\tTrinidad and Tobago\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tunisia\"  data-calc-value=\"Tunisia\" >\n\t\t\t\t\t\tTunisia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turkey\"  data-calc-value=\"Turkey\" >\n\t\t\t\t\t\tTurkey\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turkmenistan\"  data-calc-value=\"Turkmenistan\" >\n\t\t\t\t\t\tTurkmenistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Turks and Caicos Islands\"  data-calc-value=\"Turks and Caicos Islands\" >\n\t\t\t\t\t\tTurks and Caicos Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Tuvalu\"  data-calc-value=\"Tuvalu\" >\n\t\t\t\t\t\tTuvalu\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uganda\"  data-calc-value=\"Uganda\" >\n\t\t\t\t\t\tUganda\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Ukraine\"  data-calc-value=\"Ukraine\" >\n\t\t\t\t\t\tUkraine\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United Arab Emirates\"  data-calc-value=\"United Arab Emirates\" >\n\t\t\t\t\t\tUnited Arab Emirates\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United Kingdom\"  data-calc-value=\"United Kingdom\" >\n\t\t\t\t\t\tUnited Kingdom\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United States\"  data-calc-value=\"United States\" >\n\t\t\t\t\t\tUnited States\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"United States Minor Outlying Islands\"  data-calc-value=\"United States Minor Outlying Islands\" >\n\t\t\t\t\t\tUnited States Minor Outlying Islands\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uruguay\"  data-calc-value=\"Uruguay\" >\n\t\t\t\t\t\tUruguay\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Uzbekistan\"  data-calc-value=\"Uzbekistan\" >\n\t\t\t\t\t\tUzbekistan\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Vanuatu\"  data-calc-value=\"Vanuatu\" >\n\t\t\t\t\t\tVanuatu\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Venezuela, Bolivarian Republic of\"  data-calc-value=\"Venezuela, Bolivarian Republic of\" >\n\t\t\t\t\t\tVenezuela, Bolivarian Republic of\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Viet Nam\"  data-calc-value=\"Viet Nam\" >\n\t\t\t\t\t\tViet Nam\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands, British\"  data-calc-value=\"Virgin Islands, British\" >\n\t\t\t\t\t\tVirgin Islands, British\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Virgin Islands, U.S.\"  data-calc-value=\"Virgin Islands, U.S.\" >\n\t\t\t\t\t\tVirgin Islands, U.S.\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Wallis and Futuna\"  data-calc-value=\"Wallis and Futuna\" >\n\t\t\t\t\t\tWallis and Futuna\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Western Sahara\"  data-calc-value=\"Western Sahara\" >\n\t\t\t\t\t\tWestern Sahara\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Yemen\"  data-calc-value=\"Yemen\" >\n\t\t\t\t\t\tYemen\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Zambia\"  data-calc-value=\"Zambia\" >\n\t\t\t\t\t\tZambia\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Zimbabwe\"  data-calc-value=\"Zimbabwe\" >\n\t\t\t\t\t\tZimbabwe\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca3ffe5ee05_2-row-3\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_6651061\" class=\"form-group\" id=\"fld_6651061_2-wrap\">\r\n\t<label id=\"fld_6651061Label\" for=\"fld_6651061_2\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_6651061\" class=\" form-control\" id=\"fld_6651061_2\" name=\"fld_6651061\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_6651061Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6150415\" class=\"form-group\" id=\"fld_6150415_2-wrap\">\r\n\t<label id=\"fld_6150415Label\" for=\"fld_6150415_2\" class=\"control-label\">Residential Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6150415\" class=\" form-control\" id=\"fld_6150415_2\" name=\"fld_6150415\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6150415Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca3ffe5ee05_2-row-4\"  class=\"row \"><div  class=\"col-sm-3  first_col\"><div data-field-wrapper=\"fld_3663349\" class=\"form-group\" id=\"fld_3663349_2-wrap\">\r\n\t<label id=\"fld_3663349Label\" for=\"fld_3663349_2\" class=\"control-label\">Years of Capoeira Experience <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_3663349\" value=\"\" data-field=\"fld_3663349\" class=\"form-control\" id=\"fld_3663349_2\"  required=\"required\"  aria-labelledby=\"fld_3663349Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"&lt; 1 year\"  data-calc-value=\"&lt; 1 year\" >\n\t\t\t\t\t\t&lt; 1 year\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"1 year\"  data-calc-value=\"1 year\" >\n\t\t\t\t\t\t1 year\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"2 years\"  data-calc-value=\"2 years\" >\n\t\t\t\t\t\t2 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"3 years\"  data-calc-value=\"3 years\" >\n\t\t\t\t\t\t3 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"4 years\"  data-calc-value=\"4 years\" >\n\t\t\t\t\t\t4 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"5 years\"  data-calc-value=\"5 years\" >\n\t\t\t\t\t\t5 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"6 years\"  data-calc-value=\"6 years\" >\n\t\t\t\t\t\t6 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"7-10 years\"  data-calc-value=\"7-10 years\" >\n\t\t\t\t\t\t7-10 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"&gt; 10 years\"  data-calc-value=\"&gt; 10 years\" >\n\t\t\t\t\t\t&gt; 10 years\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_1064067\" class=\"form-group\" id=\"fld_1064067_2-wrap\">\r\n\t<label id=\"fld_1064067Label\" for=\"fld_1064067_2\" class=\"control-label\">Your Title (if any)<\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_1064067\" value=\"\" data-field=\"fld_1064067\" class=\"form-control\" id=\"fld_1064067_2\"    aria-labelledby=\"fld_1064067Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"Monitor\"  data-calc-value=\"Monitor\" >\n\t\t\t\t\t\tMonitor\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Estrangeiro\"  data-calc-value=\"Estrangeiro\" >\n\t\t\t\t\t\tEstrangeiro\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Instrutor\"  data-calc-value=\"Instrutor\" >\n\t\t\t\t\t\tInstrutor\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Professor\"  data-calc-value=\"Professor\" >\n\t\t\t\t\t\tProfessor\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Formando\"  data-calc-value=\"Formando\" >\n\t\t\t\t\t\tFormando\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Contra-Mestre\"  data-calc-value=\"Contra-Mestre\" >\n\t\t\t\t\t\tContra-Mestre\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Formado\"  data-calc-value=\"Formado\" >\n\t\t\t\t\t\tFormado\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"Mestre\"  data-calc-value=\"Mestre\" >\n\t\t\t\t\t\tMestre\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-3 \"><div data-field-wrapper=\"fld_3675483\" class=\"form-group\" id=\"fld_3675483_2-wrap\">\r\n\t<label id=\"fld_3675483Label\" for=\"fld_3675483_2\" class=\"control-label\">Your Group \/ Club <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_3675483\" value=\"\" data-field=\"fld_3675483\" class=\"form-control\" id=\"fld_3675483_2\"  required=\"required\"  aria-labelledby=\"fld_3675483Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"GCBHK Capoeira Hong Kong\"  data-calc-value=\"GCBHK Capoeira Hong Kong\" >\n\t\t\t\t\t\tGCBHK Capoeira Hong Kong\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"GCBGZ Capoeira Guangzhou\"  data-calc-value=\"GCBGZ Capoeira Guangzhou\" >\n\t\t\t\t\t\tGCBGZ Capoeira Guangzhou\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"GCBSZ Capoeira Shenzhen\"  data-calc-value=\"GCBSZ Capoeira Shenzhen\" >\n\t\t\t\t\t\tGCBSZ Capoeira Shenzhen\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_3559829\" class=\"form-group\" id=\"fld_3559829_2-wrap\">\r\n\t<label id=\"fld_3559829Label\" for=\"fld_3559829_2\" class=\"control-label\">Name of Your Teacher \/ Coach <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_3559829\" class=\" form-control\" id=\"fld_3559829_2\" name=\"fld_3559829\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_3559829Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_7196645\" class=\"form-group\" id=\"fld_7196645_2-wrap\">\r\n\t<label id=\"fld_7196645Label\" for=\"fld_7196645_2\" class=\"control-label\">Areas of Interest in CFHK <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_2_opt933680\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_2\" data-parsley-multiple=\"fld_7196645_2\"                                type=\"checkbox\"\n                                data-label=\"Competition Athlete\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_2_opt933680\"\n                                class=\"fld_7196645_2 option-required\"\n                                name=\"fld_7196645[opt933680]\"\n                                value=\"Competition Athlete\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_2\"\n                                                                data-calc-value=\"Competition Athlete\"\n                            >\n                    Competition Athlete                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_2_opt1387177\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_2\" data-parsley-multiple=\"fld_7196645_2\"                                type=\"checkbox\"\n                                data-label=\"Coach\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_2_opt1387177\"\n                                class=\"fld_7196645_2 option-required\"\n                                name=\"fld_7196645[opt1387177]\"\n                                value=\"Coach\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_2\"\n                                                                data-calc-value=\"Coach\"\n                            >\n                    Coach                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_2_opt2762800\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_2\" data-parsley-multiple=\"fld_7196645_2\"                                type=\"checkbox\"\n                                data-label=\"Official\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_2_opt2762800\"\n                                class=\"fld_7196645_2 option-required\"\n                                name=\"fld_7196645[opt2762800]\"\n                                value=\"Official\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_2\"\n                                                                data-calc-value=\"Official\"\n                            >\n                    Official                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_2_opt4161940\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_2\" data-parsley-multiple=\"fld_7196645_2\"                                type=\"checkbox\"\n                                data-label=\"Cultural Events\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_2_opt4161940\"\n                                class=\"fld_7196645_2 option-required\"\n                                name=\"fld_7196645[opt4161940]\"\n                                value=\"Cultural Events\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_2\"\n                                                                data-calc-value=\"Cultural Events\"\n                            >\n                    Cultural Events                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_2_opt4318411\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_2\" data-parsley-multiple=\"fld_7196645_2\"                                type=\"checkbox\"\n                                data-label=\"Volunteering\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_2_opt4318411\"\n                                class=\"fld_7196645_2 option-required\"\n                                name=\"fld_7196645[opt4318411]\"\n                                value=\"Volunteering\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_2\"\n                                                                data-calc-value=\"Volunteering\"\n                            >\n                    Volunteering                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_7196645_2_opt1738124\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_7196645_2\" data-parsley-multiple=\"fld_7196645_2\"                                type=\"checkbox\"\n                                data-label=\"Others\"\n                                data-field=\"fld_7196645\"\n                                id=\"fld_7196645_2_opt1738124\"\n                                class=\"fld_7196645_2 option-required\"\n                                name=\"fld_7196645[opt1738124]\"\n                                value=\"Others\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_7196645_2\"\n                                                                data-calc-value=\"Others\"\n                            >\n                    Others                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<div data-field-wrapper=\"fld_9852410\" class=\"form-group\" id=\"fld_9852410_2-wrap\">\r\n\t<label id=\"fld_9852410Label\" for=\"fld_9852410_2\" class=\"control-label\">Please state other Interests Here<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_9852410\" class=\" form-control\" id=\"fld_9852410_2\" name=\"fld_9852410\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_9852410Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca3ffe5ee05_2-row-5\"  class=\"row  last_row\"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_2942210\" class=\"form-group\" id=\"fld_2942210_2-wrap\">\r\n<div class=\"\">\r\n\n<div class=\"checkbox-inline caldera-forms-consent-field\">\n    <input data-parsley-required=\"true\" data-parsley-group=\"fld_2942210_2\" data-parsley-multiple=\"fld_2942210_2\"        type=\"checkbox\" data-label=\"Terms of Membership\"\n        data-field=\"fld_2942210\"\n        id=\"fld_2942210_2\"\n        class=\"fld_2942210_2 option-required\"\n        name=\"fld_2942210\"\n        value=\"1\"\n        data-type=\"checkbox\"\n        data-checkbox-field=\"fld_2942210_2\"\n    >\n    <label for=\"fld_2942210_2\"\n           class=\"caldera-forms-gdpr-field-label\"\n           style=\"display:inline; margin-left: 0.5rem;\"\n    >\n        Terms of Membership        <p\n            class=\"caldera-forms-consent-field-agreement\"\n        >\n            &#8211; I hereby agree to the Codes of Conduct &amp; terms of Membership of the CFHK.        <\/p>\n        <a href=\"\"\n           target=\"_blank\"\n                title=\"Privacy Policy Page\"\n            class=\"caldera-forms-consent-field-linked_text\"\n            >\n            &#8211; (read here) &#8211;        <\/a>\n    <\/label>\n    <span style=\"color:#ff0000;\">*<\/span>\n<\/div>\n\n<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_5269097\" class=\"form-group\" id=\"fld_5269097_2-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_5269097\" id=\"fld_5269097_2\" value=\"Submit\" data-field=\"fld_5269097\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_2\" type=\"hidden\" name=\"fld_5269097\" id=\"fld_5269097_2_btn\" value=\"\" data-field=\"fld_5269097\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n<\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"3\" aria-controls=\"elementor-tab-content-3273\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\">\u5718\u9ad4\/\u4ff1\u6a02\u90e8\u6703\u54e1<\/span><i aria-hidden=\"true\" class=\"fa-toggle fas fa-angle-right\"><\/i><\/div><div id=\"elementor-tab-content-3273\" class=\"eael-accordion-content clearfix\" data-tab=\"3\" aria-labelledby=\"\"><p> \u9019\u662f\u4f5c\u70ba\u4efb\u4f55Capoeira\u5718\u9ad4\uff0c\u4ff1\u6a02\u90e8\uff0c\u5b78\u6821\uff0c\u9ad4\u80b2\u9928\u5354\u6703\u7684\u6210\u54e1\u3002 \u672c\u5354\u6703\u6bcf\u5e74\u6709\u6b0a\u70ba\u5176\u6210\u54e1\u7372\u5f9715\u500b\u514d\u8cbb\u7684\u500b\u4eba\u6703\u54e1\u8cc7\u683c\uff0c\u4f46\u5fc5\u9808\u7b26\u5408\u689d\u4ef6\u3002<br \/><span style=\"color: #ffffff;\">\uff0d<\/span><br \/>\u4f5c\u70ba\u5718\u9ad4\/\u4ff1\u6a02\u90e8\u6703\u54e1\uff0c\u60a8\u7684\u5354\u6703\u53ef\u4ee5\u9078\u64c7\u4e00\u540d\u4ee3\u8868\u53c3\u52a0CFHK\u7684\u6b63\u5f0f\u6703\u8b70\uff0c\u4e26\u5c0d\u8b70\u7a0b\u4e0a\u7684\u554f\u984c\u9032\u884c\u6295\u7968\u3002<br \/><span style=\"color: #ffffff;\">\uff0d<\/span><br \/>\u8acb\u5728\u9019\u88e1\u7533\u8acb\u6703\u54e1\u8cc7\u683c\uff1a\u201c\u5718\u9ad4\/\u4ff1\u6a02\u90e8\u6703\u54e1\u7533\u8acb\u8868\u201d \u00a0<\/p><p><span style=\"color: #ffffff;\">&#8211;\u00a0<\/span><\/p><div class=\"caldera-grid\" id=\"caldera_form_3\" data-cf-ver=\"1.9.4\" data-cf-form-id=\"CF5eca4a7ca2d32\"><div id=\"caldera_notices_3\" data-spinner=\"http:\/\/capoeira.org.hk\/wp-admin\/images\/spinner.gif\"><\/div><form data-instance=\"3\" class=\"CF5eca4a7ca2d32 caldera_forms_form cfajax-trigger\" method=\"POST\" enctype=\"multipart\/form-data\" id=\"CF5eca4a7ca2d32_3\" data-form-id=\"CF5eca4a7ca2d32\" aria-label=\"Group \/ Club Member Application Form\" data-target=\"#caldera_notices_3\" data-template=\"#cfajax_CF5eca4a7ca2d32-tmpl\" data-cfajax=\"CF5eca4a7ca2d32\" data-load-element=\"_parent\" data-load-class=\"cf_processing\" data-post-disable=\"0\" data-action=\"cf_process_ajax_submit\" data-request=\"http:\/\/capoeira.org.hk\/zh\/cf-api\/CF5eca4a7ca2d32\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5eca4a7ca2d32\" name=\"_cf_verify\" value=\"78ff982113\"  data-nonce-time=\"1784306323\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/zh\/memberships\/\" \/><div id=\"cf2-CF5eca4a7ca2d32_3\"><\/div><input type=\"hidden\" name=\"_cf_frm_id\" value=\"CF5eca4a7ca2d32\">\r\n<input type=\"hidden\" name=\"_cf_frm_ct\" value=\"3\">\r\n<input type=\"hidden\" name=\"cfajax\" value=\"CF5eca4a7ca2d32\">\r\n<input type=\"hidden\" name=\"_cf_cr_pst\" value=\"310\">\r\n<div class=\"hide\" style=\"display:none; overflow:hidden;height:0;width:0;\">\r\n<label>Twitter<\/label><input type=\"text\" name=\"twitter\" value=\"\" autocomplete=\"off\">\r\n<\/div><div id=\"CF5eca4a7ca2d32_3-row-1\"  class=\"row  first_row\"><div  class=\"col-sm-12  single\"><div class=\"\"><h2> Details of Group \/ Club <\/h2>\n<\/div><\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-2\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_4619576\" class=\"form-group\" id=\"fld_4619576_3-wrap\">\r\n\t<label id=\"fld_4619576Label\" for=\"fld_4619576_3\" class=\"control-label\">Name of Group \/ Club <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_4619576\" class=\" form-control\" id=\"fld_4619576_3\" name=\"fld_4619576\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_4619576Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_5879245\" class=\"form-group\" id=\"fld_5879245_3-wrap\">\r\n\t<label id=\"fld_5879245Label\" for=\"fld_5879245_3\" class=\"control-label\">Name of Capoeira Head Master \/ Teacher <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_5879245\" class=\" form-control\" id=\"fld_5879245_3\" name=\"fld_5879245\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_5879245Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-3\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_9607583\" class=\"form-group\" id=\"fld_9607583_3-wrap\">\r\n\t<label id=\"fld_9607583Label\" for=\"fld_9607583_3\" class=\"control-label\">Email Addresss of Group \/ Club <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_9607583\" class=\" form-control\" id=\"fld_9607583_3\" name=\"fld_9607583\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_9607583Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_1544770\" class=\"form-group\" id=\"fld_1544770_3-wrap\">\r\n\t<label id=\"fld_1544770Label\" for=\"fld_1544770_3\" class=\"control-label\">Website of Group \/ Club <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"url\" data-field=\"fld_1544770\" class=\" form-control\" id=\"fld_1544770_3\" name=\"fld_1544770\" value=\"\" data-type=\"url\" aria-required=\"true\"   aria-labelledby=\"fld_1544770Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-4\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_6150415\" class=\"form-group\" id=\"fld_6150415_3-wrap\">\r\n\t<label id=\"fld_6150415Label\" for=\"fld_6150415_3\" class=\"control-label\">Address of Group \/ Club <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_6150415\" class=\" form-control\" id=\"fld_6150415_3\" name=\"fld_6150415\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_6150415Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\">\n<div data-field-wrapper=\"fld_4853205\" class=\"form-group\" id=\"fld_4853205_3-wrap\">\r\n\t<label id=\"fld_4853205Label\" for=\"fld_4853205_3\" class=\"control-label\">Date of Establishment in Hong Kong <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input  type=\"text\" data-provide=\"cfdatepicker\" name=\"fld_4853205\" value=\"\" id=\"fld_4853205_3\" data-field=\"fld_4853205\" class=\"form-control cfdatepicker is-cfdatepicker\" data-date-format=\"yyyy-mm-dd\" required=\"1\" data-date-start-view=\"month\"   aria-labelledby=\"fld_4853205Label\" required  \/>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-5\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_5617957\" class=\"form-group\" id=\"fld_5617957_3-wrap\">\r\n\t<label id=\"fld_5617957Label\" for=\"fld_5617957_3\" class=\"control-label\">How Many Current Players <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<select name=\"fld_5617957\" value=\"\" data-field=\"fld_5617957\" class=\"form-control\" id=\"fld_5617957_3\"  required=\"required\"  aria-labelledby=\"fld_5617957Label\" >\n\t\t<option value=\"\"><\/option>\r\n\t\t\t\t\t<option value=\"&lt;5\"  data-calc-value=\"&lt;5\" >\n\t\t\t\t\t\t&lt;5\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"6 - 10\"  data-calc-value=\"6 - 10\" >\n\t\t\t\t\t\t6 &#8211; 10\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"11 - 15\"  data-calc-value=\"11 - 15\" >\n\t\t\t\t\t\t11 &#8211; 15\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"16 - 20\"  data-calc-value=\"16 - 20\" >\n\t\t\t\t\t\t16 &#8211; 20\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"20 - 30\"  data-calc-value=\"20 - 30\" >\n\t\t\t\t\t\t20 &#8211; 30\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t\t\t<option value=\"&gt; 30\"  data-calc-value=\"&gt; 30\" >\n\t\t\t\t\t\t&gt; 30\t\t\t\t\t<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_7963578\" class=\"form-group\" id=\"fld_7963578_3-wrap\">\r\n\t<label id=\"fld_7963578Label\" for=\"fld_7963578_3\" class=\"control-label\">Group \/ Club Logo<\/label>\r\n\t<div class=\"file-prevent-overflow\">\r\n\t\t<div id=\"fld_7963578_3_file_list\" class=\"cf-multi-uploader-list\"><\/div>\n\t\t\t\t<input type=\"file\" name=\"fld_7963578\" value=\"\" data-field=\"fld_7963578\" class=\"\" id=\"fld_7963578_3\" data-controlid=\"trupl6a5a5a9343103\"      aria-labelledby=\"fld_7963578Label\">\n\t\t<input type=\"hidden\" name=\"fld_7963578\" value=\"trupl6a5a5a9343103\">\n\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-6\"  class=\"row \"><div  class=\"col-sm-12  single\"><div data-field-wrapper=\"fld_1026686\" class=\"form-group\" id=\"fld_1026686_3-wrap\">\r\n\t<label id=\"fld_1026686Label\" for=\"fld_1026686_3\" class=\"control-label\">Age Groups of Players <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1026686_3_opt924352\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_1026686_3\" data-parsley-multiple=\"fld_1026686_3\"                                type=\"checkbox\"\n                                data-label=\"Toddlers 1 - 3\"\n                                data-field=\"fld_1026686\"\n                                id=\"fld_1026686_3_opt924352\"\n                                class=\"fld_1026686_3 option-required\"\n                                name=\"fld_1026686[opt924352]\"\n                                value=\"Toddlers 1 - 3\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1026686_3\"\n                                                                data-calc-value=\"Toddlers 1 - 3\"\n                            >\n                    Toddlers 1 &#8211; 3                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1026686_3_opt1718166\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_1026686_3\" data-parsley-multiple=\"fld_1026686_3\"                                type=\"checkbox\"\n                                data-label=\"Infants 3 - 5\"\n                                data-field=\"fld_1026686\"\n                                id=\"fld_1026686_3_opt1718166\"\n                                class=\"fld_1026686_3 option-required\"\n                                name=\"fld_1026686[opt1718166]\"\n                                value=\"Infants 3 - 5\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1026686_3\"\n                                                                data-calc-value=\"Infants 3 - 5\"\n                            >\n                    Infants 3 &#8211; 5                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1026686_3_opt2720088\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_1026686_3\" data-parsley-multiple=\"fld_1026686_3\"                                type=\"checkbox\"\n                                data-label=\"Children 6 - 12\"\n                                data-field=\"fld_1026686\"\n                                id=\"fld_1026686_3_opt2720088\"\n                                class=\"fld_1026686_3 option-required\"\n                                name=\"fld_1026686[opt2720088]\"\n                                value=\"Children 6 - 12\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1026686_3\"\n                                                                data-calc-value=\"Children 6 - 12\"\n                            >\n                    Children 6 &#8211; 12                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1026686_3_opt3262259\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_1026686_3\" data-parsley-multiple=\"fld_1026686_3\"                                type=\"checkbox\"\n                                data-label=\"Adolescents 12-17\"\n                                data-field=\"fld_1026686\"\n                                id=\"fld_1026686_3_opt3262259\"\n                                class=\"fld_1026686_3 option-required\"\n                                name=\"fld_1026686[opt3262259]\"\n                                value=\"Adolescents 12-17\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1026686_3\"\n                                                                data-calc-value=\"Adolescents 12-17\"\n                            >\n                    Adolescents 12-17                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1026686_3_opt4542318\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_1026686_3\" data-parsley-multiple=\"fld_1026686_3\"                                type=\"checkbox\"\n                                data-label=\"Adults 18 - 55\"\n                                data-field=\"fld_1026686\"\n                                id=\"fld_1026686_3_opt4542318\"\n                                class=\"fld_1026686_3 option-required\"\n                                name=\"fld_1026686[opt4542318]\"\n                                value=\"Adults 18 - 55\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1026686_3\"\n                                                                data-calc-value=\"Adults 18 - 55\"\n                            >\n                    Adults 18 &#8211; 55                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1026686_3_opt5601949\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_1026686_3\" data-parsley-multiple=\"fld_1026686_3\"                                type=\"checkbox\"\n                                data-label=\"Masters 35 and above\"\n                                data-field=\"fld_1026686\"\n                                id=\"fld_1026686_3_opt5601949\"\n                                class=\"fld_1026686_3 option-required\"\n                                name=\"fld_1026686[opt5601949]\"\n                                value=\"Masters 35 and above\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1026686_3\"\n                                                                data-calc-value=\"Masters 35 and above\"\n                            >\n                    Masters 35 and above                <\/label>\n\n                \t\t\t\t\t\t\t\t\n                <label  class=\"checkbox-inline\"                        for=\"fld_1026686_3_opt6595648\"\n                >\n                            <input\n                                data-parsley-required=\"true\" data-parsley-group=\"fld_1026686_3\" data-parsley-multiple=\"fld_1026686_3\"                                type=\"checkbox\"\n                                data-label=\"Seniors 55 and above\"\n                                data-field=\"fld_1026686\"\n                                id=\"fld_1026686_3_opt6595648\"\n                                class=\"fld_1026686_3 option-required\"\n                                name=\"fld_1026686[opt6595648]\"\n                                value=\"Seniors 55 and above\"\n                                                                data-type=\"checkbox\"\n                                data-checkbox-field=\"fld_1026686_3\"\n                                                                data-calc-value=\"Seniors 55 and above\"\n                            >\n                    Seniors 55 and above                <\/label>\n\n                \t\t\t\t\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-7\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_8038922_3\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-8\"  class=\"row \"><div  class=\"col-sm-12  single\"><div class=\"\"><h2> Details of Contact Person <\/h2>\n<\/div><\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-9\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_1081756\" class=\"form-group\" id=\"fld_1081756_3-wrap\">\r\n\t<label id=\"fld_1081756Label\" for=\"fld_1081756_3\" class=\"control-label\">English Name <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"text\" data-field=\"fld_1081756\" class=\" form-control\" id=\"fld_1081756_3\" name=\"fld_1081756\" value=\"\" data-type=\"text\" aria-required=\"true\"   aria-labelledby=\"fld_1081756Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6169636\" class=\"form-group\" id=\"fld_6169636_3-wrap\">\r\n\t<label id=\"fld_6169636Label\" for=\"fld_6169636_3\" class=\"control-label\">\u4e2d\u6587\u540d<\/label>\r\n\t<div class=\"\">\r\n\t\t<input    type=\"text\" data-field=\"fld_6169636\" class=\" form-control\" id=\"fld_6169636_3\" name=\"fld_6169636\" value=\"\" data-type=\"text\"   aria-labelledby=\"fld_6169636Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-10\"  class=\"row \"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_1301037\" class=\"form-group\" id=\"fld_1301037_3-wrap\">\r\n\t<label id=\"fld_1301037Label\" for=\"fld_1301037_3\" class=\"control-label\">Phone Number <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"tel\" data-field=\"fld_1301037\" class=\" form-control\" id=\"fld_1301037_3\" name=\"fld_1301037\" value=\"+852\" data-type=\"phone_better\" aria-required=\"true\"   aria-labelledby=\"fld_1301037Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_6651061\" class=\"form-group\" id=\"fld_6651061_3-wrap\">\r\n\t<label id=\"fld_6651061Label\" for=\"fld_6651061_3\" class=\"control-label\">Email Address <span aria-hidden=\"true\" role=\"presentation\" class=\"field_required\" style=\"color:#ee0000;\">*<\/span><\/label>\r\n\t<div class=\"\">\r\n\t\t<input   required type=\"email\" data-field=\"fld_6651061\" class=\" form-control\" id=\"fld_6651061_3\" name=\"fld_6651061\" value=\"\" data-type=\"email\" aria-required=\"true\"   aria-labelledby=\"fld_6651061Label\" >\t\t\t<\/div>\r\n<\/div>\r\n<\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-11\"  class=\"row \"><div  class=\"col-sm-12  single\"><hr id=\"fld_1477124_3\" class=\"\" style=\"width: 100%\" \/><\/div><\/div><div id=\"CF5eca4a7ca2d32_3-row-12\"  class=\"row  last_row\"><div  class=\"col-sm-6  first_col\"><div data-field-wrapper=\"fld_2942210\" class=\"form-group\" id=\"fld_2942210_3-wrap\">\r\n<div class=\"\">\r\n\n<div class=\"checkbox-inline caldera-forms-consent-field\">\n    <input data-parsley-required=\"true\" data-parsley-group=\"fld_2942210_3\" data-parsley-multiple=\"fld_2942210_3\"        type=\"checkbox\" data-label=\"Terms of Membership\"\n        data-field=\"fld_2942210\"\n        id=\"fld_2942210_3\"\n        class=\"fld_2942210_3 option-required\"\n        name=\"fld_2942210\"\n        value=\"1\"\n        data-type=\"checkbox\"\n        data-checkbox-field=\"fld_2942210_3\"\n    >\n    <label for=\"fld_2942210_3\"\n           class=\"caldera-forms-gdpr-field-label\"\n           style=\"display:inline; margin-left: 0.5rem;\"\n    >\n        Terms of Membership        <p\n            class=\"caldera-forms-consent-field-agreement\"\n        >\n            &#8211; I hereby agree to the Codes of Conduct &amp; terms of Membership of the CFHK.        <\/p>\n        <a href=\"\"\n           target=\"_blank\"\n                title=\"Privacy Policy Page\"\n            class=\"caldera-forms-consent-field-linked_text\"\n            >\n            &#8211; (read here) &#8211;        <\/a>\n    <\/label>\n    <span style=\"color:#ff0000;\">*<\/span>\n<\/div>\n\n<\/div>\r\n<\/div>\r\n<\/div><div  class=\"col-sm-6  last_col\"><div data-field-wrapper=\"fld_5269097\" class=\"form-group\" id=\"fld_5269097_3-wrap\">\r\n<div class=\"\">\r\n\t<input  class=\"btn btn-default\" type=\"submit\" name=\"fld_5269097\" id=\"fld_5269097_3\" value=\"Submit\" data-field=\"fld_5269097\"  >\n<\/div>\r\n<\/div>\r\n\t<input class=\"button_trigger_3\" type=\"hidden\" name=\"fld_5269097\" id=\"fld_5269097_3_btn\" value=\"\" data-field=\"fld_5269097\"  \/>\n<\/div><\/div><\/form>\r\n<\/div>\r\n<\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"4\" aria-controls=\"elementor-tab-content-3274\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\">\u4f01\u696d\u6703\u54e1<\/span><i aria-hidden=\"true\" class=\"fa-toggle fas fa-angle-right\"><\/i><\/div><div id=\"elementor-tab-content-3274\" class=\"eael-accordion-content clearfix\" data-tab=\"4\" aria-labelledby=\"\"><p> \u8acb\u901a\u904ecfhk@capoeira.org.hk\u8207\u672c\u5354\u6703\u806f\u7e6b\u3002 <\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"5\" aria-controls=\"elementor-tab-content-3275\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span 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class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\">\u69ae\u8b7d\u751f\u6d3b\u6703\u54e1<\/span><i aria-hidden=\"true\" class=\"fa-toggle fas fa-angle-right\"><\/i><\/div><div id=\"elementor-tab-content-3276\" class=\"eael-accordion-content clearfix\" data-tab=\"6\" aria-labelledby=\"\"><p> \u8a72\u6703\u54e1\u8cc7\u683c\u7121\u6cd5\u7533\u8acb\u3002 \u51e1\u9577\u671f\u4ee5\u4f86\uff0cCFHK\u8a8d\u70ba\u5be6\u73fe\u4e86\u5b8f\u5049\u76ee\u6a19\u6216\u70baCFHK\u505a\u51fa\u5091\u51fa\u8ca2\u737b\u7684\u500b\u4eba\uff0c\u5c07\u7372\u5f97\u734e\u52f5\u3002<\/p><\/div>\n\t\t\t\t\t<\/div><\/div>\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>\u8acb\u67e5\u770bCFHK\u63d0\u4f9b\u7684\u4ee5\u4e0b\u985e\u578b\u7684\u6703\u54e1\u8cc7\u683c\uff0c\u9ede\u64ca\u76f8\u61c9\u7684\u6703\u54e1\u8cc7\u683c\u5373\u53ef\u5728\u7dda\u7533\u8acb\u6703\u54e1\u3002 \u5354\u6703\u6210\u54e1 \u6e96\u6703\u54e1\u662f\u6307\u500b\u4eba\u52a0\u5165CFHK\u4e14\u5e0c\u671b<a href=\"http:\/\/capoeira.org.hk\/zh\/memberships\/\" class=\"read-more\">Read More 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