{"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;\">Please see the following types of memberships available at CFHK, click into the appropriate one to apply for membership online.\u00a0 <\/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=\"associate-member\" 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\">Associate Member<\/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=\"associate-member\"><p>An Associate member is an person wishing to join the CFHK independently of any Capoeira Group, Club, school, Gym, or Association.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>Anybody can apply to become an Associate Member.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>Please apply for membership here:\u00a0<\/p><p><\/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\/cf-api\/CF5ec8f978ca22d\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5ec8f978ca22d\" name=\"_cf_verify\" value=\"d821372504\"  data-nonce-time=\"1776385508\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/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=\"individual-member\" 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\">Individual Member<\/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=\"individual-member\"><p>An Individual Member is a person who is a member of a Capoeira Group, Club, school, Gym or Association in Hong Kong that is a registered Voting Member of the CFHK.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>Each organisation that is a Voting Member of the CFHK is allowed 15 Individual Memberships free of charge each year. Talk with the head of your organisation for information on eligibility.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>Each Individual Member can claim membership to only one (1) of the registered organisations.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>Please apply for membership here:<\/p><p><\/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\/cf-api\/CF5eca3ffe5ee05\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5eca3ffe5ee05\" name=\"_cf_verify\" value=\"45a5ab8f17\"  data-nonce-time=\"1776385508\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/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>Twitter<\/label><input type=\"text\" name=\"twitter\" 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=\"group-club-member\" 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\">Group \/ Club Member<\/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=\"group-club-member\"><p> This is for the membership of any Capoeira Group, Club, school, Gym or Association as an entity.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>The Organisation is entitled to 15 free Individual Memberships for its\u2019 members every year, conditions do apply.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>As a Group \/ Club Member, your organisation may select a representative to attend official meetings of the CFHK and vote on issues on the agenda. This would usually be your organisations head Capoeira teacher.<\/p><p><span style=\"color: #ffffff;\">&#8211;<\/span><\/p><p>Please apply for membership here:<\/p><p>\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\/cf-api\/CF5eca4a7ca2d32\" data-hiderows=\"true\">\r\n<input type=\"hidden\" id=\"_cf_verify_CF5eca4a7ca2d32\" name=\"_cf_verify\" value=\"69a5cf204b\"  data-nonce-time=\"1776385508\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/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>Web Site<\/label><input type=\"text\" name=\"web_site\" 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=\"trupl69e17de467e46\"      aria-labelledby=\"fld_7963578Label\">\n\t\t<input type=\"hidden\" name=\"fld_7963578\" value=\"trupl69e17de467e46\">\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=\"corporate-members\" 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\">Corporate Members<\/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=\"corporate-members\"><p> Organisations wishing to become members of the CFHK should contact our adminstration directly by email: cfhk@capoeira.org.hk<\/p><p><\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"honourary-individual-members\" 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 class=\"eael-accordion-tab-title\">Honourary Individual Members<\/span><i aria-hidden=\"true\" class=\"fa-toggle fas fa-angle-right\"><\/i><\/div><div id=\"elementor-tab-content-3275\" class=\"eael-accordion-content clearfix\" data-tab=\"5\" aria-labelledby=\"honourary-individual-members\"><p> This membership can not be applied for. It will be awarded to any individual that the CFHK deems has achieved great goals or made outstanding contributions to the CFHK throughout the year.<\/p><p><\/p><\/div>\n\t\t\t\t\t<\/div><div class=\"eael-accordion-list\">\n\t\t\t\t\t<div id=\"honourary-life-members\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"6\" aria-controls=\"elementor-tab-content-3276\"><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\">Honourary Life Members<\/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=\"honourary-life-members\"><p>This membership can not be applied for. It will be awarded to any individual that the CFHK deems has achieved great goals or made outstanding contributions to the CFHK over an extended period of time.<\/p><p><\/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 &#8230;<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-310","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/pages\/310","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/comments?post=310"}],"version-history":[{"count":30,"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/pages\/310\/revisions"}],"predecessor-version":[{"id":427,"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/pages\/310\/revisions\/427"}],"wp:attachment":[{"href":"http:\/\/capoeira.org.hk\/zh\/wp-json\/wp\/v2\/media?parent=310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}