{"id":968,"date":"2022-07-01T13:32:13","date_gmt":"2022-07-01T17:32:13","guid":{"rendered":"https:\/\/fmdag.org\/?page_id=968"},"modified":"2024-11-08T23:28:46","modified_gmt":"2024-11-09T04:28:46","slug":"entrenamiento-mpdi","status":"publish","type":"page","link":"https:\/\/fmdag.org\/es\/entrenamiento-mpdi\/","title":{"rendered":"Entrenamiento MPDI"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; admin_label=&#8221;Section&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-25px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_image src=&#8221;https:\/\/fmdag.org\/wp-content\/uploads\/2024\/03\/MPDI-Procesos-2024.jpg&#8221; title_text=&#8221;Unknown-2&#8243; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_fullwidth_image][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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_module_preset=&#8221;default&#8221; text_text_color=&#8221;#acef35&#8243; header_font=&#8221;Montserrat|700||on|||||&#8221; header_text_color=&#8221;#ffffff&#8221; header_2_font=&#8221;Montserrat|300|||||||&#8221; header_2_text_color=&#8221;#ffffff&#8221; header_2_font_size=&#8221;28px&#8221; custom_margin=&#8221;20px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h1 style=\"text-align: center;\">Viva Church<\/h1>\n<h2 style=\"text-align: center;\">653 E Wetherbee Rd,<br \/>Orlando FL 32824<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#acef35&#8243; header_text_color=&#8221;#ffffff&#8221; header_2_font=&#8221;Montserrat|300|||||||&#8221; header_2_text_color=&#8221;#ffffff&#8221; header_2_font_size=&#8221;32px&#8221; custom_margin=&#8221;20px||20px||true|false&#8221; custom_padding=&#8221;||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2 style=\"text-align: center;\">Registraci\u00f3n $149<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; 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Please try another one.\",\"couponInvalid\":\"Coupon is invalid.\",\"couponValid\":\"Coupon is valid.\",\"shippingShipping\":\"Shipping\",\"taxTax\":\"Tax\",\"totalSubtotal\":\"Subtotal\",\"totalTotal\":\"Total\"}, true);<!-- [et_pb_line_break_holder] -->      FormTranslation.init({\"detectUserLanguage\":\"1\",\"firstPageOnly\":\"0\",\"options\":\"Spanish (Latin America)\",\"originalLanguage\":\"es-419\",\"primaryLanguage\":\"es-419\",\"saveUserLanguage\":\"1\",\"showStatus\":\"flag-with-nation\",\"theme\":\"light-theme\",\"version\":\"2\"});<!-- [et_pb_line_break_holder] -->\t\/*INIT-END*\/<!-- [et_pb_line_break_holder] -->\t});<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->   setTimeout(function() {<!-- [et_pb_line_break_holder] -->JotForm.paymentExtrasOnTheFly([null,{\"name\":\"registracionEntrenamiento\",\"qid\":\"1\",\"text\":\"Registracion Entrenamiento MPDI: Orlando, 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17-18, 2023 | Viva Church Orlando, FL\",\"type\":\"control_square\"},{\"name\":\"divider\",\"qid\":\"10\",\"type\":\"control_divider\"},null,{\"name\":\"informacionDe\",\"qid\":\"12\",\"text\":\"Informacion de Iglesia\",\"type\":\"control_head\"},{\"name\":\"informacionDe13\",\"qid\":\"13\",\"text\":\"Informacion de Pago\",\"type\":\"control_head\"},{\"name\":\"entrenamientoMpdi14\",\"qid\":\"14\",\"text\":\"Entrenamiento MPDI\",\"type\":\"control_head\"},{\"description\":\"\",\"name\":\"seleccioneFase\",\"qid\":\"15\",\"text\":\"Seleccione Fase:\",\"type\":\"control_radio\"}]);}, 20); <!-- [et_pb_line_break_holder] --><\/script><!-- [et_pb_line_break_holder] --><\/p>\n<style type=\"text\/css\">@media print{.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\n<p><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn01.jotfor.ms\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?v=3.3.44959&#038;themeRevisionID=5f7ed99c2c2c7240ba580251\"\/><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn02.jotfor.ms\/css\/styles\/payment\/payment_styles.css?3.3.44959\" \/><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn03.jotfor.ms\/css\/styles\/payment\/payment_feature.css?3.3.44959\" \/><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn01.jotfor.ms\/stylebuilder\/donationBox.css?v=3.3.44959\"><!-- [et_pb_line_break_holder] --><\/p>\n<style type=\"text\/css\" id=\"form-designer-style\"><!-- [et_pb_line_break_holder] -->@import \"https:\/\/fonts.googleapis.com\/css?family=Open Sans:light,lightitalic,normal,italic,bold,bolditalic\";<!-- [et_pb_line_break_holder] -->    \/* Injected CSS Code *\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\/*PREFERENCES STYLE*\/<!-- [et_pb_line_break_holder] -->  \/* NEW THEME STYLE *\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* colors *\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .form-textbox, .form-textarea {<!-- [et_pb_line_break_holder] -->    color: #2c3345;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .rating-item input:hover+label {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button,<!-- [et_pb_line_break_holder] -->  .until-text,<!-- [et_pb_line_break_holder] -->  .form-submit-reset {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .stageEmpty.isSmall{<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .rating-item label {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .currentDate,<!-- [et_pb_line_break_holder] -->  .pickerItem select,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay,<!-- [et_pb_line_break_holder] -->  .calendar.popup th,<!-- [et_pb_line_break_holder] -->  .calendar.popup table tbody td,<!-- [et_pb_line_break_holder] -->  .calendar-new-header>*,<!-- [et_pb_line_break_holder] -->  .form-collapse-table {<!-- [et_pb_line_break_holder] -->    color: #2C3345;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .dayOfWeek {<!-- [et_pb_line_break_holder] -->    color: #2C3345;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentSlotsContainer > * {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .jfUpload-heading,<!-- [et_pb_line_break_holder] -->  ::placeholder,<!-- [et_pb_line_break_holder] -->  .form-dropdown.is-active,<!-- [et_pb_line_break_holder] -->  .form-dropdown:first-child,<!-- [et_pb_line_break_holder] -->  .form-spinner-input {<!-- [et_pb_line_break_holder] -->    color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarWeek .calendarDay.isUnavailable,<!-- [et_pb_line_break_holder] -->  .calendar tr.days td.otherDay,<!-- [et_pb_line_break_holder] -->  .calendar tr.days td:hover:not(.unselectable) {<!-- [et_pb_line_break_holder] -->    color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  span.form-sub-label, label.form-sub-label, div.form-header-group .form-subHeader,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-to > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-from > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title .editor-container * {<!-- [et_pb_line_break_holder] -->    color: #57647E;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back{<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .rating-item input:checked+label,<!-- [et_pb_line_break_holder] -->  .rating-item input:focus+label {<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .clear-pad-btn {<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-textbox::placeholder,<!-- [et_pb_line_break_holder] -->  .form-dropdown:not(.time-dropdown):not(:required),<!-- [et_pb_line_break_holder] -->  .form-dropdown:not(:required),<!-- [et_pb_line_break_holder] -->  .form-dropdown:required:invalid {<!-- [et_pb_line_break_holder] -->    color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  \/* border-colors *\/<!-- [et_pb_line_break_holder] -->  .form-dropdown,<!-- [et_pb_line_break_holder] -->  .form-textarea,<!-- [et_pb_line_break_holder] -->  .form-textbox,<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button,<!-- [et_pb_line_break_holder] -->  .rating-item label,<!-- [et_pb_line_break_holder] -->  .rating-item input:focus+label,<!-- [et_pb_line_break_holder] -->  .rating-item input:checked+label,<!-- [et_pb_line_break_holder] -->  .jf-form-buttons,<!-- [et_pb_line_break_holder] -->  .form-checkbox+label:before, .form-checkbox+span:before, .form-radio+label:before, .form-radio+span:before,<!-- [et_pb_line_break_holder] -->  .signature-pad-passive,<!-- [et_pb_line_break_holder] -->  .signature-wrapper,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer,<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePickerName,<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker .pickerItem+.pickerItem,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay.isActive .calendarDayEach, .appointmentCalendar .calendarDay.isToday .calendarDayEach, .appointmentCalendar .calendarDay:not(.empty):hover .calendarDayEach,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before,<!-- [et_pb_line_break_holder] -->  .calendar-new-month,<!-- [et_pb_line_break_holder] -->  .form-matrix-column-headers, .form-matrix-table td, .form-matrix-table td:last-child,<!-- [et_pb_line_break_holder] -->  .form-matrix-table th, .form-matrix-table th:last-child, .form-matrix-table tr:last-child td, .form-matrix-table tr:last-child th, .form-matrix-table tr:not([role=group])+tr[role=group] th,<!-- [et_pb_line_break_holder] -->  .form-matrix-headers.form-matrix-column-headers,<!-- [et_pb_line_break_holder] -->  .isSelected .form-matrix-column-headers:nth-last-of-type(2),<!-- [et_pb_line_break_holder] -->  li[data-type=control_inline] input[type=email], li[data-type=control_inline] input[type=number],<!-- [et_pb_line_break_holder] -->  li[data-type=control_inline] input[type=tel], li[data-type=control_inline] input[type=text],<!-- [et_pb_line_break_holder] -->  .stageEmpty.isSmall {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .rating-item input:hover+label {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentSlot,<!-- [et_pb_line_break_holder] -->  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,<!-- [et_pb_line_break_holder] -->  .form-radio:checked+label:before, .form-radio:checked+span:before,<!-- [et_pb_line_break_holder] -->  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,<!-- [et_pb_line_break_holder] -->  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .calendar tr.days td:hover:not(.unselectable):after {<!-- [et_pb_line_break_holder] -->    border-color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-header-group,<!-- [et_pb_line_break_holder] -->  .form-buttons-wrapper, .form-pagebreak, .form-submit-clear-wrapper,<!-- [et_pb_line_break_holder] -->  .form-pagebreak-next,<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back,<!-- [et_pb_line_break_holder] -->  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before{<!-- [et_pb_line_break_holder] -->    border-color: #ECEDF3;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  \/* background-colors *\/<!-- [et_pb_line_break_holder] -->  .form-line-active {<!-- [et_pb_line_break_holder] -->    background-color: #F1F5FF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line-error {<!-- [et_pb_line_break_holder] -->    background-color: #FFD6D6;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-matrix-column-headers, .form-matrix-row-headers,<!-- [et_pb_line_break_holder] -->  .form-spinner-button-container>*,<!-- [et_pb_line_break_holder] -->  .form-collapse-table,<!-- [et_pb_line_break_holder] -->  .form-collapse-table:hover,<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton {<!-- [et_pb_line_break_holder] -->    background-color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .calendar.popup, .calendar.popup table,<!-- [et_pb_line_break_holder] -->  .calendar.popup table tbody td:after{<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay.isActive .calendarDayEach,<!-- [et_pb_line_break_holder] -->  .appointmentFieldRow.forSelectedDate,<!-- [et_pb_line_break_holder] -->  .calendar.popup tr.days td.selected:after,<!-- [et_pb_line_break_holder] -->  .calendar.popup:after,<!-- [et_pb_line_break_holder] -->  .submit-button,<!-- [et_pb_line_break_holder] -->  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,<!-- [et_pb_line_break_holder] -->  .form-radio+label:after, .form-radio+span:after,<!-- [et_pb_line_break_holder] -->  .rating-item input:checked+label,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay:after,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,<!-- [et_pb_line_break_holder] -->  .rating-item input:focus+label {<!-- [et_pb_line_break_holder] -->    background-color: #2e69ff;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentSlot.active {<!-- [et_pb_line_break_holder] -->    background-color: #2e69ff !important;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .clear-pad-btn,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .dayOfWeek,<!-- [et_pb_line_break_holder] -->  .calendar.popup th {<!-- [et_pb_line_break_holder] -->    background-color: #ECEDF3 !important;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePicker:hover+.timezonePickerName,<!-- [et_pb_line_break_holder] -->  .form-spinner-button-container>*:hover {<!-- [et_pb_line_break_holder] -->    background-color: #96B4FF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-matrix-values,<!-- [et_pb_line_break_holder] -->  .form-matrix-values,<!-- [et_pb_line_break_holder] -->  .signature-wrapper,<!-- [et_pb_line_break_holder] -->  .signature-pad-passive,<!-- [et_pb_line_break_holder] -->  .rating-item label,<!-- [et_pb_line_break_holder] -->  .form-checkbox+label:before, .form-checkbox+span:before,<!-- [et_pb_line_break_holder] -->  .form-radio+label:before, .form-radio+span:before {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected<!-- [et_pb_line_break_holder] -->  .questionLine-editButton.forRemove:after, <!-- [et_pb_line_break_holder] -->  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected .questionLine-editButton.forRemove:before {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer, .appointmentSlot,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-to > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-from > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title .editor-container *,<!-- [et_pb_line_break_holder] -->  .calendar-opened {<!-- [et_pb_line_break_holder] -->    background-color: transparent;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay.isSelected:after {<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  \/* shadow *\/<!-- [et_pb_line_break_holder] -->  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before,<!-- [et_pb_line_break_holder] -->  .jSignature:hover,<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button-hover,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox:hover .select_border,<!-- [et_pb_line_break_holder] -->  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before {<!-- [et_pb_line_break_holder] -->    border-color: rgba(169, 191, 249, 0.5);<!-- [et_pb_line_break_holder] -->    box-shadow: 0 0 0 2px rgba(201, 216, 254, 0.25);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button-focus,<!-- [et_pb_line_break_holder] -->  .form-checkbox:focus+label:before, .form-checkbox:focus+span:before, .form-radio:focus+label:before, .form-radio:focus+span:before,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before {<!-- [et_pb_line_break_holder] -->    border-color: rgba(46, 105, 255, 1);<!-- [et_pb_line_break_holder] -->    box-shadow: 0 0 0 3px rgba(201, 216, 254, 0.25);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .calendar.popup table tbody td{<!-- [et_pb_line_break_holder] -->    box-shadow: none;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* button colors *\/<!-- [et_pb_line_break_holder] -->  .submit-button {<!-- [et_pb_line_break_holder] -->    background-color: #18BD5B;<!-- [et_pb_line_break_holder] -->    border-color: #18BD5B;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .submit-button:hover {<!-- [et_pb_line_break_holder] -->    background-color: #16AA52;<!-- [et_pb_line_break_holder] -->    border-color: #16AA52;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-next {<!-- [et_pb_line_break_holder] -->    background-color: #ECEDF3;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back {<!-- [et_pb_line_break_holder] -->    background-color: #ECEDF3;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back:hover {<!-- [et_pb_line_break_holder] -->    background-color: #CED0DA;<!-- [et_pb_line_break_holder] -->    border-color: #CED0DA;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-next:hover {<!-- [et_pb_line_break_holder] -->    background-color: #2554CC;<!-- [et_pb_line_break_holder] -->    border-color: #2554CC;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-sacl-button, .form-submit-print {<!-- [et_pb_line_break_holder] -->    background-color: transparent;<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-sacl-button:hover, .form-submit-print:hover,<!-- [et_pb_line_break_holder] -->  .appointmentSlot:not(.disabled):not(.active):hover,<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton:hover,<!-- [et_pb_line_break_holder] -->  .rating-item input:hover+label {<!-- [et_pb_line_break_holder] -->    background-color: #96B4FF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* payment styles *\/<!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-textbox,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .select-area,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] #coupon-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] #coupon-container input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] input#productSearch-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-product-category-item:after,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .filter-container .dropdown-container .select-content,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .select_border,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .form-product-container .form-sub-label-container span.select_cont,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] select.form-dropdown {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: #C3CAD8;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] hr,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .p_item_separator,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .payment_footer.new_ui,<!-- [et_pb_line_break_holder] -->  .form-line.card-3col .form-product-item.new_ui,<!-- [et_pb_line_break_holder] -->  .form-line.card-2col .form-product-item.new_ui {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: rgba(195,202,216,.5);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-product-category-item {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: #d9dde4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] #coupon-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] input#productSearch-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .select-area,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .custom_quantity,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .filter-container .select-content,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .p_checkbox .select_border {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-product-category-item:after {<!-- [et_pb_line_break_holder] -->   background-color: #ffffff;<!-- [et_pb_line_break_holder] -->   border-color: #ffffff;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true].form-line.card-3col .form-product-item,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true].form-line.card-2col .form-product-item {<!-- [et_pb_line_break_holder] -->   background-color: undefined;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table input.form-textbox,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table input.form-dropdown,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table .form-sub-label-container > div,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table span.form-sub-label-container iframe,<!-- [et_pb_line_break_holder] -->  .form-line[data-type=control_square] .payment-form-table span.form-sub-label-container iframe {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* icons *\/<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePickerName:before {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker .pickerArrow.prev:after {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker .pickerArrow.next:after {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePickerName:after {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->    width: 11px;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_datetime] [data-wrapper-react=true].extended>div+.form-sub-label-container .form-textbox:placeholder-shown,<!-- [et_pb_line_break_holder] -->  li[data-type=control_datetime] [data-wrapper-react=true]:not(.extended) .form-textbox:not(.time-dropdown):placeholder-shown,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .currentDate {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-star-rating-star.Stars {<!-- [et_pb_line_break_holder] -->    background-image: 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[et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iOCIgaGVpZ2h0PSIxNCIgdmlld0JveD0iMCAwIDggMTQiIGZpbGw9Im5vbmUiIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyI+CjxwYXRoIGQ9Ik0xIDEzTDcgN0wxIDAuOTk5OTk5IiBzdHJva2U9IiM4Nzk1QUMiIHN0cm9rZS13aWR0aD0iMiIgc3Ryb2tlLWxpbmVjYXA9InJvdW5kIiBzdHJva2UtbGluZWpvaW49InJvdW5kIi8+Cjwvc3ZnPgo=);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* NEW THEME STYLE *\/<!-- [et_pb_line_break_holder] -->  \/*PREFERENCES STYLE*\/<!-- [et_pb_line_break_holder] -->*,<!-- [et_pb_line_break_holder] -->*:after,<!-- [et_pb_line_break_holder] -->*:before {<!-- [et_pb_line_break_holder] -->  box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.main .jotform-form {<!-- [et_pb_line_break_holder] -->  width: 100%;<!-- [et_pb_line_break_holder] -->  padding: 0 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  display: flex;<!-- [et_pb_line_break_holder] -->  flex-direction: column;<!-- [et_pb_line_break_holder] -->  width: 100%;<!-- [et_pb_line_break_holder] -->  max-width: 752px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-active {<!-- [et_pb_line_break_holder] -->  background-color: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  font-size: 16px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li.form-line {<!-- [et_pb_line_break_holder] -->  margin-top: 0px;<!-- [et_pb_line_break_holder] -->  margin-bottom: 0px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line {<!-- [et_pb_line_break_holder] -->  padding: 18px 4px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-section {<!-- [et_pb_line_break_holder] -->  padding: 0px 38px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-textbox,<!-- [et_pb_line_break_holder] -->.form-textarea,<!-- [et_pb_line_break_holder] -->.form-radio-other-input,<!-- [et_pb_line_break_holder] -->.form-checkbox-other-input,<!-- [et_pb_line_break_holder] -->.form-captcha input,<!-- [et_pb_line_break_holder] -->.form-spinner input {<!-- [et_pb_line_break_holder] -->  background-color: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-label {<!-- [et_pb_line_break_holder] -->  margin-bottom: 7px;<!-- [et_pb_line_break_holder] -->  margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-label {<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-column {<!-- [et_pb_line_break_holder] -->  width: calc(50% - 8px);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item label,<!-- [et_pb_line_break_holder] -->.form-checkbox-item span,<!-- [et_pb_line_break_holder] -->.form-radio-item label,<!-- [et_pb_line_break_holder] -->.form-radio-item span {<!-- [et_pb_line_break_holder] -->  color: #404a64;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio-item,<!-- [et_pb_line_break_holder] -->.form-checkbox-item {<!-- [et_pb_line_break_holder] -->  padding-bottom: 0px !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio-item:last-child,<!-- [et_pb_line_break_holder] -->.form-checkbox-item:last-child {<!-- [et_pb_line_break_holder] -->  padding-bottom: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-single-column .form-checkbox-item,<!-- [et_pb_line_break_holder] -->.form-single-column .form-radio-item {<!-- [et_pb_line_break_holder] -->  width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item .editor-container div,<!-- [et_pb_line_break_holder] -->.form-radio-item .editor-container div {<!-- [et_pb_line_break_holder] -->  position: relative;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item .editor-container div:before,<!-- [et_pb_line_break_holder] -->.form-radio-item .editor-container div:before {<!-- [et_pb_line_break_holder] -->  display: inline-block;<!-- [et_pb_line_break_holder] -->  vertical-align: middle;<!-- [et_pb_line_break_holder] -->  left: 0;<!-- [et_pb_line_break_holder] -->  width: 20px;<!-- [et_pb_line_break_holder] -->  height: 20px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item input,<!-- [et_pb_line_break_holder] -->.form-radio-item input {<!-- [et_pb_line_break_holder] -->  margin-top: 2px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox:checked + label:before,<!-- [et_pb_line_break_holder] -->.form-checkbox:checked + span:before {<!-- [et_pb_line_break_holder] -->  background-color: #2e69ff;<!-- [et_pb_line_break_holder] -->  border-color: #2e69ff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio:checked + label:before,<!-- [et_pb_line_break_holder] -->.form-radio:checked + span:before {<!-- [et_pb_line_break_holder] -->  border-color: #2e69ff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio:checked + label:after,<!-- [et_pb_line_break_holder] -->.form-radio:checked + span:after {<!-- [et_pb_line_break_holder] -->  background-color: #2e69ff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox:hover + label:before,<!-- [et_pb_line_break_holder] -->.form-checkbox:hover + span:before,<!-- [et_pb_line_break_holder] -->.form-radio:hover + label:before,<!-- [et_pb_line_break_holder] -->.form-radio:hover + span:before {<!-- [et_pb_line_break_holder] -->  border-color: rgba(46, 105, 255, 0.5);<!-- [et_pb_line_break_holder] -->  box-shadow: 0 0 0 2px rgba(46, 105, 255, 0.25);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox:focus + label:before,<!-- [et_pb_line_break_holder] -->.form-checkbox:focus + span:before,<!-- [et_pb_line_break_holder] -->.form-radio:focus + label:before,<!-- [et_pb_line_break_holder] -->.form-radio:focus + span:before {<!-- [et_pb_line_break_holder] -->  border-color: #2e69ff;<!-- [et_pb_line_break_holder] -->  box-shadow: 0 0 0 3px rgba(46, 105, 255, 0.25);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.submit-button {<!-- [et_pb_line_break_holder] -->  font-size: 16px;<!-- [et_pb_line_break_holder] -->  font-weight: normal;<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.submit-button {<!-- [et_pb_line_break_holder] -->  min-width: 180px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-back,<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-next {<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->  font-size: 16px;<!-- [et_pb_line_break_holder] -->  font-weight: normal;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-back,<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-next {<!-- [et_pb_line_break_holder] -->  min-width: 128px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li[data-type=\"control_image\"] div {<!-- [et_pb_line_break_holder] -->  text-align: left;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li[data-type=\"control_image\"] img {<!-- [et_pb_line_break_holder] -->  border: none;<!-- [et_pb_line_break_holder] -->  border-width: 0px !important;<!-- [et_pb_line_break_holder] -->  border-style: solid !important;<!-- [et_pb_line_break_holder] -->  border-color: false !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova {<!-- [et_pb_line_break_holder] -->  height: 100%;<!-- [et_pb_line_break_holder] -->  background-repeat: no-repeat;<!-- [et_pb_line_break_holder] -->  background-attachment: scroll;<!-- [et_pb_line_break_holder] -->  background-position: center top;<!-- [et_pb_line_break_holder] -->  background-repeat: repeat;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova {<!-- [et_pb_line_break_holder] -->  background-image: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#stage {<!-- [et_pb_line_break_holder] -->  background-image: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->\/* | *\/<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  background-repeat: no-repeat;<!-- [et_pb_line_break_holder] -->  background-attachment: scroll;<!-- [et_pb_line_break_holder] -->  background-position: center top;<!-- [et_pb_line_break_holder] -->  background-repeat: repeat;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group {<!-- [et_pb_line_break_holder] -->  background-repeat: no-repeat;<!-- [et_pb_line_break_holder] -->  background-attachment: scroll;<!-- [et_pb_line_break_holder] -->  background-position: center top;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h1.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 2em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h2.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.5em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h3.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.17em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h1 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: 1em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h2 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .875em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h3 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .75em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h1.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 2em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h2.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.5em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h3.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.17em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h1 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: 1em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h2 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .875em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h3 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .75em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h1.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 2em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h2.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.5em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h3.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.17em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h1 + .form-subHeader 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-->div.form-header-group.header-large,<!-- [et_pb_line_break_holder] -->div.form-header-group.hasImage {<!-- [et_pb_line_break_holder] -->  padding: 40px 52px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group .form-header,<!-- [et_pb_line_break_holder] -->.form-header-group .form-subHeader {<!-- [et_pb_line_break_holder] -->  color: #ffffff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group {<!-- [et_pb_line_break_holder] -->  background-color: #304fa2;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error {<!-- [et_pb_line_break_holder] -->  overflow: hidden;<!-- [et_pb_line_break_holder] -->  -webkit-transition-property: none;<!-- [et_pb_line_break_holder] -->  -moz-transition-property: none;<!-- [et_pb_line_break_holder] -->  -ms-transition-property: none;<!-- [et_pb_line_break_holder] -->  -o-transition-property: none;<!-- [et_pb_line_break_holder] -->  transition-property: none;<!-- [et_pb_line_break_holder] -->  -webkit-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -moz-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -ms-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -o-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -webkit-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  -moz-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  -ms-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  -o-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  background-color: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error .form-error-message {<!-- [et_pb_line_break_holder] -->  background-color: #f23a3c;<!-- [et_pb_line_break_holder] -->  clear: both;<!-- [et_pb_line_break_holder] -->  float: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error .form-error-message .form-error-arrow {<!-- [et_pb_line_break_holder] -->  border-bottom-color: #f23a3c;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error input:not(#coupon-input),<!-- [et_pb_line_break_holder] -->.form-line-error textarea,<!-- [et_pb_line_break_holder] -->.form-line-error .form-validation-error {<!-- [et_pb_line_break_holder] -->  border: 1px solid #f23a3c;<!-- [et_pb_line_break_holder] -->  box-shadow: 0 0 3px #f23a3c;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova {<!-- [et_pb_line_break_holder] -->  background-color: #ffffff;<!-- [et_pb_line_break_holder] -->  background-color: #ecedf3;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova body {<!-- [et_pb_line_break_holder] -->  background-color: transparent;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova .form-all,<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  background-color: #ffffff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-matrix-table tr {<!-- [et_pb_line_break_holder] -->  border-color: #e6e6e6;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-matrix-table tr:nth-child(2n) {<!-- [et_pb_line_break_holder] -->  background-color: #f2f2f2;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  color: #2c3345;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-label-top,<!-- [et_pb_line_break_holder] -->.form-label-left,<!-- [et_pb_line_break_holder] -->.form-label-right,<!-- [et_pb_line_break_holder] -->.form-html {<!-- [et_pb_line_break_holder] -->  color: #2c3345;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\/*__INSPECT_SEPERATOR__*\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->    \/* Injected CSS Code *\/<!-- [et_pb_line_break_holder] --><\/style>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<form class=\"jotform-form\" action=\"https:\/\/submit.jotform.com\/submit\/221815203926149\" method=\"post\" name=\"form_221815203926149\" id=\"221815203926149\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"221815203926149\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><!-- [et_pb_line_break_holder] -->  <\/p>\n<div role=\"main\" class=\"form-all\"><!-- [et_pb_line_break_holder] -->    <link type=\"text\/css\" rel=\"stylesheet\" media=\"all\" href=\"https:\/\/cdn.jotfor.ms\/wizards\/languageWizard\/custom-dropdown\/css\/lang-dd.css?3.3.44959\" \/><!-- [et_pb_line_break_holder] -->    <\/p>\n<div class=\"cont\"><input type=\"text\" id=\"input_language\" name=\"input_language\" style=\"display:none\" \/><!-- [et_pb_line_break_holder] -->      <\/p>\n<div class=\"language-dd\" id=\"langDd\" style=\"display:none\"><!-- [et_pb_line_break_holder] -->        <\/p>\n<div class=\"dd-placeholder lang-emp\">Language<\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/p>\n<ul class=\"lang-list dn\" id=\"langList\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<li data-lang=\"es-419\" class=\"es-419\">Spanish (Latin America)<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->      <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <script type=\"text\/javascript\" src=\"https:\/\/cdn.jotfor.ms\/js\/formTranslation.v2.js?3.3.44959\"><\/script><!-- [et_pb_line_break_holder] -->    <\/p>\n<ul class=\"form-section page-section\"><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_1\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_1\" class=\"form-header\" data-component=\"header\">Registraci\u00f3n Entrenamiento MPDI: Orlando, Florida<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_3\" data-compound-hint=\"Nombre,Apellido\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_3\" for=\"first_3\" aria-hidden=\"false\"> Nombre de Registrante<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_3\" class=\"form-input-wide jf-required\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div data-wrapper-react=\"true\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_3\" name=\"q3_nombreDe3[first]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_3 given-name\" size=\"10\" value=\"\" placeholder=\"Nombre\" data-component=\"first\" aria-labelledby=\"label_3 sublabel_3_first\" required=\"\" \/><label class=\"form-sub-label\" for=\"first_3\" id=\"sublabel_3_first\" style=\"min-height:13px\" aria-hidden=\"false\">First Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_3\" name=\"q3_nombreDe3[last]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_3 family-name\" size=\"15\" value=\"\" placeholder=\"Apellido\" data-component=\"last\" aria-labelledby=\"label_3 sublabel_3_last\" required=\"\" \/><label class=\"form-sub-label\" for=\"last_3\" id=\"sublabel_3_last\" style=\"min-height:13px\" aria-hidden=\"false\">Last Name<\/label><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_email\" id=\"id_4\"><label class=\"form-label form-label-top\" id=\"label_4\" for=\"input_4\" aria-hidden=\"false\"> Correo Electr\u00f3nico<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_4\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_4\" name=\"q4_correoElectronico\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"email\" aria-labelledby=\"label_4 sublabel_input_4\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_4\" id=\"sublabel_input_4\" style=\"min-height:13px\" aria-hidden=\"false\">Email<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_phone\" id=\"id_5\"><label class=\"form-label form-label-top\" id=\"label_5\" for=\"input_5_full\"> Tel\u00e9fono<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_5\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_5_full\" name=\"q5_telefono[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[required, Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_5 tel-national\" style=\"width:310px\" data-masked=\"true\" value=\"\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_5 sublabel_5_masked\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_5_full\" id=\"sublabel_5_masked\" style=\"min-height:13px\" aria-hidden=\"false\">Phone Number<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line jf-required\" data-type=\"control_address\" id=\"id_6\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_6\" for=\"input_6_addr_line1\" aria-hidden=\"false\"> Direcci\u00f3n Postal<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_6\" class=\"form-input-wide jf-required\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div summary=\"\" class=\"form-address-table jsTest-addressField\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_addr_line1\" name=\"q6_direccionPostal[addr_line1]\" class=\"form-textbox validate[required] form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_6 address-line1\" value=\"\" data-component=\"address_line_1\" aria-labelledby=\"label_6 sublabel_6_addr_line1\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_6_addr_line1\" id=\"sublabel_6_addr_line1\" style=\"min-height:13px\" aria-hidden=\"false\">Mailing Address<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_addr_line2\" name=\"q6_direccionPostal[addr_line2]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_6 off\" value=\"\" data-component=\"address_line_2\" aria-labelledby=\"label_6 sublabel_6_addr_line2\" \/><label class=\"form-sub-label\" for=\"input_6_addr_line2\" id=\"sublabel_6_addr_line2\" style=\"min-height:13px\" aria-hidden=\"false\">Street Address Line 2<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-city-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_city\" name=\"q6_direccionPostal[city]\" class=\"form-textbox validate[required] form-address-city\" data-defaultvalue=\"\" autoComplete=\"section-input_6 address-level2\" value=\"\" data-component=\"city\" aria-labelledby=\"label_6 sublabel_6_city\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_6_city\" id=\"sublabel_6_city\" style=\"min-height:13px\" aria-hidden=\"false\">City<\/label><\/span><\/span><span class=\"form-address-line form-address-state-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required] form-address-state\" name=\"q6_direccionPostal[state]\" id=\"input_6_state\" data-component=\"state\" required=\"\" aria-labelledby=\"label_6 sublabel_6_state\" autoComplete=\"section-input_6 address-level1\"><!-- [et_pb_line_break_holder] --><option selected=\"\" value=\"\">Please Select<\/option><!-- [et_pb_line_break_holder] --><option value=\"Alabama\">Alabama<\/option><!-- [et_pb_line_break_holder] --><option value=\"Alaska\">Alaska<\/option><!-- [et_pb_line_break_holder] --><option value=\"Arizona\">Arizona<\/option><!-- [et_pb_line_break_holder] --><option value=\"Arkansas\">Arkansas<\/option><!-- [et_pb_line_break_holder] --><option value=\"California\">California<\/option><!-- [et_pb_line_break_holder] --><option value=\"Colorado\">Colorado<\/option><!-- [et_pb_line_break_holder] --><option value=\"Connecticut\">Connecticut<\/option><!-- [et_pb_line_break_holder] --><option value=\"Delaware\">Delaware<\/option><!-- [et_pb_line_break_holder] --><option value=\"District of Columbia\">District of Columbia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Florida\">Florida<\/option><!-- [et_pb_line_break_holder] --><option value=\"Georgia\">Georgia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Hawaii\">Hawaii<\/option><!-- [et_pb_line_break_holder] --><option value=\"Idaho\">Idaho<\/option><!-- [et_pb_line_break_holder] --><option value=\"Illinois\">Illinois<\/option><!-- [et_pb_line_break_holder] --><option value=\"Indiana\">Indiana<\/option><!-- [et_pb_line_break_holder] --><option value=\"Iowa\">Iowa<\/option><!-- [et_pb_line_break_holder] --><option value=\"Kansas\">Kansas<\/option><!-- [et_pb_line_break_holder] --><option value=\"Kentucky\">Kentucky<\/option><!-- [et_pb_line_break_holder] --><option value=\"Louisiana\">Louisiana<\/option><!-- [et_pb_line_break_holder] --><option value=\"Maine\">Maine<\/option><!-- [et_pb_line_break_holder] --><option value=\"Maryland\">Maryland<\/option><!-- [et_pb_line_break_holder] --><option value=\"Massachusetts\">Massachusetts<\/option><!-- [et_pb_line_break_holder] --><option value=\"Michigan\">Michigan<\/option><!-- [et_pb_line_break_holder] --><option value=\"Minnesota\">Minnesota<\/option><!-- [et_pb_line_break_holder] --><option value=\"Mississippi\">Mississippi<\/option><!-- [et_pb_line_break_holder] --><option value=\"Missouri\">Missouri<\/option><!-- [et_pb_line_break_holder] --><option value=\"Montana\">Montana<\/option><!-- [et_pb_line_break_holder] --><option value=\"Nebraska\">Nebraska<\/option><!-- [et_pb_line_break_holder] --><option value=\"Nevada\">Nevada<\/option><!-- [et_pb_line_break_holder] --><option value=\"New Hampshire\">New Hampshire<\/option><!-- [et_pb_line_break_holder] --><option value=\"New Jersey\">New Jersey<\/option><!-- [et_pb_line_break_holder] --><option value=\"New Mexico\">New Mexico<\/option><!-- [et_pb_line_break_holder] --><option value=\"New York\">New York<\/option><!-- [et_pb_line_break_holder] --><option value=\"North Carolina\">North Carolina<\/option><!-- [et_pb_line_break_holder] --><option value=\"North Dakota\">North Dakota<\/option><!-- [et_pb_line_break_holder] --><option value=\"Ohio\">Ohio<\/option><!-- [et_pb_line_break_holder] --><option value=\"Oklahoma\">Oklahoma<\/option><!-- [et_pb_line_break_holder] --><option value=\"Oregon\">Oregon<\/option><!-- [et_pb_line_break_holder] --><option value=\"Pennsylvania\">Pennsylvania<\/option><!-- [et_pb_line_break_holder] --><option value=\"Puerto Rico\">Puerto Rico<\/option><!-- [et_pb_line_break_holder] --><option value=\"Rhode Island\">Rhode Island<\/option><!-- [et_pb_line_break_holder] --><option value=\"South Carolina\">South Carolina<\/option><!-- [et_pb_line_break_holder] --><option value=\"South Dakota\">South Dakota<\/option><!-- [et_pb_line_break_holder] --><option value=\"Tennessee\">Tennessee<\/option><!-- [et_pb_line_break_holder] --><option value=\"Texas\">Texas<\/option><!-- [et_pb_line_break_holder] --><option value=\"Utah\">Utah<\/option><!-- [et_pb_line_break_holder] --><option value=\"Vermont\">Vermont<\/option><!-- [et_pb_line_break_holder] --><option value=\"Virgin Islands\">Virgin Islands<\/option><!-- [et_pb_line_break_holder] --><option value=\"Virginia\">Virginia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Washington\">Washington<\/option><!-- [et_pb_line_break_holder] --><option value=\"West Virginia\">West Virginia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Wisconsin\">Wisconsin<\/option><!-- [et_pb_line_break_holder] --><option value=\"Wyoming\">Wyoming<\/option><!-- [et_pb_line_break_holder] -->                  <\/select><label class=\"form-sub-label\" for=\"input_6_state\" id=\"sublabel_6_state\" style=\"min-height:13px\" aria-hidden=\"false\">State<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-zip-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_postal\" name=\"q6_direccionPostal[postal]\" class=\"form-textbox validate[required] form-address-postal\" data-defaultvalue=\"\" autoComplete=\"section-input_6 postal-code\" value=\"\" data-component=\"zip\" aria-labelledby=\"label_6 sublabel_6_postal\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_6_postal\" id=\"sublabel_6_postal\" style=\"min-height:13px\" aria-hidden=\"false\">Zip Code<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line\" data-type=\"control_divider\" id=\"id_10\"><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_10\" class=\"form-input-wide\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"divider\" data-component=\"divider\" style=\"border-bottom-width:1px;border-bottom-style:solid;border-color:#e6e6e6;height:1px;margin-left:0px;margin-right:0px;margin-top:5px;margin-bottom:5px\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_12\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_12\" class=\"form-header\" data-component=\"header\">Informaci\u00f3n de Iglesia<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_textbox\" id=\"id_7\"><label class=\"form-label form-label-top\" id=\"label_7\" for=\"input_7\" aria-hidden=\"false\"> Nombre de Iglesia<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_7\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_7\" name=\"q7_nombreDe\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_7 sublabel_input_7\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_7\" id=\"sublabel_input_7\" style=\"min-height:13px\" aria-hidden=\"false\">Church Name<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_dropdown\" id=\"id_8\"><label class=\"form-label form-label-top\" id=\"label_8\" for=\"input_8\" aria-hidden=\"false\"> Secci\u00f3n<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_8\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required]\" id=\"input_8\" name=\"q8_seccion\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"Secci\u00f3n\"><!-- [et_pb_line_break_holder] --><option value=\"\">Please Select<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 1North\">Section 1North<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 1South\">Section 1South<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 2\">Section 2<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 3\">Section 3<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 4\">Section 4<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 5\">Section 5<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 6\">Section 6<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 7\">Section 7<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 8\">Section 8<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 9\">Section 9<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 10\">Section 10<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 11\">Section 11<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 12\">Section 12<\/option><!-- [et_pb_line_break_holder] -->            <\/select><label class=\"form-sub-label\" for=\"input_8\" id=\"sublabel_input_8\" style=\"min-height:13px\" aria-hidden=\"false\">Section<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_14\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_14\" class=\"form-header\" data-component=\"header\">Entrenamiento MPDI<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_15\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_15\" for=\"input_15\" aria-hidden=\"false\"> Seleccione Fase:<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_15\" class=\"form-input-wide jf-required\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_15\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio validate[required]\" id=\"input_15_0\" name=\"q15_seleccioneFase\" value=\"Fase 1\" required=\"\" \/><label id=\"label_input_15_0\" for=\"input_15_0\">Fase 1<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio validate[required]\" id=\"input_15_1\" name=\"q15_seleccioneFase\" value=\"Fase 2\" required=\"\" \/><label id=\"label_input_15_1\" for=\"input_15_1\">Fase 2<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio validate[required]\" id=\"input_15_2\" name=\"q15_seleccioneFase\" value=\"Fase 3\" required=\"\" \/><label id=\"label_input_15_2\" for=\"input_15_2\">Fase 3<\/label><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_13\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_13\" class=\"form-header\" data-component=\"header\">Informaci\u00f3n de Pago<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line\" data-type=\"control_square\" id=\"id_9\" data-payment=\"true\"><label class=\"form-label form-label-top\" id=\"label_9\" for=\"input_9\" aria-hidden=\"false\"> Noviembre 17-18, 2023 | Viva Church Orlando, FL <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_9\" class=\"form-input-wide\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div data-wrapper-react=\"true\" class=\"square-payment-wrapper\" data-square-currency=\"USD\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<div data-wrapper-react=\"true\" class=\"product-container-wrapper\"><!-- [et_pb_line_break_holder] -->              <\/p>\n<div class=\"filter-container\"><\/div>\n<p><input type=\"hidden\" name=\"simple_fpc\" data-payment_type=\"square\" data-component=\"payment1\" value=\"9\" \/><input type=\"hidden\" name=\"payment_transaction_uuid\" id=\"paymentTransactionId\" \/><input type=\"hidden\" name=\"payment_total_checksum\" id=\"payment_total_checksum\" data-component=\"payment2\" \/><!-- [et_pb_line_break_holder] -->              <\/p>\n<div id=\"image-overlay\" class=\"overlay-content\" style=\"display:none\"><img id=\"current-image\" \/><span class=\"lb-prev-button\">prev<\/span><span class=\"lb-next-button\">next<\/span><span class=\"lb-close-button\">( X )<\/span><span class=\"image-overlay-product-container\"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<ul class=\"form-overlay-item\" pid=\"1000\" hasicon=\"false\" hasimages=\"false\" iconvalue=\"\"><\/ul>\n<p><!-- [et_pb_line_break_holder] -->                <\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->              <\/p>\n<div data-wrapper-react=\"true\"><span class=\"form-product-item hover-product-item  new_ui\" categories=\"non-categorized\" pid=\"1000\" aria-labelledby=\"label_9\"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\"><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"p_col\"><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div class=\"p_checkbox\"><input type=\"checkbox\" class=\"form-checkbox  form-product-input\" id=\"input_9_1000\" name=\"q9_noviembre1213[][id]\" value=\"1000\" checked=\"\" disabled=\"\" aria-label=\"Selected Product: Registro Entrenamiento MPDI\" \/><!-- [et_pb_line_break_holder] -->                        <\/p>\n<div class=\"checked\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                        <\/p>\n<div class=\"select_border\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                      <\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"p_image\"><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div class=\"image_area \"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div for=\"input_9_1000\" class=\"form-product-container\"><span data-wrapper-react=\"true\"><!-- [et_pb_line_break_holder] -->                        <\/p>\n<div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_9_1000\">Registro Entrenamiento MPDI<\/span><span class=\"form-product-description\" id=\"product-name-description-input_9_1000\"><\/span><\/div>\n<p><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">$<span id=\"input_9_1000_price\">149.00<\/span><\/span><\/b><\/span><!-- [et_pb_line_break_holder] -->                      <\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\"> <\/a><a class=\"btn-inline-product-settings\"> <\/a><\/div>\n<p><!-- [et_pb_line_break_holder] -->                  <\/div>\n<p><!-- [et_pb_line_break_holder] -->                <\/span><!-- [et_pb_line_break_holder] -->                <\/p>\n<div class=\"payment_footer new_ui \"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<div class=\"total_area\"><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"form-payment-total\"><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div id=\"total-text\">Total<\/div>\n<p><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div class=\"form-payment-price\"><span data-wrapper-react=\"true\">$<span id=\"payment_total\">0.00<\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/div>\n<p><!-- [et_pb_line_break_holder] -->                  <\/div>\n<p><!-- [et_pb_line_break_holder] -->                <\/div>\n<p><!-- [et_pb_line_break_holder] -->              <\/div>\n<p><!-- [et_pb_line_break_holder] -->              <\/p>\n<hr \/>\n<p><!-- [et_pb_line_break_holder] -->            <\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<h4 class=\"payment-methods-header\">Credit Card Information<\/h4>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<table style=\"margin:0px\" id=\"square-creditcard\" class=\"form-address-table payment-form-table square-cc-field\" cellPadding=\"0\" cellSpacing=\"0\"><!-- [et_pb_line_break_holder] -->              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class=\"if_cc_field\"><!-- [et_pb_line_break_holder] -->                <\/p>\n<td colSpan=\"2\"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<div id=\"card-container\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                <\/td>\n<p><!-- [et_pb_line_break_holder] -->              <\/tr>\n<p><!-- [et_pb_line_break_holder] -->              <\/td>\n<p><!-- [et_pb_line_break_holder] -->              <\/tr>\n<p><!-- [et_pb_line_break_holder] -->            <\/table>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div id=\"square_dummy\" data-sandbox=\"false\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line\" data-type=\"control_button\" id=\"id_2\"><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button form-submit-button-black_blue submit-button jf-form-buttons jsTest-submitField\" data-component=\"button\" data-content=\"\">Enviar<\/button><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li style=\"clear:both\"><\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li style=\"display:none\">Should be Empty: <input type=\"text\" name=\"website\" value=\"\" \/><\/li>\n<p><!-- [et_pb_line_break_holder] -->    <\/ul>\n<p><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] -->  <script><!-- [et_pb_line_break_holder] -->    JotForm.showJotFormPowered = \"0\";<!-- [et_pb_line_break_holder] -->  <\/script><!-- [et_pb_line_break_holder] -->  <script><!-- [et_pb_line_break_holder] -->    JotForm.poweredByText = \"Powered by Jotform\";<!-- [et_pb_line_break_holder] -->  <\/script><input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"221815203926149\" \/><!-- [et_pb_line_break_holder] -->  <script type=\"text\/javascript\"><!-- [et_pb_line_break_holder] -->    var all_spc = document.querySelectorAll(\"form[id='221815203926149'] .si\" + \"mple\" + \"_spc\");<!-- [et_pb_line_break_holder] -->    for (var i = 0; i < all_spc.length; i++)<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      all_spc[i].value = \"221815203926149-221815203926149\";<!-- [et_pb_line_break_holder] -->    }<!-- [et_pb_line_break_holder] -->  <\/script><!-- [et_pb_line_break_holder] --><\/form>\n<p><script type=\"text\/javascript\">JotForm.ownerView=true;<\/script><script type=\"text\/javascript\">JotForm.showAlternateHIPAABadge=true;<\/script><script src=\"https:\/\/cdn.jotfor.ms\/\/js\/vendor\/smoothscroll.min.js?v=3.3.44959\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn.jotfor.ms\/\/js\/errorNavigation.js?v=3.3.44959\"><\/script><!-- [et_pb_line_break_holder] --><script type=\"text\/javascript\">JotForm.isNewSACL=true;<\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; disabled_on=&#8221;on|on|on&#8221; admin_label=&#8221;Popup &#8211; #registro1&#8243; module_id=&#8221;registro1&#8243; module_class=&#8221;popup&#8221; _builder_version=&#8221;4.22.1&#8243; _module_preset=&#8221;default&#8221; disabled=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.22.1&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_code _builder_version=&#8221;4.22.1&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<script src=\"https:\/\/cdn02.jotfor.ms\/static\/prototype.forms.js?3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn03.jotfor.ms\/static\/jotform.forms.js?3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script defer src=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/punycode\/1.4.1\/punycode.js\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn01.jotfor.ms\/js\/vendor\/jquery-1.8.0.min.js?v=3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script defer src=\"https:\/\/cdn02.jotfor.ms\/js\/vendor\/maskedinput.min.js?v=3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script defer src=\"https:\/\/cdn03.jotfor.ms\/js\/vendor\/jquery.maskedinput.min.js?v=3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn01.jotfor.ms\/js\/payments\/paymentUtils.js?v=3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn02.jotfor.ms\/js\/square.js?v=3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn03.jotfor.ms\/js\/payments\/validategateways.js?v=3.3.44959\" type=\"text\/javascript\"><\/script><!-- [et_pb_line_break_holder] --><script type=\"text\/javascript\">\tJotForm.newDefaultTheme = true;<!-- [et_pb_line_break_holder] -->\tJotForm.extendsNewTheme = false;<!-- [et_pb_line_break_holder] -->\tJotForm.singleProduct = true;<!-- [et_pb_line_break_holder] -->\tJotForm.newPaymentUIForNewCreatedForms = true;<!-- [et_pb_line_break_holder] -->\tJotForm.newPaymentUI = true;<!-- [et_pb_line_break_holder] -->\tJotForm.clearFieldOnHide=\"disable\";<!-- [et_pb_line_break_holder] -->\tJotForm.submitError=\"jumpToFirstError\";<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\tJotForm.init(function(){<!-- [et_pb_line_break_holder] -->\t\/*INIT-START*\/<!-- [et_pb_line_break_holder] -->      JotForm.setPhoneMaskingValidator( 'input_5_full', '\\u0028\\u0023\\u0023\\u0023\\u0029 \\u0023\\u0023\\u0023\\u002d\\u0023\\u0023\\u0023\\u0023' );<!-- [et_pb_line_break_holder] -->if (window.JotForm && JotForm.accessible) $('input_7').setAttribute('tabindex',0);<!-- [et_pb_line_break_holder] -->      productID = {\"0\":\"input_9_1000\"};<!-- [et_pb_line_break_holder] -->      paymentType = \"product\";<!-- [et_pb_line_break_holder] -->      JotForm.setCurrencyFormat('USD',true, 'point');<!-- [et_pb_line_break_holder] -->      JotForm.totalCounter({\"input_9_1000\":{\"price\":\"175.00\"}});<!-- [et_pb_line_break_holder] -->      $$('.form-product-custom_quantity').each(function(el, i){el.observe('blur', function(){isNaN(this.value) || this.value < 1 ? this.value = '0' : this.value = parseInt(this.value)})});<!-- [et_pb_line_break_holder] -->      $$('.form-product-custom_quantity').each(function(el, i){el.observe('focus', function(){this.value == 0 ? this.value = '' : this.value})});<!-- [et_pb_line_break_holder] -->      JotForm.handleProductLightbox();<!-- [et_pb_line_break_holder] -->      JotForm.alterTexts({\"ageVerificationError\":\"Debe ser mayor de {minAge} a\u00f1os para enviar este formulario.\",\"alphabetic\":\"Este campo solo puede contener letras.\",\"alphanumeric\":\"Este campo solo puede contener letras y n\u00fameros.\",\"appointmentSelected\":\"Ha seleccionado {time} del {date}\",\"ccDonationMinLimitError\":\"La Cantidad M\u00ednima es {minAmount} {currency}\",\"ccInvalidCVC\":\"El n\u00famero CVC no es v\u00e1lido.\",\"ccInvalidExpireDate\":\"La fecha de expiraci\u00f3n no es v\u00e1lida\",\"ccInvalidExpireMonth\":\"Expiration month is invalid.\",\"ccInvalidExpireYear\":\"Expiration year is invalid.\",\"ccInvalidNumber\":\"El n\u00famero de su tarjeta de cr\u00e9dito no es v\u00e1lido.\",\"ccMissingDetails\":\"Please fill up the credit card details.\",\"ccMissingDonation\":\"Favor ponga valores n\u00famericos en la cantidad a donar.\",\"ccMissingProduct\":\"Por favor seleccione al menos un producto.\",\"characterLimitError\":\"Demasiados caracteres. El l\u00edmite es\",\"characterMinLimitError\":\"Muy pocos caracteres. El m\u00ednimum es\",\"confirmClearForm\":\"\u00bfEst\u00e1 seguro que desea limpiar el formulario?\",\"confirmEmail\":\"El correo electr\u00f3nico no coincide\",\"currency\":\"Este campo s\u00f3lo puede contener valores de moneda.\",\"cyrillic\":\"Este campo solo puede contener caracteres cir\u00edlicos.\",\"dateInvalid\":\"Esta fecha no es valida. El formato de fecha es {format}\",\"dateInvalidSeparate\":\"Esta fecha no es v\u00e1lida. Ponga una {element} v\u00e1lida\",\"dateLimited\":\"Esta fecha no est\u00e1 disponible.\",\"disallowDecimals\":\"Por favor, introduzca un n\u00famero entero.\",\"doneButton\":\"Listo\",\"doneMessage\":\"Bien hecho! Todos los errores resueltos.\",\"dragAndDropFilesHere_infoMessage\":\"Arrastre y suelte archivos aqu\u00ed\",\"email\":\"Introduzca una direcci\u00f3n e-mail v\u00e1lida\",\"fillMask\":\"El valor de este campo debe llenar la mascara\",\"freeEmailError\":\"No se permiten cuentas de correo gratuitas\",\"generalError\":\"Existen errores en el formulario, por favor corr\u00edjalos antes de continuar.\",\"generalPageError\":\"Hay errores en esta p\u00e1gina. Por favor, corr\u00edjalos antes de continuar.\",\"geoNotAvailableDesc\":\"Location provider not available. Please enter the address manually.\",\"geoNotAvailableTitle\":\"Position Unavailable\",\"geoPermissionDesc\":\"Check your browser's privacy settings.\",\"geoPermissionTitle\":\"Permission Denied\",\"geoTimeoutDesc\":\"Please check your internet connection and try again.\",\"geoTimeoutTitle\":\"Timeout\",\"gradingScoreError\":\"El puntaje total deber\u00eda ser s\u00f3lo \\\"menos que\\\" o \\\"igual que\\\"\",\"incompleteFields\":\"Existen campos requeridos incompletos. Por favor compl\u00e9telos.\",\"inputCarretErrorA\":\"La entrada no debe ser inferior al valor m\u00ednimo:\",\"inputCarretErrorB\":\"La entrada debe ser menor al valor:\",\"lessThan\":\"Tu puntuaci\u00f3n deber\u00eda ser menor o igual que\",\"maxDigitsError\":\"El m\u00e1ximo de d\u00edgitos permitido es\",\"maxFileSize_infoMessage\":\"Tama\u00f1o de Archivo M\u00e1x.\",\"maxSelectionsError\":\"The maximum number of selections allowed is \",\"minSelectionsError\":\"El n\u00famero m\u00ednimo de opciones obligatorias es\",\"multipleError\":\"Hay {count} errores en esta p\u00e1gina. Favor corregirlos antes de continuar.\",\"multipleFileUploads_emptyError\":\"El fichero {file} est\u00e1 vac\u00edo; por favor, selecciona de nuevo los ficheros sin \u00e9l.\",\"multipleFileUploads_fileLimitError\":\"Solo {fileLimit} carga de archivos permitida.\",\"multipleFileUploads_minSizeError\":\"{file} is demasiado peque\u00f1o, el tama\u00f1o m\u00ednimo de fichero es: {minSizeLimit}.\",\"multipleFileUploads_onLeave\":\"Se est\u00e1n cargando los ficheros, si cierras ahora, se cancelar\u00e1 dicha carga.\",\"multipleFileUploads_sizeError\":\"{file} es demasiado grande; el tama\u00f1o del archivo no debe superar los {sizeLimit}.\",\"multipleFileUploads_typeError\":\"El fichero {file} posee una extensi\u00f3n no permitida. S\u00f3lo est\u00e1n permitidas las extensiones {extensions}.\",\"multipleFileUploads_uploadFailed\":\"File upload failed, please remove it and upload the file again.\",\"nextButtonText\":\"Next\",\"noSlotsAvailable\":\"No hay cupos disponibles\",\"noUploadExtensions\":\"File has no extension file type (e.g. .txt, .png, .jpeg)\",\"numeric\":\"Este campo s\u00f3lo admite valores num\u00e9ricos.\",\"oneError\":\"Hay {count} error en esta p\u00e1gina. Favor corregirlo antes de continuar.\",\"pastDatesDisallowed\":\"La fecha debe ser futura\",\"pleaseWait\":\"Por favor, espere ...\",\"prevButtonText\":\"Previous\",\"progressMiddleText\":\"of\",\"required\":\"Campo requerido.\",\"requiredLegend\":\"Todos los campos marcados con * son obligatorios y deben llenarse.\",\"requireEveryCell\":\"Se requieren todas las celdas.\",\"requireEveryRow\":\"Todas las filas son obligatorias.\",\"requireOne\":\"Al menos un campo requerido.\",\"restrictedDomain\":\"This domain is not allowed\",\"reviewBackText\":\"Back to Form\",\"reviewSubmitText\":\"Review and Submit\",\"seeAllText\":\"See All\",\"seeErrorsButton\":\"Ver Errores\",\"slotUnavailable\":\"{time} on {date} has been selected is unavailable. Please select another slot.\",\"submissionLimit\":\"Sorry! Only one entry is allowed.  Multiple submissions are disabled for this form.\",\"submitButtonText\":\"Submit\",\"uploadExtensions\":\"Solo puede subir los siguientes archivos:\",\"uploadFilesize\":\"Tama\u00f1o del archivo no puede ser mayor que:\",\"uploadFilesizemin\":\"Tama\u00f1ao de archivo no puede ser menos de:\",\"url\":\"Este campo solo contiene una URL v\u00e1lida.\",\"validateEmail\":\"You need to validate this e-mail\",\"wordLimitError\":\"Demasiadas palabras. El l\u00edmite es\",\"wordMinLimitError\":\"Muy pocas palabras. El m\u00ednimo es\"});<!-- [et_pb_line_break_holder] -->      JotForm.alterTexts({\"couponApply\":\"Apply\",\"couponBlank\":\"Please enter a coupon.\",\"couponChange\":\"\",\"couponEnter\":\"Enter coupon\",\"couponExpired\":\"Coupon is expired. Please try another one.\",\"couponInvalid\":\"Coupon is invalid.\",\"couponValid\":\"Coupon is valid.\",\"shippingShipping\":\"Shipping\",\"taxTax\":\"Tax\",\"totalSubtotal\":\"Subtotal\",\"totalTotal\":\"Total\"}, true);<!-- [et_pb_line_break_holder] -->      FormTranslation.init({\"detectUserLanguage\":\"1\",\"firstPageOnly\":\"0\",\"options\":\"Spanish (Latin America)\",\"originalLanguage\":\"es-419\",\"primaryLanguage\":\"es-419\",\"saveUserLanguage\":\"1\",\"showStatus\":\"flag-with-nation\",\"theme\":\"light-theme\",\"version\":\"2\"});<!-- [et_pb_line_break_holder] -->\t\/*INIT-END*\/<!-- [et_pb_line_break_holder] -->\t});<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->   setTimeout(function() {<!-- [et_pb_line_break_holder] -->JotForm.paymentExtrasOnTheFly([null,{\"name\":\"registracionEntrenamiento\",\"qid\":\"1\",\"text\":\"Registracion Entrenamiento MPDI: Opa-locka, Florida\",\"type\":\"control_head\"},{\"name\":\"enviar2\",\"qid\":\"2\",\"text\":\"Enviar\",\"type\":\"control_button\"},{\"description\":\"\",\"name\":\"nombreDe3\",\"qid\":\"3\",\"text\":\"Nombre de Registrante\",\"type\":\"control_fullname\"},{\"description\":\"\",\"name\":\"correoElectronico\",\"qid\":\"4\",\"subLabel\":\"Email\",\"text\":\"Correo Electronico\",\"type\":\"control_email\"},{\"description\":\"\",\"name\":\"telefono\",\"qid\":\"5\",\"text\":\"Telefono\",\"type\":\"control_phone\"},{\"description\":\"\",\"name\":\"direccionPostal\",\"qid\":\"6\",\"text\":\"Direccion Postal\",\"type\":\"control_address\"},{\"description\":\"\",\"name\":\"nombreDe\",\"qid\":\"7\",\"subLabel\":\"Church Name\",\"text\":\"Nombre de Iglesia\",\"type\":\"control_textbox\"},{\"description\":\"\",\"name\":\"seccion\",\"qid\":\"8\",\"subLabel\":\"Section\",\"text\":\"Seccion\",\"type\":\"control_dropdown\"},{\"description\":\"\",\"name\":\"noviembre1213\",\"qid\":\"9\",\"text\":\"Noviembre 6-7, 2023 | Iglesia Betesda Opa-locka, FL\",\"type\":\"control_square\"},{\"name\":\"divider\",\"qid\":\"10\",\"type\":\"control_divider\"},null,{\"name\":\"informacionDe\",\"qid\":\"12\",\"text\":\"Informacion de Iglesia\",\"type\":\"control_head\"},{\"name\":\"informacionDe13\",\"qid\":\"13\",\"text\":\"Informacion de Pago\",\"type\":\"control_head\"},{\"name\":\"entrenamientoMpdi14\",\"qid\":\"14\",\"text\":\"Entrenamiento MPDI\",\"type\":\"control_head\"},{\"description\":\"\",\"name\":\"seleccioneFase\",\"qid\":\"15\",\"text\":\"Seleccione Fase:\",\"type\":\"control_radio\"}]);}, 20); <!-- [et_pb_line_break_holder] --><\/script><!-- [et_pb_line_break_holder] --><\/p>\n<style type=\"text\/css\">@media print{.form-section{display:inline!important}.form-pagebreak{display:none!important}.form-section-closed{height:auto!important}.page-section{position:initial!important}}<\/style>\n<p><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn01.jotfor.ms\/themes\/CSS\/5e6b428acc8c4e222d1beb91.css?v=3.3.44959&#038;themeRevisionID=5f7ed99c2c2c7240ba580251\"\/><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn02.jotfor.ms\/css\/styles\/payment\/payment_styles.css?3.3.44959\" \/><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn03.jotfor.ms\/css\/styles\/payment\/payment_feature.css?3.3.44959\" \/><!-- [et_pb_line_break_holder] --><link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/cdn01.jotfor.ms\/stylebuilder\/donationBox.css?v=3.3.44959\"><!-- [et_pb_line_break_holder] --><\/p>\n<style type=\"text\/css\" id=\"form-designer-style\"><!-- [et_pb_line_break_holder] -->@import \"https:\/\/fonts.googleapis.com\/css?family=Open Sans:light,lightitalic,normal,italic,bold,bolditalic\";<!-- [et_pb_line_break_holder] -->    \/* Injected CSS Code *\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\/*PREFERENCES STYLE*\/<!-- [et_pb_line_break_holder] -->  \/* NEW THEME STYLE *\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* colors *\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .form-textbox, .form-textarea {<!-- [et_pb_line_break_holder] -->    color: #2c3345;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .rating-item input:hover+label {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button,<!-- [et_pb_line_break_holder] -->  .until-text,<!-- [et_pb_line_break_holder] -->  .form-submit-reset {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .stageEmpty.isSmall{<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .rating-item label {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .currentDate,<!-- [et_pb_line_break_holder] -->  .pickerItem select,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay,<!-- [et_pb_line_break_holder] -->  .calendar.popup th,<!-- [et_pb_line_break_holder] -->  .calendar.popup table tbody td,<!-- [et_pb_line_break_holder] -->  .calendar-new-header>*,<!-- [et_pb_line_break_holder] -->  .form-collapse-table {<!-- [et_pb_line_break_holder] -->    color: #2C3345;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .dayOfWeek {<!-- [et_pb_line_break_holder] -->    color: #2C3345;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentSlotsContainer > * {<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .jfUpload-heading,<!-- [et_pb_line_break_holder] -->  ::placeholder,<!-- [et_pb_line_break_holder] -->  .form-dropdown.is-active,<!-- [et_pb_line_break_holder] -->  .form-dropdown:first-child,<!-- [et_pb_line_break_holder] -->  .form-spinner-input {<!-- [et_pb_line_break_holder] -->    color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarWeek .calendarDay.isUnavailable,<!-- [et_pb_line_break_holder] -->  .calendar tr.days td.otherDay,<!-- [et_pb_line_break_holder] -->  .calendar tr.days td:hover:not(.unselectable) {<!-- [et_pb_line_break_holder] -->    color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  span.form-sub-label, label.form-sub-label, div.form-header-group .form-subHeader,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-to > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-from > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title .editor-container * {<!-- [et_pb_line_break_holder] -->    color: #57647E;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back{<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .rating-item input:checked+label,<!-- [et_pb_line_break_holder] -->  .rating-item input:focus+label {<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .clear-pad-btn {<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-textbox::placeholder,<!-- [et_pb_line_break_holder] -->  .form-dropdown:not(.time-dropdown):not(:required),<!-- [et_pb_line_break_holder] -->  .form-dropdown:not(:required),<!-- [et_pb_line_break_holder] -->  .form-dropdown:required:invalid {<!-- [et_pb_line_break_holder] -->    color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  \/* border-colors *\/<!-- [et_pb_line_break_holder] -->  .form-dropdown,<!-- [et_pb_line_break_holder] -->  .form-textarea,<!-- [et_pb_line_break_holder] -->  .form-textbox,<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button,<!-- [et_pb_line_break_holder] -->  .rating-item label,<!-- [et_pb_line_break_holder] -->  .rating-item input:focus+label,<!-- [et_pb_line_break_holder] -->  .rating-item input:checked+label,<!-- [et_pb_line_break_holder] -->  .jf-form-buttons,<!-- [et_pb_line_break_holder] -->  .form-checkbox+label:before, .form-checkbox+span:before, .form-radio+label:before, .form-radio+span:before,<!-- [et_pb_line_break_holder] -->  .signature-pad-passive,<!-- [et_pb_line_break_holder] -->  .signature-wrapper,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer,<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePickerName,<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker .pickerItem+.pickerItem,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay.isActive .calendarDayEach, .appointmentCalendar .calendarDay.isToday .calendarDayEach, .appointmentCalendar .calendarDay:not(.empty):hover .calendarDayEach,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before,<!-- [et_pb_line_break_holder] -->  .calendar-new-month,<!-- [et_pb_line_break_holder] -->  .form-matrix-column-headers, .form-matrix-table td, .form-matrix-table td:last-child,<!-- [et_pb_line_break_holder] -->  .form-matrix-table th, .form-matrix-table th:last-child, .form-matrix-table tr:last-child td, .form-matrix-table tr:last-child th, .form-matrix-table tr:not([role=group])+tr[role=group] th,<!-- [et_pb_line_break_holder] -->  .form-matrix-headers.form-matrix-column-headers,<!-- [et_pb_line_break_holder] -->  .isSelected .form-matrix-column-headers:nth-last-of-type(2),<!-- [et_pb_line_break_holder] -->  li[data-type=control_inline] input[type=email], li[data-type=control_inline] input[type=number],<!-- [et_pb_line_break_holder] -->  li[data-type=control_inline] input[type=tel], li[data-type=control_inline] input[type=text],<!-- [et_pb_line_break_holder] -->  .stageEmpty.isSmall {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .rating-item input:hover+label {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentSlot,<!-- [et_pb_line_break_holder] -->  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,<!-- [et_pb_line_break_holder] -->  .form-radio:checked+label:before, .form-radio:checked+span:before,<!-- [et_pb_line_break_holder] -->  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,<!-- [et_pb_line_break_holder] -->  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .calendar tr.days td:hover:not(.unselectable):after {<!-- [et_pb_line_break_holder] -->    border-color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-header-group,<!-- [et_pb_line_break_holder] -->  .form-buttons-wrapper, .form-pagebreak, .form-submit-clear-wrapper,<!-- [et_pb_line_break_holder] -->  .form-pagebreak-next,<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back,<!-- [et_pb_line_break_holder] -->  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before{<!-- [et_pb_line_break_holder] -->    border-color: #ECEDF3;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  \/* background-colors *\/<!-- [et_pb_line_break_holder] -->  .form-line-active {<!-- [et_pb_line_break_holder] -->    background-color: #F1F5FF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line-error {<!-- [et_pb_line_break_holder] -->    background-color: #FFD6D6;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-matrix-column-headers, .form-matrix-row-headers,<!-- [et_pb_line_break_holder] -->  .form-spinner-button-container>*,<!-- [et_pb_line_break_holder] -->  .form-collapse-table,<!-- [et_pb_line_break_holder] -->  .form-collapse-table:hover,<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton {<!-- [et_pb_line_break_holder] -->    background-color: #e5eaf4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .calendar.popup, .calendar.popup table,<!-- [et_pb_line_break_holder] -->  .calendar.popup table tbody td:after{<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay.isActive .calendarDayEach,<!-- [et_pb_line_break_holder] -->  .appointmentFieldRow.forSelectedDate,<!-- [et_pb_line_break_holder] -->  .calendar.popup tr.days td.selected:after,<!-- [et_pb_line_break_holder] -->  .calendar.popup:after,<!-- [et_pb_line_break_holder] -->  .submit-button,<!-- [et_pb_line_break_holder] -->  .form-checkbox:checked+label:before, .form-checkbox:checked+span:before, .form-checkbox:checked+span label:before,<!-- [et_pb_line_break_holder] -->  .form-radio+label:after, .form-radio+span:after,<!-- [et_pb_line_break_holder] -->  .rating-item input:checked+label,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay:after,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,<!-- [et_pb_line_break_holder] -->  .rating-item input:focus+label {<!-- [et_pb_line_break_holder] -->    background-color: #2e69ff;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentSlot.active {<!-- [et_pb_line_break_holder] -->    background-color: #2e69ff !important;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .clear-pad-btn,<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .dayOfWeek,<!-- [et_pb_line_break_holder] -->  .calendar.popup th {<!-- [et_pb_line_break_holder] -->    background-color: #ECEDF3 !important;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePicker:hover+.timezonePickerName,<!-- [et_pb_line_break_holder] -->  .form-spinner-button-container>*:hover {<!-- [et_pb_line_break_holder] -->    background-color: #96B4FF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-matrix-values,<!-- [et_pb_line_break_holder] -->  .form-matrix-values,<!-- [et_pb_line_break_holder] -->  .signature-wrapper,<!-- [et_pb_line_break_holder] -->  .signature-pad-passive,<!-- [et_pb_line_break_holder] -->  .rating-item label,<!-- [et_pb_line_break_holder] -->  .form-checkbox+label:before, .form-checkbox+span:before,<!-- [et_pb_line_break_holder] -->  .form-radio+label:before, .form-radio+span:before {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected<!-- [et_pb_line_break_holder] -->  .questionLine-editButton.forRemove:after, <!-- [et_pb_line_break_holder] -->  .JotFormBuilder .appContainer #app li.form-line[data-type=control_matrix].isSelected .questionLine-editButton.forRemove:before {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer, .appointmentSlot,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-to > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title.for-from > label:first-child,<!-- [et_pb_line_break_holder] -->  .rating-item-title .editor-container *,<!-- [et_pb_line_break_holder] -->  .calendar-opened {<!-- [et_pb_line_break_holder] -->    background-color: transparent;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendar .calendarDay.isSelected:after {<!-- [et_pb_line_break_holder] -->    color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  \/* shadow *\/<!-- [et_pb_line_break_holder] -->  .form-dropdown:hover, .form-textarea:hover, .form-textbox:hover, .signature-wrapper:hover,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before,<!-- [et_pb_line_break_holder] -->  .jSignature:hover,<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button-hover,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .checked,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox:hover .select_border,<!-- [et_pb_line_break_holder] -->  .form-checkbox:hover+label:before, .form-checkbox:hover+span:before, .form-radio:hover+label:before, .form-radio:hover+span:before,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before {<!-- [et_pb_line_break_holder] -->    border-color: rgba(169, 191, 249, 0.5);<!-- [et_pb_line_break_holder] -->    box-shadow: 0 0 0 2px rgba(201, 216, 254, 0.25);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-dropdown:focus, .form-textarea:focus, .form-textbox:focus, .signature-wrapper:focus,<!-- [et_pb_line_break_holder] -->  li[data-type=control_fileupload] .qq-upload-button-focus,<!-- [et_pb_line_break_holder] -->  .form-checkbox:focus+label:before, .form-checkbox:focus+span:before, .form-radio:focus+label:before, .form-radio:focus+span:before,<!-- [et_pb_line_break_holder] -->  .calendar.popup:before {<!-- [et_pb_line_break_holder] -->    border-color: rgba(46, 105, 255, 1);<!-- [et_pb_line_break_holder] -->    box-shadow: 0 0 0 3px rgba(201, 216, 254, 0.25);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .calendar.popup table tbody td{<!-- [et_pb_line_break_holder] -->    box-shadow: none;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* button colors *\/<!-- [et_pb_line_break_holder] -->  .submit-button {<!-- [et_pb_line_break_holder] -->    background-color: #18BD5B;<!-- [et_pb_line_break_holder] -->    border-color: #18BD5B;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .submit-button:hover {<!-- [et_pb_line_break_holder] -->    background-color: #16AA52;<!-- [et_pb_line_break_holder] -->    border-color: #16AA52;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-next {<!-- [et_pb_line_break_holder] -->    background-color: #ECEDF3;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back {<!-- [et_pb_line_break_holder] -->    background-color: #ECEDF3;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-back:hover {<!-- [et_pb_line_break_holder] -->    background-color: #CED0DA;<!-- [et_pb_line_break_holder] -->    border-color: #CED0DA;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-pagebreak-next:hover {<!-- [et_pb_line_break_holder] -->    background-color: #2554CC;<!-- [et_pb_line_break_holder] -->    border-color: #2554CC;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-sacl-button, .form-submit-print {<!-- [et_pb_line_break_holder] -->    background-color: transparent;<!-- [et_pb_line_break_holder] -->    color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-sacl-button:hover, .form-submit-print:hover,<!-- [et_pb_line_break_holder] -->  .appointmentSlot:not(.disabled):not(.active):hover,<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton:hover,<!-- [et_pb_line_break_holder] -->  .rating-item input:hover+label {<!-- [et_pb_line_break_holder] -->    background-color: #96B4FF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* payment styles *\/<!-- [et_pb_line_break_holder] -->  <!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-textbox,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .select-area,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] #coupon-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] #coupon-container input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] input#productSearch-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-product-category-item:after,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .filter-container .dropdown-container .select-content,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .p_checkbox .select_border,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .form-product-item .form-product-container .form-sub-label-container span.select_cont,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] select.form-dropdown {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: #C3CAD8;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] hr,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .p_item_separator,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=\"true\"] .payment_footer.new_ui,<!-- [et_pb_line_break_holder] -->  .form-line.card-3col .form-product-item.new_ui,<!-- [et_pb_line_break_holder] -->  .form-line.card-2col .form-product-item.new_ui {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: rgba(195,202,216,.5);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-product-category-item {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->    border-color: #d9dde4;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] #coupon-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .form-textbox.form-product-custom_quantity,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] input#productSearch-input,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .select-area,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .custom_quantity,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .filter-container .select-content,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .p_checkbox .select_border {<!-- [et_pb_line_break_holder] -->    background-color: #FFFFFF;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-product-category-item:after {<!-- [et_pb_line_break_holder] -->   background-color: #ffffff;<!-- [et_pb_line_break_holder] -->   border-color: #ffffff;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true].form-line.card-3col .form-product-item,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true].form-line.card-2col .form-product-item {<!-- [et_pb_line_break_holder] -->   background-color: undefined;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table input.form-textbox,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table input.form-dropdown,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table .form-sub-label-container > div,<!-- [et_pb_line_break_holder] -->  .form-line[data-payment=true] .payment-form-table span.form-sub-label-container iframe,<!-- [et_pb_line_break_holder] -->  .form-line[data-type=control_square] .payment-form-table span.form-sub-label-container iframe {<!-- [et_pb_line_break_holder] -->    border-color: rgba(195, 202, 216, 0.75);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* icons *\/<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePickerName:before {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker .pickerArrow.prev:after {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .monthYearPicker .pickerArrow.next:after {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentField .timezonePickerName:after {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->    width: 11px;<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  li[data-type=control_datetime] [data-wrapper-react=true].extended>div+.form-sub-label-container .form-textbox:placeholder-shown,<!-- [et_pb_line_break_holder] -->  li[data-type=control_datetime] [data-wrapper-react=true]:not(.extended) .form-textbox:not(.time-dropdown):placeholder-shown,<!-- [et_pb_line_break_holder] -->  .appointmentCalendarContainer .currentDate {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,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);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .form-star-rating-star.Stars {<!-- [et_pb_line_break_holder] -->    background-image: 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[et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] -->  .appointmentDayPickerButton {<!-- [et_pb_line_break_holder] -->    background-image: url(data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iOCIgaGVpZ2h0PSIxNCIgdmlld0JveD0iMCAwIDggMTQiIGZpbGw9Im5vbmUiIHhtbG5zPSJodHRwOi8vd3d3LnczLm9yZy8yMDAwL3N2ZyI+CjxwYXRoIGQ9Ik0xIDEzTDcgN0wxIDAuOTk5OTk5IiBzdHJva2U9IiM4Nzk1QUMiIHN0cm9rZS13aWR0aD0iMiIgc3Ryb2tlLWxpbmVjYXA9InJvdW5kIiBzdHJva2UtbGluZWpvaW49InJvdW5kIi8+Cjwvc3ZnPgo=);<!-- [et_pb_line_break_holder] -->  }<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->  \/* NEW THEME STYLE *\/<!-- [et_pb_line_break_holder] -->  \/*PREFERENCES STYLE*\/<!-- [et_pb_line_break_holder] -->*,<!-- [et_pb_line_break_holder] -->*:after,<!-- [et_pb_line_break_holder] -->*:before {<!-- [et_pb_line_break_holder] -->  box-sizing: border-box;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.main .jotform-form {<!-- [et_pb_line_break_holder] -->  width: 100%;<!-- [et_pb_line_break_holder] -->  padding: 0 3%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  display: flex;<!-- [et_pb_line_break_holder] -->  flex-direction: column;<!-- [et_pb_line_break_holder] -->  width: 100%;<!-- [et_pb_line_break_holder] -->  max-width: 752px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-active {<!-- [et_pb_line_break_holder] -->  background-color: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  font-size: 16px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li.form-line {<!-- [et_pb_line_break_holder] -->  margin-top: 0px;<!-- [et_pb_line_break_holder] -->  margin-bottom: 0px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line {<!-- [et_pb_line_break_holder] -->  padding: 18px 4px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-section {<!-- [et_pb_line_break_holder] -->  padding: 0px 38px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-textbox,<!-- [et_pb_line_break_holder] -->.form-textarea,<!-- [et_pb_line_break_holder] -->.form-radio-other-input,<!-- [et_pb_line_break_holder] -->.form-checkbox-other-input,<!-- [et_pb_line_break_holder] -->.form-captcha input,<!-- [et_pb_line_break_holder] -->.form-spinner input {<!-- [et_pb_line_break_holder] -->  background-color: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-label {<!-- [et_pb_line_break_holder] -->  margin-bottom: 7px;<!-- [et_pb_line_break_holder] -->  margin-right: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-label {<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-column {<!-- [et_pb_line_break_holder] -->  width: calc(50% - 8px);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item label,<!-- [et_pb_line_break_holder] -->.form-checkbox-item span,<!-- [et_pb_line_break_holder] -->.form-radio-item label,<!-- [et_pb_line_break_holder] -->.form-radio-item span {<!-- [et_pb_line_break_holder] -->  color: #404a64;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio-item,<!-- [et_pb_line_break_holder] -->.form-checkbox-item {<!-- [et_pb_line_break_holder] -->  padding-bottom: 0px !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio-item:last-child,<!-- [et_pb_line_break_holder] -->.form-checkbox-item:last-child {<!-- [et_pb_line_break_holder] -->  padding-bottom: 0;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-single-column .form-checkbox-item,<!-- [et_pb_line_break_holder] -->.form-single-column .form-radio-item {<!-- [et_pb_line_break_holder] -->  width: 100%;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item .editor-container div,<!-- [et_pb_line_break_holder] -->.form-radio-item .editor-container div {<!-- [et_pb_line_break_holder] -->  position: relative;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item .editor-container div:before,<!-- [et_pb_line_break_holder] -->.form-radio-item .editor-container div:before {<!-- [et_pb_line_break_holder] -->  display: inline-block;<!-- [et_pb_line_break_holder] -->  vertical-align: middle;<!-- [et_pb_line_break_holder] -->  left: 0;<!-- [et_pb_line_break_holder] -->  width: 20px;<!-- [et_pb_line_break_holder] -->  height: 20px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox-item input,<!-- [et_pb_line_break_holder] -->.form-radio-item input {<!-- [et_pb_line_break_holder] -->  margin-top: 2px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox:checked + label:before,<!-- [et_pb_line_break_holder] -->.form-checkbox:checked + span:before {<!-- [et_pb_line_break_holder] -->  background-color: #2e69ff;<!-- [et_pb_line_break_holder] -->  border-color: #2e69ff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio:checked + label:before,<!-- [et_pb_line_break_holder] -->.form-radio:checked + span:before {<!-- [et_pb_line_break_holder] -->  border-color: #2e69ff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-radio:checked + label:after,<!-- [et_pb_line_break_holder] -->.form-radio:checked + span:after {<!-- [et_pb_line_break_holder] -->  background-color: #2e69ff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox:hover + label:before,<!-- [et_pb_line_break_holder] -->.form-checkbox:hover + span:before,<!-- [et_pb_line_break_holder] -->.form-radio:hover + label:before,<!-- [et_pb_line_break_holder] -->.form-radio:hover + span:before {<!-- [et_pb_line_break_holder] -->  border-color: rgba(46, 105, 255, 0.5);<!-- [et_pb_line_break_holder] -->  box-shadow: 0 0 0 2px rgba(46, 105, 255, 0.25);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-checkbox:focus + label:before,<!-- [et_pb_line_break_holder] -->.form-checkbox:focus + span:before,<!-- [et_pb_line_break_holder] -->.form-radio:focus + label:before,<!-- [et_pb_line_break_holder] -->.form-radio:focus + span:before {<!-- [et_pb_line_break_holder] -->  border-color: #2e69ff;<!-- [et_pb_line_break_holder] -->  box-shadow: 0 0 0 3px rgba(46, 105, 255, 0.25);<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.submit-button {<!-- [et_pb_line_break_holder] -->  font-size: 16px;<!-- [et_pb_line_break_holder] -->  font-weight: normal;<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.submit-button {<!-- [et_pb_line_break_holder] -->  min-width: 180px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-back,<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-next {<!-- [et_pb_line_break_holder] -->  font-family: \"Inter\", sans-serif;<!-- [et_pb_line_break_holder] -->  font-size: 16px;<!-- [et_pb_line_break_holder] -->  font-weight: normal;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-back,<!-- [et_pb_line_break_holder] -->.form-all .form-pagebreak-next {<!-- [et_pb_line_break_holder] -->  min-width: 128px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li[data-type=\"control_image\"] div {<!-- [et_pb_line_break_holder] -->  text-align: left;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->li[data-type=\"control_image\"] img {<!-- [et_pb_line_break_holder] -->  border: none;<!-- [et_pb_line_break_holder] -->  border-width: 0px !important;<!-- [et_pb_line_break_holder] -->  border-style: solid !important;<!-- [et_pb_line_break_holder] -->  border-color: false !important;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova {<!-- [et_pb_line_break_holder] -->  height: 100%;<!-- [et_pb_line_break_holder] -->  background-repeat: no-repeat;<!-- [et_pb_line_break_holder] -->  background-attachment: scroll;<!-- [et_pb_line_break_holder] -->  background-position: center top;<!-- [et_pb_line_break_holder] -->  background-repeat: repeat;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova {<!-- [et_pb_line_break_holder] -->  background-image: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->#stage {<!-- [et_pb_line_break_holder] -->  background-image: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->\/* | *\/<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  background-repeat: no-repeat;<!-- [et_pb_line_break_holder] -->  background-attachment: scroll;<!-- [et_pb_line_break_holder] -->  background-position: center top;<!-- [et_pb_line_break_holder] -->  background-repeat: repeat;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group {<!-- [et_pb_line_break_holder] -->  background-repeat: no-repeat;<!-- [et_pb_line_break_holder] -->  background-attachment: scroll;<!-- [et_pb_line_break_holder] -->  background-position: center top;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h1.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 2em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h2.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.5em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h3.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.17em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h1 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: 1em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h2 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .875em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-large h3 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .75em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h1.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 2em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h2.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.5em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h3.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.17em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h1 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: 1em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h2 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .875em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-default h3 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .75em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h1.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 2em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h2.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.5em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h3.form-header {<!-- [et_pb_line_break_holder] -->  font-size: 1.17em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h1 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: 1em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h2 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .875em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.header-small h3 + .form-subHeader {<!-- [et_pb_line_break_holder] -->  font-size: .75em;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group {<!-- [et_pb_line_break_holder] -->  text-align: left;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group {<!-- [et_pb_line_break_holder] -->  font-family: \"Open Sans\", sans-serif;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->div.form-header-group.header-large,<!-- [et_pb_line_break_holder] -->div.form-header-group.hasImage {<!-- [et_pb_line_break_holder] -->  margin: 0px -38px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->div.form-header-group.header-large,<!-- [et_pb_line_break_holder] -->div.form-header-group.hasImage {<!-- [et_pb_line_break_holder] -->  padding: 40px 52px;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group .form-header,<!-- [et_pb_line_break_holder] -->.form-header-group .form-subHeader {<!-- [et_pb_line_break_holder] -->  color: #ffffff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-header-group {<!-- [et_pb_line_break_holder] -->  background-color: #304fa2;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error {<!-- [et_pb_line_break_holder] -->  overflow: hidden;<!-- [et_pb_line_break_holder] -->  -webkit-transition-property: none;<!-- [et_pb_line_break_holder] -->  -moz-transition-property: none;<!-- [et_pb_line_break_holder] -->  -ms-transition-property: none;<!-- [et_pb_line_break_holder] -->  -o-transition-property: none;<!-- [et_pb_line_break_holder] -->  transition-property: none;<!-- [et_pb_line_break_holder] -->  -webkit-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -moz-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -ms-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -o-transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  transition-duration: 0.3s;<!-- [et_pb_line_break_holder] -->  -webkit-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  -moz-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  -ms-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  -o-transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  transition-timing-function: ease;<!-- [et_pb_line_break_holder] -->  background-color: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error .form-error-message {<!-- [et_pb_line_break_holder] -->  background-color: #f23a3c;<!-- [et_pb_line_break_holder] -->  clear: both;<!-- [et_pb_line_break_holder] -->  float: none;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error .form-error-message .form-error-arrow {<!-- [et_pb_line_break_holder] -->  border-bottom-color: #f23a3c;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-line-error input:not(#coupon-input),<!-- [et_pb_line_break_holder] -->.form-line-error textarea,<!-- [et_pb_line_break_holder] -->.form-line-error .form-validation-error {<!-- [et_pb_line_break_holder] -->  border: 1px solid #f23a3c;<!-- [et_pb_line_break_holder] -->  box-shadow: 0 0 3px #f23a3c;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova {<!-- [et_pb_line_break_holder] -->  background-color: #ffffff;<!-- [et_pb_line_break_holder] -->  background-color: #ecedf3;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova body {<!-- [et_pb_line_break_holder] -->  background-color: transparent;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.supernova .form-all,<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  background-color: #ffffff;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-matrix-table tr {<!-- [et_pb_line_break_holder] -->  border-color: #e6e6e6;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-matrix-table tr:nth-child(2n) {<!-- [et_pb_line_break_holder] -->  background-color: #f2f2f2;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-all {<!-- [et_pb_line_break_holder] -->  color: #2c3345;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] -->.form-label-top,<!-- [et_pb_line_break_holder] -->.form-label-left,<!-- [et_pb_line_break_holder] -->.form-label-right,<!-- [et_pb_line_break_holder] -->.form-html {<!-- [et_pb_line_break_holder] -->  color: #2c3345;<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->\/*__INSPECT_SEPERATOR__*\/<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->    \/* Injected CSS Code *\/<!-- [et_pb_line_break_holder] --><\/style>\n<p><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><\/p>\n<form class=\"jotform-form\" action=\"https:\/\/submit.jotform.com\/submit\/232430733160142\" method=\"post\" name=\"form_232430733160142\" id=\"232430733160142\" accept-charset=\"utf-8\" autocomplete=\"on\"><input type=\"hidden\" name=\"formID\" value=\"232430733160142\" \/><input type=\"hidden\" id=\"JWTContainer\" value=\"\" \/><input type=\"hidden\" id=\"cardinalOrderNumber\" value=\"\" \/><!-- [et_pb_line_break_holder] -->  <\/p>\n<div role=\"main\" class=\"form-all\"><!-- [et_pb_line_break_holder] -->    <link type=\"text\/css\" rel=\"stylesheet\" media=\"all\" href=\"https:\/\/cdn.jotfor.ms\/wizards\/languageWizard\/custom-dropdown\/css\/lang-dd.css?3.3.44959\" \/><!-- [et_pb_line_break_holder] -->    <\/p>\n<div class=\"cont\"><input type=\"text\" id=\"input_language\" name=\"input_language\" style=\"display:none\" \/><!-- [et_pb_line_break_holder] -->      <\/p>\n<div class=\"language-dd\" id=\"langDd\" style=\"display:none\"><!-- [et_pb_line_break_holder] -->        <\/p>\n<div class=\"dd-placeholder lang-emp\">Language<\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/p>\n<ul class=\"lang-list dn\" id=\"langList\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<li data-lang=\"es-419\" class=\"es-419\">Spanish (Latin America)<\/li>\n<p><!-- [et_pb_line_break_holder] -->        <\/ul>\n<p><!-- [et_pb_line_break_holder] -->      <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <\/div>\n<p><!-- [et_pb_line_break_holder] -->    <script type=\"text\/javascript\" src=\"https:\/\/cdn.jotfor.ms\/js\/formTranslation.v2.js?3.3.44959\"><\/script><!-- [et_pb_line_break_holder] -->    <\/p>\n<ul class=\"form-section page-section\"><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_1\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_1\" class=\"form-header\" data-component=\"header\">Registraci\u00f3n Entrenamiento MPDI: Opa-locka, Florida<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line jf-required\" data-type=\"control_fullname\" id=\"id_3\" data-compound-hint=\"Nombre,Apellido\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_3\" for=\"first_3\" aria-hidden=\"false\"> Nombre de Registrante<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_3\" class=\"form-input-wide jf-required\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div data-wrapper-react=\"true\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"first\"><input type=\"text\" id=\"first_3\" name=\"q3_nombreDe3[first]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_3 given-name\" size=\"10\" value=\"\" placeholder=\"Nombre\" data-component=\"first\" aria-labelledby=\"label_3 sublabel_3_first\" required=\"\" \/><label class=\"form-sub-label\" for=\"first_3\" id=\"sublabel_3_first\" style=\"min-height:13px\" aria-hidden=\"false\">First Name<\/label><\/span><span class=\"form-sub-label-container\" style=\"vertical-align:top\" data-input-type=\"last\"><input type=\"text\" id=\"last_3\" name=\"q3_nombreDe3[last]\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" autoComplete=\"section-input_3 family-name\" size=\"15\" value=\"\" placeholder=\"Apellido\" data-component=\"last\" aria-labelledby=\"label_3 sublabel_3_last\" required=\"\" \/><label class=\"form-sub-label\" for=\"last_3\" id=\"sublabel_3_last\" style=\"min-height:13px\" aria-hidden=\"false\">Last Name<\/label><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_email\" id=\"id_4\"><label class=\"form-label form-label-top\" id=\"label_4\" for=\"input_4\" aria-hidden=\"false\"> Correo Electr\u00f3nico<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_4\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"email\" id=\"input_4\" name=\"q4_correoElectronico\" class=\"form-textbox validate[required, Email]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"email\" aria-labelledby=\"label_4 sublabel_input_4\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_4\" id=\"sublabel_input_4\" style=\"min-height:13px\" aria-hidden=\"false\">Email<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_phone\" id=\"id_5\"><label class=\"form-label form-label-top\" id=\"label_5\" for=\"input_5_full\"> Tel\u00e9fono<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_5\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"tel\" id=\"input_5_full\" name=\"q5_telefono[full]\" data-type=\"mask-number\" class=\"mask-phone-number form-textbox validate[required, Fill Mask]\" data-defaultvalue=\"\" autoComplete=\"section-input_5 tel-national\" style=\"width:310px\" data-masked=\"true\" value=\"\" placeholder=\"(000) 000-0000\" data-component=\"phone\" aria-labelledby=\"label_5 sublabel_5_masked\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_5_full\" id=\"sublabel_5_masked\" style=\"min-height:13px\" aria-hidden=\"false\">Phone Number<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line jf-required\" data-type=\"control_address\" id=\"id_6\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_6\" for=\"input_6_addr_line1\" aria-hidden=\"false\"> Direcci\u00f3n Postal<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_6\" class=\"form-input-wide jf-required\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div summary=\"\" class=\"form-address-table jsTest-addressField\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_addr_line1\" name=\"q6_direccionPostal[addr_line1]\" class=\"form-textbox validate[required] form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_6 address-line1\" value=\"\" data-component=\"address_line_1\" aria-labelledby=\"label_6 sublabel_6_addr_line1\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_6_addr_line1\" id=\"sublabel_6_addr_line1\" style=\"min-height:13px\" aria-hidden=\"false\">Mailing Address<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\" style=\"display:none\"><span class=\"form-address-line form-address-street-line jsTest-address-lineField\"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_addr_line2\" name=\"q6_direccionPostal[addr_line2]\" class=\"form-textbox form-address-line\" data-defaultvalue=\"\" autoComplete=\"section-input_6 off\" value=\"\" data-component=\"address_line_2\" aria-labelledby=\"label_6 sublabel_6_addr_line2\" \/><label class=\"form-sub-label\" for=\"input_6_addr_line2\" id=\"sublabel_6_addr_line2\" style=\"min-height:13px\" aria-hidden=\"false\">Street Address Line 2<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-city-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_city\" name=\"q6_direccionPostal[city]\" class=\"form-textbox validate[required] form-address-city\" data-defaultvalue=\"\" autoComplete=\"section-input_6 address-level2\" value=\"\" data-component=\"city\" aria-labelledby=\"label_6 sublabel_6_city\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_6_city\" id=\"sublabel_6_city\" style=\"min-height:13px\" aria-hidden=\"false\">City<\/label><\/span><\/span><span class=\"form-address-line form-address-state-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required] form-address-state\" name=\"q6_direccionPostal[state]\" id=\"input_6_state\" data-component=\"state\" required=\"\" aria-labelledby=\"label_6 sublabel_6_state\" autoComplete=\"section-input_6 address-level1\"><!-- [et_pb_line_break_holder] --><option selected=\"\" value=\"\">Please Select<\/option><!-- [et_pb_line_break_holder] --><option value=\"Alabama\">Alabama<\/option><!-- [et_pb_line_break_holder] --><option value=\"Alaska\">Alaska<\/option><!-- [et_pb_line_break_holder] --><option value=\"Arizona\">Arizona<\/option><!-- [et_pb_line_break_holder] --><option value=\"Arkansas\">Arkansas<\/option><!-- [et_pb_line_break_holder] --><option value=\"California\">California<\/option><!-- [et_pb_line_break_holder] --><option value=\"Colorado\">Colorado<\/option><!-- [et_pb_line_break_holder] --><option value=\"Connecticut\">Connecticut<\/option><!-- [et_pb_line_break_holder] --><option value=\"Delaware\">Delaware<\/option><!-- [et_pb_line_break_holder] --><option value=\"District of Columbia\">District of Columbia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Florida\">Florida<\/option><!-- [et_pb_line_break_holder] --><option value=\"Georgia\">Georgia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Hawaii\">Hawaii<\/option><!-- [et_pb_line_break_holder] --><option value=\"Idaho\">Idaho<\/option><!-- [et_pb_line_break_holder] --><option value=\"Illinois\">Illinois<\/option><!-- [et_pb_line_break_holder] --><option value=\"Indiana\">Indiana<\/option><!-- [et_pb_line_break_holder] --><option value=\"Iowa\">Iowa<\/option><!-- [et_pb_line_break_holder] --><option value=\"Kansas\">Kansas<\/option><!-- [et_pb_line_break_holder] --><option value=\"Kentucky\">Kentucky<\/option><!-- [et_pb_line_break_holder] --><option value=\"Louisiana\">Louisiana<\/option><!-- [et_pb_line_break_holder] --><option value=\"Maine\">Maine<\/option><!-- [et_pb_line_break_holder] --><option value=\"Maryland\">Maryland<\/option><!-- [et_pb_line_break_holder] --><option value=\"Massachusetts\">Massachusetts<\/option><!-- [et_pb_line_break_holder] --><option value=\"Michigan\">Michigan<\/option><!-- [et_pb_line_break_holder] --><option value=\"Minnesota\">Minnesota<\/option><!-- [et_pb_line_break_holder] --><option value=\"Mississippi\">Mississippi<\/option><!-- [et_pb_line_break_holder] --><option value=\"Missouri\">Missouri<\/option><!-- [et_pb_line_break_holder] --><option value=\"Montana\">Montana<\/option><!-- [et_pb_line_break_holder] --><option value=\"Nebraska\">Nebraska<\/option><!-- [et_pb_line_break_holder] --><option value=\"Nevada\">Nevada<\/option><!-- [et_pb_line_break_holder] --><option value=\"New Hampshire\">New Hampshire<\/option><!-- [et_pb_line_break_holder] --><option value=\"New Jersey\">New Jersey<\/option><!-- [et_pb_line_break_holder] --><option value=\"New Mexico\">New Mexico<\/option><!-- [et_pb_line_break_holder] --><option value=\"New York\">New York<\/option><!-- [et_pb_line_break_holder] --><option value=\"North Carolina\">North Carolina<\/option><!-- [et_pb_line_break_holder] --><option value=\"North Dakota\">North Dakota<\/option><!-- [et_pb_line_break_holder] --><option value=\"Ohio\">Ohio<\/option><!-- [et_pb_line_break_holder] --><option value=\"Oklahoma\">Oklahoma<\/option><!-- [et_pb_line_break_holder] --><option value=\"Oregon\">Oregon<\/option><!-- [et_pb_line_break_holder] --><option value=\"Pennsylvania\">Pennsylvania<\/option><!-- [et_pb_line_break_holder] --><option value=\"Puerto Rico\">Puerto Rico<\/option><!-- [et_pb_line_break_holder] --><option value=\"Rhode Island\">Rhode Island<\/option><!-- [et_pb_line_break_holder] --><option value=\"South Carolina\">South Carolina<\/option><!-- [et_pb_line_break_holder] --><option value=\"South Dakota\">South Dakota<\/option><!-- [et_pb_line_break_holder] --><option value=\"Tennessee\">Tennessee<\/option><!-- [et_pb_line_break_holder] --><option value=\"Texas\">Texas<\/option><!-- [et_pb_line_break_holder] --><option value=\"Utah\">Utah<\/option><!-- [et_pb_line_break_holder] --><option value=\"Vermont\">Vermont<\/option><!-- [et_pb_line_break_holder] --><option value=\"Virgin Islands\">Virgin Islands<\/option><!-- [et_pb_line_break_holder] --><option value=\"Virginia\">Virginia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Washington\">Washington<\/option><!-- [et_pb_line_break_holder] --><option value=\"West Virginia\">West Virginia<\/option><!-- [et_pb_line_break_holder] --><option value=\"Wisconsin\">Wisconsin<\/option><!-- [et_pb_line_break_holder] --><option value=\"Wyoming\">Wyoming<\/option><!-- [et_pb_line_break_holder] -->                  <\/select><label class=\"form-sub-label\" for=\"input_6_state\" id=\"sublabel_6_state\" style=\"min-height:13px\" aria-hidden=\"false\">State<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div class=\"form-address-line-wrapper jsTest-address-line-wrapperField\"><span class=\"form-address-line form-address-zip-line jsTest-address-lineField \"><span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_6_postal\" name=\"q6_direccionPostal[postal]\" class=\"form-textbox validate[required] form-address-postal\" data-defaultvalue=\"\" autoComplete=\"section-input_6 postal-code\" value=\"\" data-component=\"zip\" aria-labelledby=\"label_6 sublabel_6_postal\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_6_postal\" id=\"sublabel_6_postal\" style=\"min-height:13px\" aria-hidden=\"false\">Zip Code<\/label><\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line\" data-type=\"control_divider\" id=\"id_10\"><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_10\" class=\"form-input-wide\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"divider\" data-component=\"divider\" style=\"border-bottom-width:1px;border-bottom-style:solid;border-color:#e6e6e6;height:1px;margin-left:0px;margin-right:0px;margin-top:5px;margin-bottom:5px\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_12\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_12\" class=\"form-header\" data-component=\"header\">Informaci\u00f3n de Iglesia<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-1 jf-required\" data-type=\"control_textbox\" id=\"id_7\"><label class=\"form-label form-label-top\" id=\"label_7\" for=\"input_7\" aria-hidden=\"false\"> Nombre de Iglesia<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_7\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><input type=\"text\" id=\"input_7\" name=\"q7_nombreDe\" data-type=\"input-textbox\" class=\"form-textbox validate[required]\" data-defaultvalue=\"\" style=\"width:310px\" size=\"310\" value=\"\" data-component=\"textbox\" aria-labelledby=\"label_7 sublabel_input_7\" required=\"\" \/><label class=\"form-sub-label\" for=\"input_7\" id=\"sublabel_input_7\" style=\"min-height:13px\" aria-hidden=\"false\">Church Name<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line form-line-column form-col-2 jf-required\" data-type=\"control_dropdown\" id=\"id_8\"><label class=\"form-label form-label-top\" id=\"label_8\" for=\"input_8\" aria-hidden=\"false\"> Secci\u00f3n<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_8\" class=\"form-input-wide jf-required\" data-layout=\"half\"> <span class=\"form-sub-label-container\" style=\"vertical-align:top\"><select class=\"form-dropdown validate[required]\" id=\"input_8\" name=\"q8_seccion\" style=\"width:310px\" data-component=\"dropdown\" required=\"\" aria-label=\"Secci\u00f3n\"><!-- [et_pb_line_break_holder] --><option value=\"\">Please Select<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 1North\">Section 1North<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 1South\">Section 1South<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 2\">Section 2<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 3\">Section 3<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 4\">Section 4<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 5\">Section 5<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 6\">Section 6<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 7\">Section 7<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 8\">Section 8<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 9\">Section 9<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 10\">Section 10<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 11\">Section 11<\/option><!-- [et_pb_line_break_holder] --><option value=\"Section 12\">Section 12<\/option><!-- [et_pb_line_break_holder] -->            <\/select><label class=\"form-sub-label\" for=\"input_8\" id=\"sublabel_input_8\" style=\"min-height:13px\" aria-hidden=\"false\">Section<\/label><\/span> <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_14\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_14\" class=\"form-header\" data-component=\"header\">Entrenamiento MPDI<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line jf-required\" data-type=\"control_radio\" id=\"id_15\"><label class=\"form-label form-label-top form-label-auto\" id=\"label_15\" for=\"input_15\" aria-hidden=\"false\"> Seleccione Fase:<span class=\"form-required\">*<\/span> <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_15\" class=\"form-input-wide jf-required\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"form-single-column\" role=\"group\" aria-labelledby=\"label_15\" data-component=\"radio\"><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio validate[required]\" id=\"input_15_0\" name=\"q15_seleccioneFase\" value=\"Fase 1\" required=\"\" \/><label id=\"label_input_15_0\" for=\"input_15_0\">Fase 1<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio validate[required]\" id=\"input_15_1\" name=\"q15_seleccioneFase\" value=\"Fase 2\" required=\"\" \/><label id=\"label_input_15_1\" for=\"input_15_1\">Fase 2<\/label><\/span><span class=\"form-radio-item\" style=\"clear:left\"><span class=\"dragger-item\"><\/span><input type=\"radio\" aria-describedby=\"label_15\" class=\"form-radio validate[required]\" id=\"input_15_2\" name=\"q15_seleccioneFase\" value=\"Fase 3\" required=\"\" \/><label id=\"label_input_15_2\" for=\"input_15_2\">Fase 3<\/label><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li id=\"cid_13\" class=\"form-input-wide\" data-type=\"control_head\"><!-- [et_pb_line_break_holder] -->\n<div class=\"form-header-group  header-large\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div class=\"header-text httal htvam\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<h1 id=\"header_13\" class=\"form-header\" data-component=\"header\">Informaci\u00f3n de Pago<\/h1>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line\" data-type=\"control_square\" id=\"id_9\" data-payment=\"true\"><label class=\"form-label form-label-top\" id=\"label_9\" for=\"input_9\" aria-hidden=\"false\"> Noviembre 6-7, 2023 | Iglesia Betesda Opa-locka, FL <\/label><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_9\" class=\"form-input-wide\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div data-wrapper-react=\"true\" class=\"square-payment-wrapper\" data-square-currency=\"USD\"><!-- [et_pb_line_break_holder] -->            <\/p>\n<div data-wrapper-react=\"true\" class=\"product-container-wrapper\"><!-- [et_pb_line_break_holder] -->              <\/p>\n<div class=\"filter-container\"><\/div>\n<p><input type=\"hidden\" name=\"simple_fpc\" data-payment_type=\"square\" data-component=\"payment1\" value=\"9\" \/><input type=\"hidden\" name=\"payment_transaction_uuid\" id=\"paymentTransactionId\" \/><input type=\"hidden\" name=\"payment_total_checksum\" id=\"payment_total_checksum\" data-component=\"payment2\" \/><!-- [et_pb_line_break_holder] -->              <\/p>\n<div id=\"image-overlay\" class=\"overlay-content\" style=\"display:none\"><img id=\"current-image\" \/><span class=\"lb-prev-button\">prev<\/span><span class=\"lb-next-button\">next<\/span><span class=\"lb-close-button\">( X )<\/span><span class=\"image-overlay-product-container\"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<ul class=\"form-overlay-item\" pid=\"1000\" hasicon=\"false\" hasimages=\"false\" iconvalue=\"\"><\/ul>\n<p><!-- [et_pb_line_break_holder] -->                <\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->              <\/p>\n<div data-wrapper-react=\"true\"><span class=\"form-product-item hover-product-item  new_ui\" categories=\"non-categorized\" pid=\"1000\" aria-labelledby=\"label_9\"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<div data-wrapper-react=\"true\" class=\"form-product-item-detail new_ui\"><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"p_col\"><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div class=\"p_checkbox\"><input type=\"checkbox\" class=\"form-checkbox  form-product-input\" id=\"input_9_1000\" name=\"q9_noviembre1213[][id]\" value=\"1000\" checked=\"\" disabled=\"\" aria-label=\"Selected Product: Registro Entrenamiento MPDI\" \/><!-- [et_pb_line_break_holder] -->                        <\/p>\n<div class=\"checked\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                        <\/p>\n<div class=\"select_border\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                      <\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"p_image\"><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div class=\"image_area \"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div for=\"input_9_1000\" class=\"form-product-container\"><span data-wrapper-react=\"true\"><!-- [et_pb_line_break_holder] -->                        <\/p>\n<div class=\"title_description\"><span class=\"form-product-name\" id=\"product-name-input_9_1000\">Registro Entrenamiento MPDI<\/span><span class=\"form-product-description\" id=\"product-name-description-input_9_1000\"><\/span><\/div>\n<p><span class=\"form-product-details\"><b><span data-wrapper-react=\"true\">$<span id=\"input_9_1000_price\">175.00<\/span><\/span><\/b><\/span><!-- [et_pb_line_break_holder] -->                      <\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"focus_action_button_container\"><a class=\"btn-inline-product-delete\"> <\/a><a class=\"btn-inline-product-settings\"> <\/a><\/div>\n<p><!-- [et_pb_line_break_holder] -->                  <\/div>\n<p><!-- [et_pb_line_break_holder] -->                <\/span><!-- [et_pb_line_break_holder] -->                <\/p>\n<div class=\"payment_footer new_ui \"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<div class=\"total_area\"><!-- [et_pb_line_break_holder] -->                    <\/p>\n<div class=\"form-payment-total\"><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div id=\"total-text\">Total<\/div>\n<p><!-- [et_pb_line_break_holder] -->                      <\/p>\n<div class=\"form-payment-price\"><span data-wrapper-react=\"true\">$<span id=\"payment_total\">0.00<\/span><\/span><\/div>\n<p><!-- [et_pb_line_break_holder] -->                    <\/div>\n<p><!-- [et_pb_line_break_holder] -->                  <\/div>\n<p><!-- [et_pb_line_break_holder] -->                <\/div>\n<p><!-- [et_pb_line_break_holder] -->              <\/div>\n<p><!-- [et_pb_line_break_holder] -->              <\/p>\n<hr \/>\n<p><!-- [et_pb_line_break_holder] -->            <\/div>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<h4 class=\"payment-methods-header\">Credit Card Information<\/h4>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<table style=\"margin:0px\" id=\"square-creditcard\" class=\"form-address-table payment-form-table square-cc-field\" cellPadding=\"0\" cellSpacing=\"0\"><!-- [et_pb_line_break_holder] -->              <\/p>\n<tr><!-- [et_pb_line_break_holder] -->                <\/p>\n<td width=\"50%\"><input type=\"text\" id=\"input_9_cc_firstName\" name=\"q9_noviembre1213[cc_firstName]\" class=\"form-textbox cc_firstName\" data-defaultvalue=\"\" size=\"20\" value=\"\" placeholder=\"First Name\" data-component=\"cc_firstName\" aria-label=\"First Name\" \/><\/td>\n<p><!-- [et_pb_line_break_holder] -->                <\/p>\n<td width=\"50%\"><input type=\"text\" id=\"input_9_cc_lastName\" name=\"q9_noviembre1213[cc_lastName]\" class=\"form-textbox cc_lastName\" data-defaultvalue=\"\" size=\"20\" value=\"\" placeholder=\"Last Name\" data-component=\"cc_lastName\" aria-label=\"Last Name\" \/><\/td>\n<p><!-- [et_pb_line_break_holder] -->              <\/tr>\n<p><!-- [et_pb_line_break_holder] -->              <\/p>\n<tr class=\"if_cc_field\"><!-- [et_pb_line_break_holder] -->                <\/p>\n<td colSpan=\"2\" width=\"100%\"><!-- [et_pb_line_break_holder] -->              <\/p>\n<tr class=\"if_cc_field\"><!-- [et_pb_line_break_holder] -->                <\/p>\n<td colSpan=\"2\"><!-- [et_pb_line_break_holder] -->                  <\/p>\n<div id=\"card-container\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->                <\/td>\n<p><!-- [et_pb_line_break_holder] -->              <\/tr>\n<p><!-- [et_pb_line_break_holder] -->              <\/td>\n<p><!-- [et_pb_line_break_holder] -->              <\/tr>\n<p><!-- [et_pb_line_break_holder] -->            <\/table>\n<p><!-- [et_pb_line_break_holder] -->            <\/p>\n<div id=\"square_dummy\" data-sandbox=\"false\"><\/div>\n<p><!-- [et_pb_line_break_holder] -->          <\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li class=\"form-line\" data-type=\"control_button\" id=\"id_2\"><!-- [et_pb_line_break_holder] -->\n<div id=\"cid_2\" class=\"form-input-wide\" data-layout=\"full\"><!-- [et_pb_line_break_holder] -->          <\/p>\n<div data-align=\"auto\" class=\"form-buttons-wrapper form-buttons-auto   jsTest-button-wrapperField\"><button id=\"input_2\" type=\"submit\" class=\"form-submit-button form-submit-button-black_blue submit-button jf-form-buttons jsTest-submitField\" data-component=\"button\" data-content=\"\">Enviar<\/button><\/div>\n<p><!-- [et_pb_line_break_holder] -->        <\/div>\n<p><!-- [et_pb_line_break_holder] -->      <\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li style=\"clear:both\"><\/li>\n<p><!-- [et_pb_line_break_holder] -->      <\/p>\n<li style=\"display:none\">Should be Empty: <input type=\"text\" name=\"website\" value=\"\" \/><\/li>\n<p><!-- [et_pb_line_break_holder] -->    <\/ul>\n<p><!-- [et_pb_line_break_holder] -->  <\/div>\n<p><!-- [et_pb_line_break_holder] -->  <script><!-- [et_pb_line_break_holder] -->    JotForm.showJotFormPowered = \"0\";<!-- [et_pb_line_break_holder] -->  <\/script><!-- [et_pb_line_break_holder] -->  <script><!-- [et_pb_line_break_holder] -->    JotForm.poweredByText = \"Powered by Jotform\";<!-- [et_pb_line_break_holder] -->  <\/script><input type=\"hidden\" class=\"simple_spc\" id=\"simple_spc\" name=\"simple_spc\" value=\"232430733160142\" \/><!-- [et_pb_line_break_holder] -->  <script type=\"text\/javascript\"><!-- [et_pb_line_break_holder] -->    var all_spc = document.querySelectorAll(\"form[id='232430733160142'] .si\" + \"mple\" + \"_spc\");<!-- [et_pb_line_break_holder] -->    for (var i = 0; i < all_spc.length; i++)<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      all_spc[i].value = \"232430733160142-232430733160142\";<!-- [et_pb_line_break_holder] -->    }<!-- [et_pb_line_break_holder] -->  <\/script><!-- [et_pb_line_break_holder] --><\/form>\n<p><script type=\"text\/javascript\">JotForm.ownerView=true;<\/script><script type=\"text\/javascript\">JotForm.showAlternateHIPAABadge=true;<\/script><script src=\"https:\/\/cdn.jotfor.ms\/\/js\/vendor\/smoothscroll.min.js?v=3.3.44959\"><\/script><!-- [et_pb_line_break_holder] --><script src=\"https:\/\/cdn.jotfor.ms\/\/js\/errorNavigation.js?v=3.3.44959\"><\/script><!-- [et_pb_line_break_holder] --><script type=\"text\/javascript\">JotForm.isNewSACL=true;<\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#222222&#8243; disabled_on=&#8221;off|off|off&#8221; admin_label=&#8221;Section&#8221; module_id=&#8221;location&#8221; _builder_version=&#8221;4.23.4&#8243; _module_preset=&#8221;default&#8221; bottom_divider_style=&#8221;asymmetric2&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_code _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<iframe src=\"https:\/\/www.google.com\/maps\/embed?pb=!1m18!1m12!1m3!1d3509.859254375278!2d-81.3653545!3d28.3933187!2m3!1f0!2f0!3f0!3m2!1i1024!2i768!4f13.1!3m3!1m2!1s0x88dd878b8810d31b%3A0x2bfcd4981e051be8!2s653%20E%20Wetherbee%20Rd%2C%20Orlando%2C%20FL%2032824!5e0!3m2!1sen!2sus!4v1658335584110!5m2!1sen!2sus\" width=\"100%\" height=\"450\" style=\"border:0;\" allowfullscreen=\"\" loading=\"lazy\" referrerpolicy=\"no-referrer-when-downgrade\"><\/iframe>[\/et_pb_fullwidth_code][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#222222&#8243; positioning=&#8221;none&#8221; global_module=&#8221;2256&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_4,1_4&#8243; use_custom_gutter=&#8221;on&#8221; _builder_version=&#8221;4.27.2&#8243; _module_preset=&#8221;default&#8221; width=&#8221;85%&#8221; max_width=&#8221;85%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/fmdag.org\/wp-content\/uploads\/2024\/07\/FMD-AG-Logo-White.png&#8221; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; width=&#8221;45%&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.2&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>Office Address<\/strong><br \/>830 California Woods Circle<br \/>Orlando, Florida 32824<br \/><strong>Office Hours<\/strong><br \/>Tuesday &#8211; Friday: <span>8:00am-4:30pm<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;#FFFFFF&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><strong>Contact Info<\/strong><br \/>Phone: (407) 850-9861<br \/>Email: pr@fmdag.org<\/p>\n<p>[\/et_pb_text][et_pb_social_media_follow use_icon_font_size=&#8221;on&#8221; icon_font_size=&#8221;24px&#8221; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;-16px|||||&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_social_media_follow_network social_network=&#8221;facebook&#8221; url=&#8221;https:\/\/www.facebook.com\/myfmdag&#8221; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#596269&#8243; background_enable_color=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]facebook[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=&#8221;instagram&#8221; url=&#8221;https:\/\/www.instagram.com\/myfmdag\/&#8221; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#596269&#8243; background_enable_color=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]instagram[\/et_pb_social_media_follow_network][et_pb_social_media_follow_network social_network=&#8221;youtube&#8221; url=&#8221;https:\/\/www.youtube.com\/channel\/UCOFEudn7zT14E_v7dAd4BcA&#8221; icon_color=&#8221;#FFFFFF&#8221; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#596269&#8243; background_enable_color=&#8221;on&#8221; custom_button=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; follow_button=&#8221;off&#8221; url_new_window=&#8221;on&#8221;]youtube[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.2&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;rgba(34,34,34,0.92)&#8221; positioning=&#8221;none&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px||0px||true|false&#8221; global_module=&#8221;2260&#8243; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_5,3_5,1_5&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.22.2&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;margin: auto;&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|600|||||||&#8221; text_text_color=&#8221;#FFFFFF&#8221; text_orientation=&#8221;right&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"color: #ffffff;\"><a href=\"https:\/\/fmdag.org\/mobile-app\/\" style=\"color: #ffffff;\">Mobile App Download | <\/a><a href=\"https:\/\/fmdag.org\/staff-links\/\" style=\"color: #ffffff;\">FMD Staff Links | <\/a><a href=\"https:\/\/fmdag.org\/disclaimer\/\" style=\"color: #ffffff;\">Photo &amp; Video Disclaimer |<\/a><\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_5&#8243; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_css_main_element=&#8221;margin: auto;&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_button button_url=&#8221;https:\/\/portal.fmdag.org\/site\/login&#8221; url_new_window=&#8221;on&#8221; button_text=&#8221;My Portal&#8221; button_alignment=&#8221;center&#8221; _builder_version=&#8221;4.23&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;14px&#8221; button_font=&#8221;|700|||||||&#8221; button_icon=&#8221;&#x35;||divi||400&#8243; button_on_hover=&#8221;off&#8221; background_layout=&#8221;dark&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Viva Church 653 E Wetherbee Rd,Orlando FL 32824Registraci\u00f3n $149Julio 26-27, 2024Viernes 26 6:00pm &#8211; 9:00pmS\u00e1bado 27 8:00am &#8211; 9:00pmRegistraci\u00f3n Disponible en la PuertaNoviembre 8-9, 2024Viernes 8 6:00pm &#8211; 9:00pmS\u00e1bado 9 8:00am &#8211; 9:00pmRegistraci\u00f3n Disponible en la PuertaOffice Address830 California Woods CircleOrlando, Florida 32824Office HoursTuesday &#8211; Friday: 8:00am-4:30pmContact InfoPhone: (407) 850-9861Email: pr@fmdag.orgMobile App Download | FMD [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"difl_page_category":[],"class_list":["post-968","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/pages\/968","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/comments?post=968"}],"version-history":[{"count":0,"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/pages\/968\/revisions"}],"wp:attachment":[{"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/media?parent=968"}],"wp:term":[{"taxonomy":"difl_page_category","embeddable":true,"href":"https:\/\/fmdag.org\/es\/wp-json\/wp\/v2\/difl_page_category?post=968"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}