{"id":3356,"date":"2021-03-15T21:33:47","date_gmt":"2021-03-15T21:33:47","guid":{"rendered":"https:\/\/martialartssystem.com\/?page_id=3356"},"modified":"2023-05-05T00:05:56","modified_gmt":"2023-05-05T00:05:56","slug":"black-belt-testing-form","status":"publish","type":"page","link":"https:\/\/martialartssystem.com\/black-belt-testing-form\/","title":{"rendered":"Black Belt Testing Form"},"content":{"rendered":"<h2>Black Belt Testing Form<\/h2>\n<style type=\"text\/css\">#nex-forms{display:none;}<\/style>\r\n\t\t\r\n\t\t<style type=\"text\/css\">\r\n\t\t\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-spinner div:after {background: #40C4FF; }\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-grid div {background: #40C4FF; }\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-ellipsis div { background: #40C4FF;}\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-default div {background: #40C4FF;}\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-roller div:after {background: #40C4FF;}\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-heart div,\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-heart div:after,\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-heart div:before {background: #40C4FF;}\r\n\r\n\t\t\t\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-facebook div {background: #40C4FF;}\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-circle > div {background: #40C4FF;}\r\n\t\t\t\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-dual-ring:after {border: 6px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-ring div {border: 8px solid #40C4FF;border-color: #40C4FF transparent transparent transparent;}\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-hourglass:after {border: 32px solid #40C4FF;border-color: #40C4FF transparent #40C4FF transparent;}\r\n\t\t\t#nex-forms.black_belt_testing_-_december_2021 .nf-loader-lds-ripple div {border: 4px solid #40C4FF;}\r\n\t\t<\/style>\r\n\t\t\r\n\t\t\r\n\t\t<div id=\"nex-forms\" data-loader=\"ellipsis\"data-msg-hide-form=\"yes\" data-msg-position=\"top\" data-msg-placement=\"outside\"  class=\"nex-forms black_belt_testing_-_december_2021  \"><div class=\"pre_fill_fields\"><\/div><div class=\"set_form_theme theme-default\"><div class=\"nex_success_message msg_top msgv2 animated\" style=\"display:none;\"><div class=\"nex_success_message_container\" style=\"background: #fff; box-shadow: rgba(0, 0, 0, 0.2) 0px 7px 16px 0px; border-radius: 4px; padding: 30px; border-color:#ddd;\"><div class=\"msg_text\"><div class=\"form_field all_fields icon html_fields wow bounceInUp\" data-settings=\".s-icon\" data-settings-tabs=\"#input-settings, #animation-settings\" style=\"margin-bottom: 15px;\" id=\"_21501\" data-animation-name=\"bounceInUp\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"icon_container_wrapper icon_center\">\n\t\t\t\t\t\t\t\t  <div class=\"icon_container\" id=\"field_container\" style=\"border-width: 0px; background-color: transparent;\">\n\t\t\t\t\t\t\t\t\t<div class=\"\">\n\t\t\t\t\t\t\t\t\t  <div class=\"input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element icon_element\" style=\"font-size: 50px; color: rgb(139, 195, 74);\"><span class=\"fas fa-check-circle\"><\/span><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"form_field all_fields html html_fields wow fadeInDown\" data-settings=\".s-html\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings, #math-settings\" style=\"margin-bottom: 15px;\" data-animation-name=\"fadeInDown\" data-wow-delay=\"0.5s\">\n\t\t\t\t\t\t\t  <div class=\"edit_mask\"><\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t  <div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t<div class=\"row\">\n\t\t\t\t\t\t\t\t\t  <div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t<div class=\"the_input_element align_center\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Your application has been received. Wait for processing. Thank you<\/div>\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both;\"><\/div>\n\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/div><div data-timer-start=\"1\" data-timer-end=\"0\" class=\"inner-canvas-container ui-nex-forms-container  bootstrap\" id=\"ui-nex-forms-container\"  ><div class=\"current_step\" style=\"display:none;\">1<\/div><div class=\"last_visited_step\" style=\"display:none;\">1<\/div><div class=\"nex-forms-header-footer nex-forms-header timer_inline timer_right \"><div class=\"bc-outer-container \"><div style=\"\" class=\"nf_ms_breadcrumb  bc-gutter-20 bc-top bc-solid bc-connected bc-unfolded pilled \">\n\t\t\t\t\t\t\t\t\t\t<ul class=\"the_br align_left pilled md-color-green has-no-descriptions\" data-align-crumb=\"align_left\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"pilled\" data-theme=\"green\" data-show-front-end=\"yes\" data-show-inside=\"no\"><li class=\"no-description no-icon current\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">1<\/span><span class=\"the_step_icon \"><\/span><\/div><a data-show-step=\"1\"><div class=\"step_title\">Step One<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><li class=\"no-description no-icon current-next\"><div class=\"crumb_container\"><div class=\"step_number_container\"><span class=\"the_step_num\">2<\/span><span class=\"the_step_icon \"><\/span><\/div><a data-show-step=\"2\"><div class=\"step_title\">Step 2<\/div><div class=\"step_description\"><\/div><\/a><div class=\"step_connecter\" style=\"display:none\"><\/div><\/div><\/li><\/ul>\n\t\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar the_br\" style=\"display:none;\" data-text-pos=\"text-bottom\" data-breadcrumb-type=\"pilled\" data-theme=\"green\" data-show-front-end=\"yes\" data-show-inside=\"no\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"nf_progressbar_percentage md-color-green\" style=\"width:5%;\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span>0%<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<div style=\"clear:both\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/div><\/div><\/div><div id=\"the_plugin_url\" style=\"display:none;\">https:\/\/martialartssystem.com\/wp-content\/plugins\/nex-forms<\/div><div id=\"nf_save_form_progress\" style=\"display:none;\">false<\/div><div id=\"confirmation_page\" class=\"confirmation_page\" style=\"display:none;\"><\/div><div id=\"on_form_submmision\" class=\"on_form_submmision\" style=\"display:none;\">message<\/div><div class=\"hidden\" id=\"nf_ajax_url\" style=\"display:none;\">https:\/\/martialartssystem.com\/wp-admin\/admin-ajax.php<\/div><div class=\"hidden\" id=\"paypal_return_url\" style=\"display:none;\">https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/pages\/3356<\/div><div class=\"hidden\" id=\"ms_scroll_to_top\" style=\"display:none;\">yes<\/div><div class=\"v7_container form_type_normal   \" style=\"background: rgb(255, 255, 255); box-shadow: rgba(0, 0, 0, 0.6) 0px 7px 16px 0px; border-radius: 4px; padding: 30px; border-color: rgb(221, 221, 221);\"><div class=\"current_field_on_focus\" style=\"display:none\">1<\/div><form id=\"nf_form_5871\" class=\"submit-nex-form\" name=\"nex_form\" action=\"https:\/\/martialartssystem.com\/wp-admin\/admin-ajax.php\" method=\"post\" enctype=\"multipart\/form-data\"><div class=\"step_transition_in\" style=\"display:none;\">fadeIn<\/div><div class=\"step_transition_out\" style=\"display:none;\">fadeOut<\/div><input type=\"hidden\" name=\"nex_forms_Id\" value=\"14\"><input type=\"hidden\" name=\"page\" value=\"\/wp-json\/wp\/v2\/pages\/3356\"><input type=\"hidden\" name=\"ip\" value=\"\"><input type=\"hidden\" name=\"nf_page_id\" value=\"3356\"><input type=\"hidden\" name=\"nf_page_title\" value=\"Black Belt Testing Form\"><input type=\"text\" name=\"company_url\" value=\"\" placeholder=\"enter company url\" class=\"form-control req\">\n\t\t\t\t\t\t\t<div class=\"form_field hidden bootstrap_field\" style=\"\" data-id=\"_48064\" id=\"_48064\">\n\t\t\t\t\t\t\t\t<input class=\"ms_current_step\" value=\"1\" name=\"ms_current_step\" type=\"hidden\">\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"custom-fields step has_prefix_icon bootstrap_field nf_multi_step_1 is_grid\" data-step-name=\"Step One\" data-step-num=\"1\" style=\"\" data-settings=\".s-step\" data-id=\"_28676\" id=\"_28676\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields bootstrap_field\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_42997\" id=\"_42997\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Step One - Submit Application<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields paragraph html_fields bootstrap_field\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings, #math-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_27716\" id=\"_27716\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Complete with student information<\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-2 has_prefix_icon bootstrap_field is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_87890\" id=\"_87890\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_87890  col-sm-8 grid-target-0\" data-grid-width=\"8\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_40992\" id=\"_40992\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">* First Name and Last Name<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"_first_name_and_last_name\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_87890  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields special_fields has_prefix_icon required date bootstrap_field\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_35880\" id=\"_35880\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Date of Birth<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix ui-state-active\" style=\"color: rgb(136, 136, 136); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"date_of_birth\" class=\"error_message form-control the_input_element  aling_left align_left required ui-state-default\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_5164\" id=\"_5164\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_5164  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields select common_fields selection_fields required is_arrow for_rule__11991\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_82886\" id=\"_82886\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Actual Rank<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"actual_rank\" class=\"the_input_element error_message text pre-format form-control  aling_left align_left required\" data-content=\"Required\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\" id=\"rank\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"1BR\">1BR<\/option><option value=\"1BD\">1BD<\/option><option value=\"2BD\">2BD<\/option><option value=\"3BD\">3BD<\/option><option value=\"4BD\">4BD<\/option><option value=\"5BD\">5BD<\/option><option value=\"6BD\">6BD<\/option><option value=\"7BD\">7BD<\/option><option value=\"8BD\">8BD<\/option><\/select><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields required is_target for_rule__11991 hidden\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; display: none;\" data-id=\"_11991\" id=\"_11991\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*New Rank<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"new_rank\" class=\"the_input_element error_message text pre-format form-control  aling_left align_left required\" data-content=\"Required\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\" id=\"next_rank\" data-default-selected-value=\"0\" data-required=\"true\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"1BR\">1BR<\/option><option value=\"1BD\">1BD<\/option><option value=\"2BD\">2BD<\/option><option value=\"3BD\">3BD<\/option><option value=\"4BD\">4BD<\/option><option value=\"5BD\">5BD<\/option><option value=\"6BD\">6BD<\/option><option value=\"7BD\">7BD<\/option><option value=\"8BD\">8BD<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_5164  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields radio-group common_fields selection_fields is_arrow for_rule__83751 for_rule__54197\" data-settings=\".s-radios\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_95555\" id=\"_95555\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">Test<\/span><\/label><\/div><div class=\"input_holder radio-group no-pre-suffix\"><div class=\"col-sm-12 the-radios input_container error_message\" id=\"the-radios\" data-checked-color=\"\" data-checked-class=\"fa-circle\" data-unchecked-class=\"\" data-placement=\"bottom\" data-content=\"Required\" title=\"\"><label class=\"radio-inline\" for=\"test_midterm\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"test\" id=\"test_midterm\" value=\"Midterm\" style=\"display: none;\"><a class=\"ui-state-default\" style=\"background: rgb(255, 255, 255);\"><\/a><\/div><span class=\"input-label radio-label\">Midterm<\/span><\/span><\/label><label class=\"radio-inline radio_selected\" for=\"test_final_for_next_rank\"><span class=\"has-pretty-child\"><div class=\"clearfix prettyradio labelright blue has-pretty-child\"><input class=\"radio the_input_element\" type=\"radio\" name=\"test\" id=\"test_final_for_next_rank\" value=\"Final for Next Rank\" style=\"display: none;\"><a class=\"checked ui-state-active ui-state-default\" style=\"background: rgb(139, 195, 74);\"><\/a><span style=\"color:rgb(51, 131, 187);\" class=\"check-icon checked fa fa-circle\"><\/span><\/div><span class=\"input-label radio-label\">Final for Next Rank<\/span><\/span><\/label><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_5164  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields required is_target for_rule__83751 hidden\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; left: 0px; top: 0px; z-index: 1000; display: none;\" data-id=\"_83751\" id=\"_83751\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Number of Mid Term<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"number_of_mid_term\" class=\"form-control error_message the_input_element aling_left align_left required\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: white; border-color: rgb(221, 221, 221);\" data-input-mask=\"999\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields select common_fields selection_fields required is_target for_rule__54197 hidden\" data-settings=\".s-select\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px; display: none;\" id=\"_54197\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Mid Term Score<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><select name=\"mid_term_score\" class=\"the_input_element error_message text pre-format form-control aling_left align_left required\" data-content=\"Required\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: white; border-color: rgb(221, 221, 221);\" data-default-selected-value=\"0\" id=\"mid_term_score\" data-required=\"true\"><option value=\"0\" selected=\"selected\">--- Select ---<\/option><option value=\"0\">0<\/option><option value=\"1\">1<\/option><option value=\"2\">2<\/option><option value=\"3\">3<\/option><option value=\"4\">4<\/option><option value=\"5\">5<\/option><option value=\"6\">6<\/option><option value=\"7\">7<\/option><option value=\"8\">8<\/option><option value=\"9\">9<\/option><option value=\"10\">10<\/option><\/select><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-4 bootstrap_field is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_49126\" id=\"_49126\"><div class=\"row grid_row\"><div class=\"grid_input_holder id-_49126  col-sm-5 grid-target-0\" data-grid-width=\"5\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_61832\" id=\"_61832\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Address<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"address\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_49126  col-sm-2 grid-target-1\" data-grid-width=\"2\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_6776\" id=\"_6776\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Country<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"country\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_49126  col-sm-2 grid-target-2\" data-grid-width=\"2\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_29182\" id=\"_29182\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*State<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"state\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_49126  col-sm-3 grid-target-3\" data-grid-width=\"3\" data-grid-num=\"3\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_7413\" id=\"_7413\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*City<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"city\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid-system-3 bootstrap_field is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_88321\" id=\"_88321\"><div class=\"row  grid_row\"><div class=\"grid_input_holder id-_88321  col-sm-4 grid-target-0\" data-grid-width=\"4\" data-grid-num=\"0\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_51056\" id=\"_51056\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*ZIP Code<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"zip_code\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_88321  col-sm-4 grid-target-1\" data-grid-width=\"4\" data-grid-num=\"1\"><div class=\"form_field all_fields text common_fields bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_74140\" id=\"_74140\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">Phone +XX (XX) XXXX-XXXX<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"phone_xx_xx_xxxx-xxxx\" class=\"form-control error_message the_input_element  aling_left align_left ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"grid_input_holder id-_88321  col-sm-4 grid-target-2\" data-grid-width=\"4\" data-grid-num=\"2\"><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_60397\" id=\"_60397\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Email<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"email\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px;\" data-id=\"_640\" id=\"_640\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_640  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_87817\" id=\"_87817\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_640  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" data-id=\"_9708\" id=\"_9708\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"nex-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Next<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div class=\"custom-fields step bootstrap_field nf_multi_step_2 has_prefix_icon is_grid\" data-step-name=\"Step 2\" data-step-num=\"2\" style=\"display: none;\" data-settings=\".s-step\" data-id=\"_39333\" id=\"_39333\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"form_field all_fields heading html_fields bootstrap_field\" data-settings=\".s-headings\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings, #math-settings\" style=\"margin-bottom: 15px;\" data-id=\"_52096\" id=\"_52096\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><h1 class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">Step 2<\/h1><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields text common_fields required bootstrap_field\" data-settings=\".s-text, .s-v-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" data-id=\"_55677\" id=\"_55677\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12  label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Instructor Name<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><input type=\"text\" name=\"instructor_name\" class=\"form-control error_message the_input_element  aling_left align_left required ui-state-default\" data-maxlength-color=\"label label-success\" data-maxlength-position=\"bottom\" data-maxlength-show=\"false\" data-default-value=\"\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" data-secondary-message=\"\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields date special_fields has_prefix_icon required\" data-settings=\".s-date, .s-text\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px;\" id=\"_64626\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 label_container align_let align_left\"><label class=\"nf_title \"><span class=\"the_label style_bold\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*Test Date<\/span><\/label><\/div><div class=\"col-sm-12  input_container\"><div class=\"input-group\" id=\"datetimepicker\" data-format=\"MM\/DD\/YYYY\" data-language=\"en\"><span class=\"input-group-addon prefix\" style=\"color: rgb(136, 136, 136); background: white; border-color: rgb(221, 221, 221);\"><span class=\"fa fa-calendar-o\" style=\"font-size: 17px;\"><\/span><\/span><input type=\"text\" name=\"test_date\" class=\"error_message form-control the_input_element aling_left align_left required\" data-onfocus-color=\"#66AFE9\" data-drop-focus-swadow=\"1\" data-placement=\"bottom\" data-content=\"Required\" title=\"\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: white; border-color: rgb(221, 221, 221);\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields paragraph html_fields bootstrap_field\" data-settings=\".s-paragraph\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings, #math-settings\" style=\"margin-bottom: 15px;\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"col-sm-12 input_container\"><input type=\"hidden\" class=\"set_math_result\" value=\"0\" name=\"math_result\"><div class=\"the_input_element\" data-math-equation=\"\" data-original-math-equation=\"\" data-decimal-places=\"0\">This student has fulfilled all requirements to testing. <\/div><div style=\"clear:both;\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"form_field all_fields digital-signature special_fields required bootstrap_field\" data-settings=\".s-sigs\" data-settings-tabs=\"#label-settings, #input-settings, #validation-settings, #animation-settings, #extra-settings\" style=\"margin-bottom: 15px; position: relative; top: 0px;\" data-id=\"_98406\" id=\"_98406\"><div class=\"row\"><div class=\"col-sm-12\" id=\"field_container\"><div class=\"row\"><div class=\"label_container align_let align_left col-sm-12\"><label class=\"nf_title \"><span class=\"the_label style_bold align_left\" style=\"font-size: 13px; color: rgb(158, 158, 158);\">*School Owner's Signature<\/span><\/label><\/div><div class=\"input_container col-sm-12\"><textarea name=\"school_owners_signature\" class=\"the_input_element digital-signature-data error_message align_left required ui-state-default form-control\" data-content=\"Required\" style=\"font-size: 13px; color: rgb(158, 158, 158); background: rgb(255, 255, 255); border-color: rgb(221, 221, 221);\"><\/textarea><div class=\"clear_digital_siganture\"><span class=\"fa fa-eraser\"><\/span><\/div><div class=\"js-signature\"><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"nex_prev_steps grid-system-2 bootstrap_field is_grid\" data-settings=\".s-grid\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" data-id=\"_12789\" id=\"_12789\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row grid_row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_12789  col-xs-6 grid-target-0\" data-grid-width=\"6\" data-grid-num=\"0\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; top: 0px; left: 0px; margin-bottom: 15px;\" data-id=\"_37838\" id=\"_37838\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"prev-step svg_ready the_input_element btn btn-default ui-state-default\" data-ga=\"\">Back<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"grid_input_holder id-_12789  col-xs-6 grid-target-1\" data-grid-width=\"6\" data-grid-num=\"1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"form_field all_fields submit-button the_submit button_fields common_fields preset_fields special_fields selection_fields bootstrap_field\" data-settings=\".s-submit\" data-settings-tabs=\"#input-settings, #animation-settings, #extra-settings\" style=\"position: relative; left: 0px; top: 0px; margin-bottom: 15px;\" data-id=\"_38687\" id=\"_38687\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12\" id=\"field_container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <div class=\"row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"col-sm-12 input_container align_right\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <button class=\"svg_ready the_input_element btn btn-default nex-submit ui-state-default\" data-ga=\"\">SUBMIT<\/button>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t  <\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t  \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div><div style=\"clear:both;\"><\/div><\/form><\/div><\/div><\/div><\/div><style type=\"text\/css\" class=\"nex-forms-custom-css\"><\/style>\n","protected":false},"excerpt":{"rendered":"<p>Black Belt Testing Form<\/p>\n","protected":false},"author":1,"featured_media":3197,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","pmpro_default_level":0},"_links":{"self":[{"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/pages\/3356"}],"collection":[{"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/comments?post=3356"}],"version-history":[{"count":10,"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/pages\/3356\/revisions"}],"predecessor-version":[{"id":3391,"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/pages\/3356\/revisions\/3391"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/media\/3197"}],"wp:attachment":[{"href":"https:\/\/martialartssystem.com\/wp-json\/wp\/v2\/media?parent=3356"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}