{"id":2933,"date":"2021-02-02T08:42:24","date_gmt":"2021-02-02T18:42:24","guid":{"rendered":"http:\/\/165.248.174.229\/?page_id=2933"},"modified":"2021-02-02T09:20:18","modified_gmt":"2021-02-02T19:20:18","slug":"enroll-now-student-registration-form","status":"publish","type":"page","link":"http:\/\/165.248.174.229\/?page_id=2933","title":{"rendered":"Enroll Now &#8211; Student Registration Form"},"content":{"rendered":"\n<p><strong>All students to be enrolled by legal name as per birth certificate or other legal document.<\/strong><\/p>\n\n\n<div id=\"erf_form_container_2935\" class=\"erf-container erf-contact erf-label-top erf-layout-one-column erf-style-rounded-corner\">\n        \n    \n         \n                    <div class=\"erf-content-above\">\n                Contact us by filling out the form below.            <\/div>\n            <form method=\"post\" enctype=\"multipart\/form-data\" class=\"erf-form erf-front-form\" data-parsley-validate=\"\" novalidate=\"true\" data-erf-submission-id=\"0\" data-erf-form-id=\"2935\">\n                <div class=\"erf-form-html\" id=\"erf_form_2935\">\n                    <div class=\"rendered-form\">\n                        <div class=\"erf-header erf-element-width-12\"><h2  data-non-input='1' data-ref-label='STUDENT_INFORMATION' data-ref-id='header-mwtpwilw' class='' >STUDENT INFORMATION <\/h2><\/div><div class=\"erf-text form-group field-text-241209701668 erf-element-width-12\"><label for=\"text-241209701668\" class=\"erf-text-label\">First Name<span class=\"erf-required\">*<\/span><\/label><input type='text' maxlength='50' required='required' class='form-control' name='text-241209701668' data-ref-label='First_Name' id='text-241209701668'  \/><\/div><div class=\"erf-text form-group field-text-209331346447 erf-element-width-12\"><label for=\"text-209331346447\" class=\"erf-text-label\">Last Name<span class=\"erf-required\">*<\/span><\/label><input type='text' required='required' maxlength='50' class='form-control' name='text-209331346447' data-ref-label='Last_Name' id='text-209331346447'  \/><\/div><div class=\"erf-text form-group field-field-9UMWQzWUCswmeyr erf-element-width-12\"><label for=\"field-9UMWQzWUCswmeyr\" class=\"erf-text-label\">Middle Name<\/label><input type='text' maxlength='50' class='form-control' name='field-9UMWQzWUCswmeyr' data-ref-label='Middle_Name' id='field-9UMWQzWUCswmeyr'  \/><\/div><div class=\"erf-text form-group field-field-36RVRxAW0jUXZn0 erf-element-width-12\"><label for=\"field-36RVRxAW0jUXZn0\" class=\"erf-text-label\">Birth Date<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Birth_Date' data-date-format='mm\/dd\/yy' class='form-control erf-date-field' name='field-36RVRxAW0jUXZn0' required='required' id='field-36RVRxAW0jUXZn0'  \/><\/div><div class=\"erf-radio-group form-group field-field-72cx70oPnc4Fn7K erf-element-width-12\"><label for=\"field-72cx70oPnc4Fn7K\" class=\"erf-radio-group-label\">Gender<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-72cx70oPnc4Fn7K-0\" name='field-72cx70oPnc4Fn7K' data-ref-label='Gender' required='required' class='form-control'  type=\"radio\" value=\"Female\" \/><label for=\"field-72cx70oPnc4Fn7K-0\">Female<\/label><\/div><div class=\"radio-inline\"><input id=\"field-72cx70oPnc4Fn7K-1\" name='field-72cx70oPnc4Fn7K' data-ref-label='Gender' required='required' class='form-control'  type=\"radio\" value=\"Male\" \/><label for=\"field-72cx70oPnc4Fn7K-1\">Male<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-9kObV84aRxw3jnC erf-element-width-12\"><label for=\"field-9kObV84aRxw3jnC\" class=\"erf-radio-group-label\">Grade Level<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-9kObV84aRxw3jnC-0\" name='field-9kObV84aRxw3jnC' data-ref-label='Grade_Level' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-9kObV84aRxw3jnC-0\">1st grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9kObV84aRxw3jnC-1\" name='field-9kObV84aRxw3jnC' data-ref-label='Grade_Level' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-9kObV84aRxw3jnC-1\">2nd grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9kObV84aRxw3jnC-2\" name='field-9kObV84aRxw3jnC' data-ref-label='Grade_Level' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-9kObV84aRxw3jnC-2\">3rd grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9kObV84aRxw3jnC-3\" name='field-9kObV84aRxw3jnC' data-ref-label='Grade_Level' required='required' class='form-control'  type=\"radio\" value=\"4\" \/><label for=\"field-9kObV84aRxw3jnC-3\">4th grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9kObV84aRxw3jnC-4\" name='field-9kObV84aRxw3jnC' data-ref-label='Grade_Level' required='required' class='form-control'  type=\"radio\" value=\"5\" \/><label for=\"field-9kObV84aRxw3jnC-4\">5th grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-9kObV84aRxw3jnC-5\" name='field-9kObV84aRxw3jnC' data-ref-label='Grade_Level' required='required' class='form-control'  type=\"radio\" value=\"K\" \/><label for=\"field-9kObV84aRxw3jnC-5\">Kindergarten<\/label><\/div><\/div><\/div><div class=\"erf-header erf-element-width-12\"><h2  data-non-input='1' data-ref-label='CITIZENSHIP' data-ref-id='header-spnoaiha' class='' >CITIZENSHIP<\/h2><\/div><div class=\"erf-radio-group form-group field-field-QNRsP2lTIwCEAW0 erf-element-width-12\"><label for=\"field-QNRsP2lTIwCEAW0\" class=\"erf-radio-group-label\">US Citizen<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-QNRsP2lTIwCEAW0-0\" name='field-QNRsP2lTIwCEAW0' data-ref-label='US_Citizen' required='required' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-QNRsP2lTIwCEAW0-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-QNRsP2lTIwCEAW0-1\" name='field-QNRsP2lTIwCEAW0' data-ref-label='US_Citizen' required='required' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-QNRsP2lTIwCEAW0-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-RyfNoZxH17fj5nK erf-element-width-12\"><label for=\"field-RyfNoZxH17fj5nK\" class=\"erf-radio-group-label\">If not US citizen, indicate status<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-RyfNoZxH17fj5nK-0\" name='field-RyfNoZxH17fj5nK' data-ref-label='non_us_citizen_status' class='form-control'  type=\"radio\" value=\"Immigrant\" \/><label for=\"field-RyfNoZxH17fj5nK-0\">Immigrant<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RyfNoZxH17fj5nK-1\" name='field-RyfNoZxH17fj5nK' data-ref-label='non_us_citizen_status' class='form-control'  type=\"radio\" value=\"Nonimmigrant\" \/><label for=\"field-RyfNoZxH17fj5nK-1\">Nonimmigrant<\/label><\/div><div class=\"radio-inline\"><input id=\"field-RyfNoZxH17fj5nK-2\" name='field-RyfNoZxH17fj5nK' data-ref-label='non_us_citizen_status' class='form-control'  type=\"radio\" value=\"Refugee\" \/><label for=\"field-RyfNoZxH17fj5nK-2\">Refugee<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-o8FbYPN6OuhXN7K erf-element-width-12\"><label for=\"field-o8FbYPN6OuhXN7K\" class=\"erf-text-label\">Country of Birth<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Country_of_Birth' class='form-control' name='field-o8FbYPN6OuhXN7K' required='required' id='field-o8FbYPN6OuhXN7K'  \/><\/div><div class=\"erf-text form-group field-field-crpj3mMwMXrrnP5 erf-element-width-12\"><label for=\"field-crpj3mMwMXrrnP5\" class=\"erf-text-label\">If Country of Birth is other than US, give year of arrival<\/label><input type='text' data-ref-label='Arrival_Year' class='form-control' name='field-crpj3mMwMXrrnP5' id='field-crpj3mMwMXrrnP5'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h2  data-non-input='1' data-ref-label='ETHNICITY_RACE' data-ref-id='header-k63feamy' class='' >ETHNICITY\/RACE<\/h2><\/div><div class=\"erf-radio-group form-group field-field-whDCJhROKdycsTt erf-element-width-12\"><label for=\"field-whDCJhROKdycsTt\" class=\"erf-radio-group-label\">Is the student Hispanic or Latino?<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-whDCJhROKdycsTt-0\" name='field-whDCJhROKdycsTt' data-ref-label='Hispanic_or_Latino' required='required' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-whDCJhROKdycsTt-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-whDCJhROKdycsTt-1\" name='field-whDCJhROKdycsTt' data-ref-label='Hispanic_or_Latino' required='required' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-whDCJhROKdycsTt-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-checkbox-group form-group field-field-td4sJXzQinqDI9k erf-element-width-12\"><label for=\"field-td4sJXzQinqDI9k\" class=\"erf-checkbox-group-label\">What is the Student's Race? Check all that apply<\/label><div class=\"checkbox-group\"><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-0\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"A\" \/><label for=\"field-td4sJXzQinqDI9k-0\">American Indian or Alaska NativeLabel<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-1\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"B\" \/><label for=\"field-td4sJXzQinqDI9k-1\">Black<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-2\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"C\" \/><label for=\"field-td4sJXzQinqDI9k-2\">Chinese<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-3\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"D\" \/><label for=\"field-td4sJXzQinqDI9k-3\">Filipino<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-4\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"E\" \/><label for=\"field-td4sJXzQinqDI9k-4\">Native Hawaiian<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-5\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"G\" \/><label for=\"field-td4sJXzQinqDI9k-5\">Japanese<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-6\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"H\" \/><label for=\"field-td4sJXzQinqDI9k-6\">Korean<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-7\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"I\" \/><label for=\"field-td4sJXzQinqDI9k-7\">Portuguese<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-8\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"K\" \/><label for=\"field-td4sJXzQinqDI9k-8\">Samoan<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-9\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"L\" \/><label for=\"field-td4sJXzQinqDI9k-9\">White<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-10\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"N\" \/><label for=\"field-td4sJXzQinqDI9k-10\">Indo-Chinese (Ex. Cambodian, Laotian, Vietnamese)<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-11\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"O\" \/><label for=\"field-td4sJXzQinqDI9k-11\">Micronesian (Ex. Chuukese, Marshallese Pohnpeian,)<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-12\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"P\" \/><label for=\"field-td4sJXzQinqDI9k-12\">Tongan<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-13\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"Q\" \/><label for=\"field-td4sJXzQinqDI9k-13\">Guamanian\/Chamorro<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-14\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"R\" \/><label for=\"field-td4sJXzQinqDI9k-14\">Other Asian<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-td4sJXzQinqDI9k-15\" name='field-td4sJXzQinqDI9k[]' data-ref-label='Student_Race' class='form-control' multiple='1'  type=\"checkbox\" value=\"S\" \/><label for=\"field-td4sJXzQinqDI9k-15\">Other Pacific Islander<\/label><\/div><\/div><\/div><div class=\"erf-richtext erf-element-width-12\"><div data-non-input='1' data-ref-label='Answer to Decline' data-ref-id='richtext-nauvg7dx' class='Answer_to_Decline' ><p>I decline to provide ethnicity and race information. I understand that if I do not provide this information, a school representative will designate the<br \/>ethnicity and race categories for my child.<\/p><\/div><\/div><div class=\"erf-text form-group field-field-rrmdyZNCO7rghIr erf-element-width-12\"><label for=\"field-rrmdyZNCO7rghIr\" class=\"erf-text-label\">Initial<\/label><input type='text' data-ref-label='Initial' class='form-control' name='field-rrmdyZNCO7rghIr' id='field-rrmdyZNCO7rghIr'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h2  data-non-input='1' data-ref-label='LANGUAGE' data-ref-id='header-mkbt01t5' class='' >LANGUAGE<\/h2><\/div><div class=\"erf-radio-group form-group field-field-MOXSM6OFoSD7B2y erf-element-width-12\"><label for=\"field-MOXSM6OFoSD7B2y\" class=\"erf-radio-group-label\">Language Spoken at Home<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-0\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"A\" \/><label for=\"field-MOXSM6OFoSD7B2y-0\">English<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-1\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"B\" \/><label for=\"field-MOXSM6OFoSD7B2y-1\">Cantonese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-2\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"C\" \/><label for=\"field-MOXSM6OFoSD7B2y-2\">Mandarin<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-3\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"D\" \/><label for=\"field-MOXSM6OFoSD7B2y-3\">Ilocano<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-4\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"E\" \/><label for=\"field-MOXSM6OFoSD7B2y-4\">Tagalog<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-5\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"F\" \/><label for=\"field-MOXSM6OFoSD7B2y-5\">Cebuano\/Visayan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-6\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"G\" \/><label for=\"field-MOXSM6OFoSD7B2y-6\">Hawaiian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-7\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"H\" \/><label for=\"field-MOXSM6OFoSD7B2y-7\">Japanese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-8\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"I\" \/><label for=\"field-MOXSM6OFoSD7B2y-8\">Korean<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-9\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"J\" \/><label for=\"field-MOXSM6OFoSD7B2y-9\">Samoan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-10\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"K\" \/><label for=\"field-MOXSM6OFoSD7B2y-10\">Vietnamese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-11\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"M\" \/><label for=\"field-MOXSM6OFoSD7B2y-11\">Chuukese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-12\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"N\" \/><label for=\"field-MOXSM6OFoSD7B2y-12\">Pohnpeian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-13\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"O\" \/><label for=\"field-MOXSM6OFoSD7B2y-13\">Cambodian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-14\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"P\" \/><label for=\"field-MOXSM6OFoSD7B2y-14\">Chamorro<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-15\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"Q\" \/><label for=\"field-MOXSM6OFoSD7B2y-15\">Fijian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-16\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"R\" \/><label for=\"field-MOXSM6OFoSD7B2y-16\">Hmong<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-17\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"S\" \/><label for=\"field-MOXSM6OFoSD7B2y-17\">Lao<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-18\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"T\" \/><label for=\"field-MOXSM6OFoSD7B2y-18\">Marshallese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-19\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"U\" \/><label for=\"field-MOXSM6OFoSD7B2y-19\">Pampango<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-20\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"V\" \/><label for=\"field-MOXSM6OFoSD7B2y-20\">Pangasinan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-21\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"W\" \/><label for=\"field-MOXSM6OFoSD7B2y-21\">Portuguese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-22\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"X\" \/><label for=\"field-MOXSM6OFoSD7B2y-22\">Spanish<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-23\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"Y\" \/><label for=\"field-MOXSM6OFoSD7B2y-23\">Thai<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-24\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"Z\" \/><label for=\"field-MOXSM6OFoSD7B2y-24\">Tongan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-MOXSM6OFoSD7B2y-25\" name='field-MOXSM6OFoSD7B2y' data-ref-label='Spoken_Home' required='required' class='form-control'  type=\"radio\" value=\"L\" \/><label for=\"field-MOXSM6OFoSD7B2y-25\">Other (Specify)<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-p6Sm3WgjG4ws0cY erf-element-width-12\"><label for=\"field-p6Sm3WgjG4ws0cY\" class=\"erf-text-label\">Other Language Spoken at Home<\/label><input type='text' data-ref-label='Other_Spoken_Home' class='form-control' name='field-p6Sm3WgjG4ws0cY' id='field-p6Sm3WgjG4ws0cY'  \/><\/div><div class=\"erf-radio-group form-group field-field-dcXjt1DxKTTYbIh erf-element-width-12\"><label for=\"field-dcXjt1DxKTTYbIh\" class=\"erf-radio-group-label\">First Acquired Language<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-0\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"A\" \/><label for=\"field-dcXjt1DxKTTYbIh-0\">English<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-1\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"B\" \/><label for=\"field-dcXjt1DxKTTYbIh-1\">Cantonese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-2\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"C\" \/><label for=\"field-dcXjt1DxKTTYbIh-2\">Mandarin<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-3\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"D\" \/><label for=\"field-dcXjt1DxKTTYbIh-3\">Ilocano<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-4\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"E\" \/><label for=\"field-dcXjt1DxKTTYbIh-4\">Tagalog<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-5\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"F\" \/><label for=\"field-dcXjt1DxKTTYbIh-5\">Cebuano\/Visayan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-6\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"G\" \/><label for=\"field-dcXjt1DxKTTYbIh-6\">Hawaiian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-7\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"H\" \/><label for=\"field-dcXjt1DxKTTYbIh-7\">Japanese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-8\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"I\" \/><label for=\"field-dcXjt1DxKTTYbIh-8\">Korean<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-9\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"J\" \/><label for=\"field-dcXjt1DxKTTYbIh-9\">Samoan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-10\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"K\" \/><label for=\"field-dcXjt1DxKTTYbIh-10\">Vietnamese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-11\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"M\" \/><label for=\"field-dcXjt1DxKTTYbIh-11\">Chuukese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-12\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"N\" \/><label for=\"field-dcXjt1DxKTTYbIh-12\">Pohnpeian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-13\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"O\" \/><label for=\"field-dcXjt1DxKTTYbIh-13\">Cambodian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-14\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"P\" \/><label for=\"field-dcXjt1DxKTTYbIh-14\">Chamorro<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-15\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"Q\" \/><label for=\"field-dcXjt1DxKTTYbIh-15\">Fijian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-16\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"R\" \/><label for=\"field-dcXjt1DxKTTYbIh-16\">Hmong<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-17\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"S\" \/><label for=\"field-dcXjt1DxKTTYbIh-17\">Lao<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-18\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"T\" \/><label for=\"field-dcXjt1DxKTTYbIh-18\">Marshallese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-19\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"U\" \/><label for=\"field-dcXjt1DxKTTYbIh-19\">Pampango<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-20\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"V\" \/><label for=\"field-dcXjt1DxKTTYbIh-20\">Pangasinan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-21\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"W\" \/><label for=\"field-dcXjt1DxKTTYbIh-21\">Portuguese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-22\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"X\" \/><label for=\"field-dcXjt1DxKTTYbIh-22\">Spanish<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-23\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"Y\" \/><label for=\"field-dcXjt1DxKTTYbIh-23\">Thai<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-24\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"Z\" \/><label for=\"field-dcXjt1DxKTTYbIh-24\">Tongan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-dcXjt1DxKTTYbIh-25\" name='field-dcXjt1DxKTTYbIh' data-ref-label='First_Language' required='required' class='form-control'  type=\"radio\" value=\"L\" \/><label for=\"field-dcXjt1DxKTTYbIh-25\">Other (Specify)<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-t2489uw0a2ev8Lg erf-element-width-12\"><label for=\"field-t2489uw0a2ev8Lg\" class=\"erf-text-label\">Other First Acquired Language<\/label><input type='text' data-ref-label='Other_First_Language' class='form-control' name='field-t2489uw0a2ev8Lg' id='field-t2489uw0a2ev8Lg'  \/><\/div><div class=\"erf-radio-group form-group field-field-Ksj44Raoamssior erf-element-width-12\"><label for=\"field-Ksj44Raoamssior\" class=\"erf-radio-group-label\">Language Most Used<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-0\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"A\" \/><label for=\"field-Ksj44Raoamssior-0\">English<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-1\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"B\" \/><label for=\"field-Ksj44Raoamssior-1\">Cantonese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-2\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"C\" \/><label for=\"field-Ksj44Raoamssior-2\">Mandarin<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-3\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"D\" \/><label for=\"field-Ksj44Raoamssior-3\">Ilocano<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-4\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"E\" \/><label for=\"field-Ksj44Raoamssior-4\">Tagalog<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-5\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"F\" \/><label for=\"field-Ksj44Raoamssior-5\">Cebuano\/Visayan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-6\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"G\" \/><label for=\"field-Ksj44Raoamssior-6\">Hawaiian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-7\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"H\" \/><label for=\"field-Ksj44Raoamssior-7\">Japanese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-8\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"I\" \/><label for=\"field-Ksj44Raoamssior-8\">Korean<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-9\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"J\" \/><label for=\"field-Ksj44Raoamssior-9\">Samoan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-10\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"K\" \/><label for=\"field-Ksj44Raoamssior-10\">Vietnamese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-11\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"M\" \/><label for=\"field-Ksj44Raoamssior-11\">Chuukese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-12\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"M\" \/><label for=\"field-Ksj44Raoamssior-12\">Pohnpeian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-13\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"O\" \/><label for=\"field-Ksj44Raoamssior-13\">Cambodian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-14\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"P\" \/><label for=\"field-Ksj44Raoamssior-14\">Chamorro<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-15\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"Q\" \/><label for=\"field-Ksj44Raoamssior-15\">Fijian<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-16\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"R\" \/><label for=\"field-Ksj44Raoamssior-16\">Hmong<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-17\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"S\" \/><label for=\"field-Ksj44Raoamssior-17\">Lao<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-18\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"R\" \/><label for=\"field-Ksj44Raoamssior-18\">Marshallese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-19\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"U\" \/><label for=\"field-Ksj44Raoamssior-19\">Pampango<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-20\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"V\" \/><label for=\"field-Ksj44Raoamssior-20\">Pangasinan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-21\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"W\" \/><label for=\"field-Ksj44Raoamssior-21\">Portuguese<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-22\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"X\" \/><label for=\"field-Ksj44Raoamssior-22\">Spanish<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-23\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"Y\" \/><label for=\"field-Ksj44Raoamssior-23\">Thai<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-24\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"Z\" \/><label for=\"field-Ksj44Raoamssior-24\">Tongan<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Ksj44Raoamssior-25\" name='field-Ksj44Raoamssior' data-ref-label='Language_Most_Used' required='required' class='form-control'  type=\"radio\" value=\"L\" \/><label for=\"field-Ksj44Raoamssior-25\">Other (Specify)<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-IULA6fuM3VIgOVd erf-element-width-12\"><label for=\"field-IULA6fuM3VIgOVd\" class=\"erf-text-label\">Other Language Most Used<\/label><input type='text' data-ref-label='Other_Language_Most_Used' class='form-control' name='field-IULA6fuM3VIgOVd' id='field-IULA6fuM3VIgOVd'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h2  data-non-input='1' data-ref-label='PRIOR_EDUCATION' data-ref-id='header-o0r5iyvj' class='' >PRIOR EDUCATION<\/h2><\/div><div class=\"erf-radio-group form-group field-field-AS9Xyt8C7dHFEhW erf-element-width-12\"><label for=\"field-AS9Xyt8C7dHFEhW\" class=\"erf-radio-group-label\">Preschool Experience<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-AS9Xyt8C7dHFEhW-0\" name='field-AS9Xyt8C7dHFEhW' data-ref-label='Preschool_Experience' required='required' class='form-control'  type=\"radio\" value=\"A\" \/><label for=\"field-AS9Xyt8C7dHFEhW-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-AS9Xyt8C7dHFEhW-1\" name='field-AS9Xyt8C7dHFEhW' data-ref-label='Preschool_Experience' required='required' class='form-control'  type=\"radio\" value=\"B\" \/><label for=\"field-AS9Xyt8C7dHFEhW-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-zVEKeJAEy5qvo1Z erf-element-width-12\"><label for=\"field-zVEKeJAEy5qvo1Z\" class=\"erf-radio-group-label\">If \u201cYes\u201d \u2013 attended<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-zVEKeJAEy5qvo1Z-0\" name='field-zVEKeJAEy5qvo1Z' data-ref-label='Preschool_Attended' class='form-control'  type=\"radio\" value=\"A\" \/><label for=\"field-zVEKeJAEy5qvo1Z-0\">less than 6 months<\/label><\/div><div class=\"radio-inline\"><input id=\"field-zVEKeJAEy5qvo1Z-1\" name='field-zVEKeJAEy5qvo1Z' data-ref-label='Preschool_Attended' class='form-control'  type=\"radio\" value=\"B\" \/><label for=\"field-zVEKeJAEy5qvo1Z-1\">between 6 and 12 months<\/label><\/div><div class=\"radio-inline\"><input id=\"field-zVEKeJAEy5qvo1Z-2\" name='field-zVEKeJAEy5qvo1Z' data-ref-label='Preschool_Attended' class='form-control'  type=\"radio\" value=\"C\" \/><label for=\"field-zVEKeJAEy5qvo1Z-2\">more than 1 year<\/label><\/div><\/div><\/div><div class=\"erf-checkbox-group form-group field-field-bUtIU8LDmpX1pUm erf-element-width-12\"><label for=\"field-bUtIU8LDmpX1pUm\" class=\"erf-checkbox-group-label\">Pre-School Program: (if applicable)<\/label><div class=\"checkbox-group\"><div class=\"checkbox-inline\"><input id=\"field-bUtIU8LDmpX1pUm-0\" name='field-bUtIU8LDmpX1pUm[]' data-ref-label='Preschool_Program' class='form-control' multiple='1'  type=\"checkbox\" value=\"EOEL\" \/><label for=\"field-bUtIU8LDmpX1pUm-0\">EOEL<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-bUtIU8LDmpX1pUm-1\" name='field-bUtIU8LDmpX1pUm[]' data-ref-label='Preschool_Program' class='form-control' multiple='1'  type=\"checkbox\" value=\"KALO\" \/><label for=\"field-bUtIU8LDmpX1pUm-1\">KALO<\/label><\/div><div class=\"checkbox-inline\"><input id=\"field-bUtIU8LDmpX1pUm-2\" name='field-bUtIU8LDmpX1pUm[]' data-ref-label='Preschool_Program' class='form-control' multiple='1'  type=\"checkbox\" value=\"PDG\" \/><label for=\"field-bUtIU8LDmpX1pUm-2\">PDG<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-w46bt6FacMh8hIh erf-element-width-12\"><label for=\"field-w46bt6FacMh8hIh\" class=\"erf-text-label\">Last Hawaii Public School Attended<\/label><input type='text' data-ref-label='Last_HI_Public_School_Attended' class='form-control' name='field-w46bt6FacMh8hIh' id='field-w46bt6FacMh8hIh'  \/><\/div><div class=\"erf-radio-group form-group field-field-ObbAnhUHbLcvUDG erf-element-width-12\"><label for=\"field-ObbAnhUHbLcvUDG\" class=\"erf-radio-group-label\">Last Grade Attended<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-ObbAnhUHbLcvUDG-0\" name='field-ObbAnhUHbLcvUDG' data-ref-label='Last_Grade_Attended' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-ObbAnhUHbLcvUDG-0\">1st grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-ObbAnhUHbLcvUDG-1\" name='field-ObbAnhUHbLcvUDG' data-ref-label='Last_Grade_Attended' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-ObbAnhUHbLcvUDG-1\">2nd grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-ObbAnhUHbLcvUDG-2\" name='field-ObbAnhUHbLcvUDG' data-ref-label='Last_Grade_Attended' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-ObbAnhUHbLcvUDG-2\">3rd grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-ObbAnhUHbLcvUDG-3\" name='field-ObbAnhUHbLcvUDG' data-ref-label='Last_Grade_Attended' class='form-control'  type=\"radio\" value=\"4\" \/><label for=\"field-ObbAnhUHbLcvUDG-3\">4th grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-ObbAnhUHbLcvUDG-4\" name='field-ObbAnhUHbLcvUDG' data-ref-label='Last_Grade_Attended' class='form-control'  type=\"radio\" value=\"5\" \/><label for=\"field-ObbAnhUHbLcvUDG-4\">5th grade<\/label><\/div><div class=\"radio-inline\"><input id=\"field-ObbAnhUHbLcvUDG-5\" name='field-ObbAnhUHbLcvUDG' data-ref-label='Last_Grade_Attended' class='form-control'  type=\"radio\" value=\"K\" \/><label for=\"field-ObbAnhUHbLcvUDG-5\">Kindergarten<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-0i8vKJg6w9Lhs2H erf-element-width-12\"><label for=\"field-0i8vKJg6w9Lhs2H\" class=\"erf-text-label\">Year Attended<\/label><input type='text' data-ref-label='Year_Attended' class='form-control' name='field-0i8vKJg6w9Lhs2H' id='field-0i8vKJg6w9Lhs2H'  \/><\/div><div class=\"erf-text form-group field-field-jU8uZexeTCCVgU7 erf-element-width-12\"><label for=\"field-jU8uZexeTCCVgU7\" class=\"erf-text-label\">Last School Attended (if NOT Hawaii Public School)<\/label><input type='text' data-ref-label='LAST_NON_HI_SCHOOL_ATTENDED' class='form-control' name='field-jU8uZexeTCCVgU7' id='field-jU8uZexeTCCVgU7'  \/><\/div><div class=\"erf-text form-group field-field-3RqadYCKDeG63BN erf-element-width-12\"><label for=\"field-3RqadYCKDeG63BN\" class=\"erf-text-label\">Address<\/label><input type='text' data-ref-label='Address_Non_HI_School' class='form-control' name='field-3RqadYCKDeG63BN' id='field-3RqadYCKDeG63BN'  \/><\/div><div class=\"erf-tel form-group field-field-jAwIkE4fodlJeON erf-element-width-12\"><label for=\"field-jAwIkE4fodlJeON\" class=\"erf-tel-label\">Phone<\/label><input type='tel' data-ref-label='Phone_Non_HI_School' class='form-control' name='field-jAwIkE4fodlJeON' enable-intl='1' id='field-jAwIkE4fodlJeON'  \/><\/div><div class=\"erf-tel form-group field-field-IyihvqbawOT7TRX erf-element-width-12\"><label for=\"field-IyihvqbawOT7TRX\" class=\"erf-tel-label\">Fax<\/label><input type='tel' data-ref-label='Fax_Non_HI_School' class='form-control' name='field-IyihvqbawOT7TRX' enable-intl='1' id='field-IyihvqbawOT7TRX'  \/><\/div><div class=\"erf-header erf-element-width-12\"><h2  data-non-input='1' data-ref-label='LEGAL_PARENT_GUARDIAN' data-ref-id='header-kqx6ir0b' class='' >LEGAL PARENT\/GUARDIAN LIVING IN THE HOUSEHOLD WITH STUDENT<\/h2><\/div><div class=\"erf-header erf-element-width-12\"><h3  data-non-input='1' data-ref-label='1st_Parent_Guardian' data-ref-id='header-1gmgwecv' class='' >1st Parent\/Guardian <\/h3><\/div><div class=\"erf-radio-group form-group field-field-3EFXG61CVVrJ1xK erf-element-width-12\"><label for=\"field-3EFXG61CVVrJ1xK\" class=\"erf-radio-group-label\">Prefix<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-3EFXG61CVVrJ1xK-0\" name='field-3EFXG61CVVrJ1xK' data-ref-label='Prefix_1' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-3EFXG61CVVrJ1xK-0\">Mr.<\/label><\/div><div class=\"radio-inline\"><input id=\"field-3EFXG61CVVrJ1xK-1\" name='field-3EFXG61CVVrJ1xK' data-ref-label='Prefix_1' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-3EFXG61CVVrJ1xK-1\">Mrs.<\/label><\/div><div class=\"radio-inline\"><input id=\"field-3EFXG61CVVrJ1xK-2\" name='field-3EFXG61CVVrJ1xK' data-ref-label='Prefix_1' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-3EFXG61CVVrJ1xK-2\">Ms.<\/label><\/div><div class=\"radio-inline\"><input id=\"field-3EFXG61CVVrJ1xK-3\" name='field-3EFXG61CVVrJ1xK' data-ref-label='Prefix_1' class='form-control'  type=\"radio\" value=\"4\" \/><label for=\"field-3EFXG61CVVrJ1xK-3\">Other (specify)<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-piuVcmon8V7CZTY erf-element-width-12\"><label for=\"field-piuVcmon8V7CZTY\" class=\"erf-text-label\">Other Prefix<\/label><input type='text' data-ref-label='Other_Prefix_1' class='form-control' name='field-piuVcmon8V7CZTY' id='field-piuVcmon8V7CZTY'  \/><\/div><div class=\"erf-text form-group field-field-mgJ4oDOLfPbIGWW erf-element-width-12\"><label for=\"field-mgJ4oDOLfPbIGWW\" class=\"erf-text-label\">Relation to Student<\/label><input type='text' data-ref-label='Relation_to_Student_1' class='form-control' name='field-mgJ4oDOLfPbIGWW' id='field-mgJ4oDOLfPbIGWW'  \/><\/div><div class=\"erf-radio-group form-group field-field-i4kJwSQ3Fy8ruuw erf-element-width-12\"><label for=\"field-i4kJwSQ3Fy8ruuw\" class=\"erf-radio-group-label\">Marital Status<span class=\"erf-required\">*<\/span><\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-i4kJwSQ3Fy8ruuw-0\" name='field-i4kJwSQ3Fy8ruuw' data-ref-label='Marital_Status_1' required='required' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-i4kJwSQ3Fy8ruuw-0\">Married<\/label><\/div><div class=\"radio-inline\"><input id=\"field-i4kJwSQ3Fy8ruuw-1\" name='field-i4kJwSQ3Fy8ruuw' data-ref-label='Marital_Status_1' required='required' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-i4kJwSQ3Fy8ruuw-1\">Divorced<\/label><\/div><div class=\"radio-inline\"><input id=\"field-i4kJwSQ3Fy8ruuw-2\" name='field-i4kJwSQ3Fy8ruuw' data-ref-label='Marital_Status_1' required='required' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-i4kJwSQ3Fy8ruuw-2\">Separated<\/label><\/div><div class=\"radio-inline\"><input id=\"field-i4kJwSQ3Fy8ruuw-3\" name='field-i4kJwSQ3Fy8ruuw' data-ref-label='Marital_Status_1' required='required' class='form-control'  type=\"radio\" value=\"4\" \/><label for=\"field-i4kJwSQ3Fy8ruuw-3\">Single<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-93O1LIGRJYPEP9W erf-element-width-12\"><label for=\"field-93O1LIGRJYPEP9W\" class=\"erf-radio-group-label\">Custody of Child<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-93O1LIGRJYPEP9W-0\" name='field-93O1LIGRJYPEP9W' data-ref-label='Custody_of_Child_1' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-93O1LIGRJYPEP9W-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-93O1LIGRJYPEP9W-1\" name='field-93O1LIGRJYPEP9W' data-ref-label='Custody_of_Child_1' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-93O1LIGRJYPEP9W-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-Tw6GHm0qfgQ3laf erf-element-width-12\"><label for=\"field-Tw6GHm0qfgQ3laf\" class=\"erf-radio-group-label\">Custody Type<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-Tw6GHm0qfgQ3laf-0\" name='field-Tw6GHm0qfgQ3laf' data-ref-label='Custody_Type_1' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-Tw6GHm0qfgQ3laf-0\">Sole Custody<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Tw6GHm0qfgQ3laf-1\" name='field-Tw6GHm0qfgQ3laf' data-ref-label='Custody_Type_1' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-Tw6GHm0qfgQ3laf-1\">Physical Custody<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Tw6GHm0qfgQ3laf-2\" name='field-Tw6GHm0qfgQ3laf' data-ref-label='Custody_Type_1' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-Tw6GHm0qfgQ3laf-2\">Joint Legal<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-xgcowFlp2C68DAr erf-element-width-12\"><label for=\"field-xgcowFlp2C68DAr\" class=\"erf-radio-group-label\">Custody Documentation Submitted<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-xgcowFlp2C68DAr-0\" name='field-xgcowFlp2C68DAr' data-ref-label='Custody_Documentation_Submitted_1' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-xgcowFlp2C68DAr-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-xgcowFlp2C68DAr-1\" name='field-xgcowFlp2C68DAr' data-ref-label='Custody_Documentation_Submitted_1' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-xgcowFlp2C68DAr-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-rqAiJYsP166fggG erf-element-width-12\"><label for=\"field-rqAiJYsP166fggG\" class=\"erf-text-label\">Legal Last Name<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Legal_Last_Name_1' class='form-control' name='field-rqAiJYsP166fggG' required='required' id='field-rqAiJYsP166fggG'  \/><\/div><div class=\"erf-text form-group field-field-R4ruVN7zDMDMtVf erf-element-width-12\"><label for=\"field-R4ruVN7zDMDMtVf\" class=\"erf-text-label\">Legal First Name<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Legal_First_Name_1' class='form-control' name='field-R4ruVN7zDMDMtVf' required='required' id='field-R4ruVN7zDMDMtVf'  \/><\/div><div class=\"erf-text form-group field-field-QDBxcFjyTTtfq6Q erf-element-width-12\"><label for=\"field-QDBxcFjyTTtfq6Q\" class=\"erf-text-label\">Home Address<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Home_Address_1' class='form-control' name='field-QDBxcFjyTTtfq6Q' required='required' id='field-QDBxcFjyTTtfq6Q'  \/><\/div><div class=\"erf-text form-group field-field-s4vEdA2s2goVEHo erf-element-width-12\"><label for=\"field-s4vEdA2s2goVEHo\" class=\"erf-text-label\">APT#<\/label><input type='text' data-ref-label='APT#_1' class='form-control' name='field-s4vEdA2s2goVEHo' id='field-s4vEdA2s2goVEHo'  \/><\/div><div class=\"erf-text form-group field-field-LapeUCDrDYm0che erf-element-width-12\"><label for=\"field-LapeUCDrDYm0che\" class=\"erf-text-label\">City<\/label><input type='text' data-ref-label='City_1' class='form-control' name='field-LapeUCDrDYm0che' id='field-LapeUCDrDYm0che'  \/><\/div><div class=\"erf-number form-group field-field-t0hCORf102TmE3D erf-element-width-12\"><label for=\"field-t0hCORf102TmE3D\" class=\"erf-number-label\">Zip Code<span class=\"erf-required\">*<\/span><\/label><input type='number' data-ref-label='Zip_Code_1' class='form-control' name='field-t0hCORf102TmE3D' required='required' id='field-t0hCORf102TmE3D'  \/><\/div><div class=\"erf-tel form-group field-field-O7T5d0itBagSbSG erf-element-width-12\"><label for=\"field-O7T5d0itBagSbSG\" class=\"erf-tel-label\">Home Phone #<\/label><input type='tel' data-ref-label='Home_Phone_1' class='form-control' name='field-O7T5d0itBagSbSG' enable-intl='1' id='field-O7T5d0itBagSbSG'  \/><\/div><div class=\"erf-tel form-group field-field-S7OSCUJ0hRPFQPj erf-element-width-12\"><label for=\"field-S7OSCUJ0hRPFQPj\" class=\"erf-tel-label\">Cellular Phone #<\/label><input type='tel' data-ref-label='Cellular_Phone_1' class='form-control' name='field-S7OSCUJ0hRPFQPj' enable-intl='1' id='field-S7OSCUJ0hRPFQPj'  \/><\/div><div class=\"erf-tel form-group field-field-J531pPUEAvuI4Fe erf-element-width-12\"><label for=\"field-J531pPUEAvuI4Fe\" class=\"erf-tel-label\">Pager #<\/label><input type='tel' data-ref-label='Pager_1' class='form-control' name='field-J531pPUEAvuI4Fe' enable-intl='1' id='field-J531pPUEAvuI4Fe'  \/><\/div><div class=\"erf-tel form-group field-field-FafP9DsP0vvozIA erf-element-width-12\"><label for=\"field-FafP9DsP0vvozIA\" class=\"erf-tel-label\">Work Phone # (include ext.)<\/label><input type='tel' data-ref-label='Work_Phone_1' class='form-control' name='field-FafP9DsP0vvozIA' enable-intl='1' id='field-FafP9DsP0vvozIA'  \/><\/div><div class=\"erf-email form-group field-field-knWZOafEaYM6JAB erf-element-width-12\"><label for=\"field-knWZOafEaYM6JAB\" class=\"erf-email-label\">Email Address<\/label><input type='email' data-ref-label='Email_Address_1' class='form-control' name='field-knWZOafEaYM6JAB' id='field-knWZOafEaYM6JAB'  \/><\/div><div class=\"erf-radio-group form-group field-field-QwtIqm314u8iU9J erf-element-width-12\"><label for=\"field-QwtIqm314u8iU9J\" class=\"erf-radio-group-label\">Is this parent\/guardian a member of the Armed Services, National Guard or Reserves?<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-QwtIqm314u8iU9J-0\" name='field-QwtIqm314u8iU9J' data-ref-label='In_Service_1' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-QwtIqm314u8iU9J-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-QwtIqm314u8iU9J-1\" name='field-QwtIqm314u8iU9J' data-ref-label='In_Service_1' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-QwtIqm314u8iU9J-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-uJxVSxEX8l0bwGJ erf-element-width-12\"><label for=\"field-uJxVSxEX8l0bwGJ\" class=\"erf-radio-group-label\">Military Status<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-uJxVSxEX8l0bwGJ-0\" name='field-uJxVSxEX8l0bwGJ' data-ref-label='Military_Status_1' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-uJxVSxEX8l0bwGJ-0\">Traditional Reservist \/ M-Day<\/label><\/div><div class=\"radio-inline\"><input id=\"field-uJxVSxEX8l0bwGJ-1\" name='field-uJxVSxEX8l0bwGJ' data-ref-label='Military_Status_1' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-uJxVSxEX8l0bwGJ-1\">Active Duty (Title 10)<\/label><\/div><div class=\"radio-inline\"><input id=\"field-uJxVSxEX8l0bwGJ-2\" name='field-uJxVSxEX8l0bwGJ' data-ref-label='Military_Status_1' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-uJxVSxEX8l0bwGJ-2\">Federal Technician (Title 32)<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-rmPGZanclYzDa44 erf-element-width-12\"><label for=\"field-rmPGZanclYzDa44\" class=\"erf-radio-group-label\">Deployed?<\/label><div class=\"radio-group\"><div class=\"radio\"><input id=\"field-rmPGZanclYzDa44-0\" name='field-rmPGZanclYzDa44' data-ref-label='Deployed_1' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-rmPGZanclYzDa44-0\">Yes<\/label><\/div><div class=\"radio\"><input id=\"field-rmPGZanclYzDa44-1\" name='field-rmPGZanclYzDa44' data-ref-label='Deployed_1' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-rmPGZanclYzDa44-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-tpBi9RGNU4fPnno erf-element-width-12\"><label for=\"field-tpBi9RGNU4fPnno\" class=\"erf-radio-group-label\">Branch of Service<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-0\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-tpBi9RGNU4fPnno-0\">Army<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-1\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-tpBi9RGNU4fPnno-1\">Marine<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-2\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-tpBi9RGNU4fPnno-2\">Air National Guard<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-3\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"4\" \/><label for=\"field-tpBi9RGNU4fPnno-3\">Navy Reserves<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-4\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"5\" \/><label for=\"field-tpBi9RGNU4fPnno-4\">Air Force<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-5\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"6\" \/><label for=\"field-tpBi9RGNU4fPnno-5\">Coast Guard<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-6\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"7\" \/><label for=\"field-tpBi9RGNU4fPnno-6\">Army Reserves<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-7\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"8\" \/><label for=\"field-tpBi9RGNU4fPnno-7\">Marine Reserves<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-8\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"9\" \/><label for=\"field-tpBi9RGNU4fPnno-8\">Navy<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-9\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"10\" \/><label for=\"field-tpBi9RGNU4fPnno-9\">Army National Guard<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-10\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"11\" \/><label for=\"field-tpBi9RGNU4fPnno-10\">Air Force Reserves<\/label><\/div><div class=\"radio-inline\"><input id=\"field-tpBi9RGNU4fPnno-11\" name='field-tpBi9RGNU4fPnno' data-ref-label='Branch_of_Service_1' class='form-control'  type=\"radio\" value=\"12\" \/><label for=\"field-tpBi9RGNU4fPnno-11\">Coast Guard Reserves<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-g4Bvj1SBb0oNDwm erf-element-width-12\"><label for=\"field-g4Bvj1SBb0oNDwm\" class=\"erf-radio-group-label\">Does this person work for the Federal Government or work on Federal Property?<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-g4Bvj1SBb0oNDwm-0\" name='field-g4Bvj1SBb0oNDwm' data-ref-label='Work_for_Federal_1' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-g4Bvj1SBb0oNDwm-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-g4Bvj1SBb0oNDwm-1\" name='field-g4Bvj1SBb0oNDwm' data-ref-label='Work_for_Federal_1' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-g4Bvj1SBb0oNDwm-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-header erf-element-width-12\"><h3  data-non-input='1' data-ref-label='2nd_Parent_Guardian' data-ref-id='header-qqozrkeq' class='' >2nd Parent Guardian <\/h3><\/div><div class=\"erf-radio-group form-group field-field-a0ww4rOko2MT4so erf-element-width-12\"><label for=\"field-a0ww4rOko2MT4so\" class=\"erf-radio-group-label\">Prefix<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-a0ww4rOko2MT4so-0\" name='field-a0ww4rOko2MT4so' data-ref-label='Prefix_2' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-a0ww4rOko2MT4so-0\">Mr.<\/label><\/div><div class=\"radio-inline\"><input id=\"field-a0ww4rOko2MT4so-1\" name='field-a0ww4rOko2MT4so' data-ref-label='Prefix_2' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-a0ww4rOko2MT4so-1\">Mrs.<\/label><\/div><div class=\"radio-inline\"><input id=\"field-a0ww4rOko2MT4so-2\" name='field-a0ww4rOko2MT4so' data-ref-label='Prefix_2' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-a0ww4rOko2MT4so-2\">Ms.<\/label><\/div><div class=\"radio-inline\"><input id=\"field-a0ww4rOko2MT4so-3\" name='field-a0ww4rOko2MT4so' data-ref-label='Prefix_2' class='form-control'  type=\"radio\" value=\"4\" \/><label for=\"field-a0ww4rOko2MT4so-3\">Other (specify)<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-49ZsdM0lRAmqgl1 erf-element-width-12\"><label for=\"field-49ZsdM0lRAmqgl1\" class=\"erf-text-label\">Other Prefix<\/label><input type='text' data-ref-label='Other_Prefix_2' class='form-control' name='field-49ZsdM0lRAmqgl1' id='field-49ZsdM0lRAmqgl1'  \/><\/div><div class=\"erf-text form-group field-field-VG6qxes6FAZVgVK erf-element-width-12\"><label for=\"field-VG6qxes6FAZVgVK\" class=\"erf-text-label\">Relation to Student<\/label><input type='text' data-ref-label='Relation_to_Student_2' class='form-control' name='field-VG6qxes6FAZVgVK' id='field-VG6qxes6FAZVgVK'  \/><\/div><div class=\"erf-radio-group form-group field-field-Cn6HruxA9mOyNEs erf-element-width-12\"><label for=\"field-Cn6HruxA9mOyNEs\" class=\"erf-radio-group-label\">Marital_Status<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-Cn6HruxA9mOyNEs-0\" name='field-Cn6HruxA9mOyNEs' data-ref-label='Marital_Status_2' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-Cn6HruxA9mOyNEs-0\">Married<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Cn6HruxA9mOyNEs-1\" name='field-Cn6HruxA9mOyNEs' data-ref-label='Marital_Status_2' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-Cn6HruxA9mOyNEs-1\">Divorced<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Cn6HruxA9mOyNEs-2\" name='field-Cn6HruxA9mOyNEs' data-ref-label='Marital_Status_2' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-Cn6HruxA9mOyNEs-2\">Separated<\/label><\/div><div class=\"radio-inline\"><input id=\"field-Cn6HruxA9mOyNEs-3\" name='field-Cn6HruxA9mOyNEs' data-ref-label='Marital_Status_2' class='form-control'  type=\"radio\" value=\"4\" \/><label for=\"field-Cn6HruxA9mOyNEs-3\">Single<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-iusR9UlCZWwEunr erf-element-width-12\"><label for=\"field-iusR9UlCZWwEunr\" class=\"erf-radio-group-label\">Custody of Child<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-iusR9UlCZWwEunr-0\" name='field-iusR9UlCZWwEunr' data-ref-label='Custody_of_Child_2' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-iusR9UlCZWwEunr-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-iusR9UlCZWwEunr-1\" name='field-iusR9UlCZWwEunr' data-ref-label='Custody_of_Child_2' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-iusR9UlCZWwEunr-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-nnnhPQHaGd2uG6b erf-element-width-12\"><label for=\"field-nnnhPQHaGd2uG6b\" class=\"erf-radio-group-label\">Custody Type<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-nnnhPQHaGd2uG6b-0\" name='field-nnnhPQHaGd2uG6b' data-ref-label='Custody_Type_2' class='form-control'  type=\"radio\" value=\"1\" \/><label for=\"field-nnnhPQHaGd2uG6b-0\">Sole Custody<\/label><\/div><div class=\"radio-inline\"><input id=\"field-nnnhPQHaGd2uG6b-1\" name='field-nnnhPQHaGd2uG6b' data-ref-label='Custody_Type_2' class='form-control'  type=\"radio\" value=\"2\" \/><label for=\"field-nnnhPQHaGd2uG6b-1\">Physical Custody<\/label><\/div><div class=\"radio-inline\"><input id=\"field-nnnhPQHaGd2uG6b-2\" name='field-nnnhPQHaGd2uG6b' data-ref-label='Custody_Type_2' class='form-control'  type=\"radio\" value=\"3\" \/><label for=\"field-nnnhPQHaGd2uG6b-2\">Joint Legal<\/label><\/div><\/div><\/div><div class=\"erf-radio-group form-group field-field-niVcXvm44M7wusr erf-element-width-12\"><label for=\"field-niVcXvm44M7wusr\" class=\"erf-radio-group-label\">Custody Documentation Submitted<\/label><div class=\"radio-group\"><div class=\"radio-inline\"><input id=\"field-niVcXvm44M7wusr-0\" name='field-niVcXvm44M7wusr' data-ref-label='Custody_Documentation_Submitted_2' class='form-control'  type=\"radio\" value=\"Yes\" \/><label for=\"field-niVcXvm44M7wusr-0\">Yes<\/label><\/div><div class=\"radio-inline\"><input id=\"field-niVcXvm44M7wusr-1\" name='field-niVcXvm44M7wusr' data-ref-label='Custody_Documentation_Submitted_2' class='form-control'  type=\"radio\" value=\"No\" \/><label for=\"field-niVcXvm44M7wusr-1\">No<\/label><\/div><\/div><\/div><div class=\"erf-text form-group field-field-e2hNViDfes6Cddh erf-element-width-12\"><label for=\"field-e2hNViDfes6Cddh\" class=\"erf-text-label\">Legal Last Name<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Legal_Last_Name_2' class='form-control' name='field-e2hNViDfes6Cddh' required='required' id='field-e2hNViDfes6Cddh'  \/><\/div><div class=\"erf-text form-group field-field-QC1AvW94bV5JKlj erf-element-width-12\"><label for=\"field-QC1AvW94bV5JKlj\" class=\"erf-text-label\">Legal First Name<span class=\"erf-required\">*<\/span><\/label><input type='text' data-ref-label='Legal_First_Name_2' class='form-control' name='field-QC1AvW94bV5JKlj' required='required' id='field-QC1AvW94bV5JKlj'  \/><\/div><div class=\"erf-file form-group field-field-Vto8tDittzvY66D erf-element-width-12\"><label for=\"field-Vto8tDittzvY66D\" class=\"erf-file-label\">File Upload1<\/label><input type='file' data-ref-label='File_Upload1' class='form-control' name='field-Vto8tDittzvY66D' id='field-Vto8tDittzvY66D'  \/><\/div><div class=\"erf-file form-group field-field-FloAFrbdRMicliB erf-element-width-12\"><label for=\"field-FloAFrbdRMicliB\" class=\"erf-file-label\">File Upload2<\/label><input type='file' data-ref-label='File_Upload2' class='form-control' name='field-FloAFrbdRMicliB' id='field-FloAFrbdRMicliB'  \/><\/div><div class=\"erf-file form-group field-field-gfHC2leAb3QuIh3 erf-element-width-12\"><label for=\"field-gfHC2leAb3QuIh3\" class=\"erf-file-label\">File Upload3<\/label><input type='file' data-ref-label='File_Upload3' class='form-control' name='field-gfHC2leAb3QuIh3' id='field-gfHC2leAb3QuIh3'  \/><\/div><div class=\"erf-button form-group field-button-20089464321 erf-element-width-12\"><button type='submit'class='btn btn-default'name='button-20089464321'data-ref-label='Send'id='button-20089464321'>Send<\/button><\/div>                    <\/div> \n                <\/div>    \n\n                <div class=\"erf-external-form-elements\">\n                    \n                    \n                    \n\n                    \n                                        <div class=\"erf-errors\" style=\"display:none\">\n                        <span class=\"erf-errors-head erf-error-row\">Error occured. Please confirm your data and submit again:<\/span>\n                        <div class=\"erf-errors-body\">\n                                                    <\/div> \n                    <\/div>\n\n                <\/div>\n                <!-- Contains multipage Next,Previous buttons -->\n                <div class=\"erf-form-nav clearfix\"><\/div> \n\n                <!-- Single page form button -->\n                <div class=\"erf-submit-button clearfix\"><\/div>\n\n\n                <input type=\"hidden\" name=\"erform_id\" value=\"2935\" \/>\n                <input type=\"hidden\" id=\"erform_submission_nonce\" name=\"erform_submission_nonce\" value=\"7bf942cab5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2933\" \/>                <input type=\"hidden\" name=\"action\" value=\"erf_submit_form\" \/>\n\n            <\/form>\n            \n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>All students to be enrolled by legal name as per birth certificate or other legal document.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-2933","page","type-page","status-publish","hentry"],"featured_image_urls_v2":{"full":"","thumbnail":"","medium":"","medium_large":"","large":"","thumblist":"","meccarouselthumb":"","gridsquare":"","tileview":"","1536x1536":"","2048x2048":""},"post_excerpt_stackable_v2":"<p>All students to be enrolled by legal name as per birth certificate or other legal document. Contact us by filling out the form below. STUDENT INFORMATION First Name*Last Name*Middle NameBirth Date*Gender*FemaleMaleGrade Level*1st grade2nd grade3rd grade4th grade5th gradeKindergartenCITIZENSHIPUS Citizen*YesNoIf not US citizen, indicate statusImmigrantNonimmigrantRefugeeCountry of Birth*If Country of Birth is other than US, give year of arrivalETHNICITY\/RACEIs the student Hispanic or Latino?*YesNoWhat is the Student&#8217;s Race? Check all that applyAmerican Indian or Alaska NativeLabelBlackChineseFilipinoNative HawaiianJapaneseKoreanPortugueseSamoanWhiteIndo-Chinese (Ex. Cambodian, Laotian, Vietnamese)Micronesian (Ex. Chuukese, Marshallese Pohnpeian,)TonganGuamanian\/ChamorroOther AsianOther Pacific IslanderI decline to provide ethnicity and race information. I understand that if I do not provide&hellip;<\/p>\n","category_list_v2":"","author_info_v2":{"name":"KES Warriors","url":"http:\/\/165.248.174.229\/?author=1"},"comments_num_v2":"0 comments","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Enroll Now - Student Registration Form -<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/165.248.174.229\/?page_id=2933\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Enroll Now - Student Registration Form -\" \/>\n<meta property=\"og:description\" content=\"All students to be enrolled by legal name as per birth certificate or other legal document.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/165.248.174.229\/?page_id=2933\" \/>\n<meta property=\"article:modified_time\" content=\"2021-02-02T19:20:18+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/165.248.174.229\/?page_id=2933\",\"url\":\"http:\/\/165.248.174.229\/?page_id=2933\",\"name\":\"Enroll Now - Student Registration Form -\",\"isPartOf\":{\"@id\":\"http:\/\/165.248.174.229\/#website\"},\"datePublished\":\"2021-02-02T18:42:24+00:00\",\"dateModified\":\"2021-02-02T19:20:18+00:00\",\"breadcrumb\":{\"@id\":\"http:\/\/165.248.174.229\/?page_id=2933#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/165.248.174.229\/?page_id=2933\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/165.248.174.229\/?page_id=2933#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/165.248.174.229\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Enroll Now &#8211; 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