{"id":279,"date":"2019-11-29T08:59:40","date_gmt":"2019-11-29T08:59:40","guid":{"rendered":"http:\/\/hydrogeologyconference2022.com.cy\/?page_id=279"},"modified":"2020-02-13T14:14:17","modified_gmt":"2020-02-13T14:14:17","slug":"registration-form","status":"publish","type":"page","link":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/registration-form\/","title":{"rendered":"Registration Form"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-padding-top:20px;--awb-padding-right:20px;--awb-padding-bottom:20px;--awb-padding-left:20px;--awb-bg-color:#f2f2f2;--awb-bg-color-hover:#f2f2f2;--awb-bg-size:cover;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-column-wrapper-legacy\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f462-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/279#wpcf7-f462-o1\" method=\"post\" class=\"wpcf7-form init cf7-style cf7-style-145\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"462\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f462-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/div>\n<h1 style=\"margin-top:0px;\">Registration Form\n<\/h1>\n<h2 style=\"margin-bottom:5px;\">\n\t<font size=\"4\" color=\"#0092af\">Contact Details\n\t<\/font>\n<\/h2>\n<p><label>Name\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>Surname\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-surname\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-surname\" \/><\/span> <\/label>\n<\/p>\n<p><label>Date of Birth<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-93\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-date\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-93\" \/><\/span> <\/label>\n<\/p>\n<p><label>Organization\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-service\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-service\" \/><\/span> <\/label>\n<\/p>\n<p><label>Email\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>Mobile Number\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-tel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-tel\" \/><\/span> <\/label>\n<\/p>\n<p><label>Work Number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-worktel\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-tel wpcf7-text wpcf7-validates-as-tel\" aria-invalid=\"false\" value=\"\" type=\"tel\" name=\"your-worktel\" \/><\/span> <\/label>\n<\/p>\n<h2 style=\"margin-bottom:5px;\">\n\t<font size=\"4\" color=\"#0092af\">Primary Address\n\t<\/font>\n<\/h2>\n<p><label> Address Line 1\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span> <\/label>\n<\/p>\n<p><label> Address Line 2<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address1\" \/><\/span> <\/label>\n<\/p>\n<p><label> Address Line 3<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-address2\" \/><\/span> <\/label>\n<\/p>\n<p><label> Post Code\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-postalcode\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-postalcode\" \/><\/span> <\/label>\n<\/p>\n<p><label> City\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-city\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-city\" \/><\/span> <\/label>\n<\/p>\n<p><label> Country\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-country\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-country\" \/><\/span> <\/label>\n<\/p>\n<h2 style=\"margin-bottom:5px;\">\n\t<font size=\"4\" color=\"#0092af\">Invoice to primary address\n\t<\/font>\n<\/h2>\n<p><label> Check the box if the invoice address is the same as contact address as shown above.<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-933\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-933[]\" value=\"Yes, the invoice is the same as the primary address\" \/><span class=\"wpcf7-list-item-label\">Yes, the invoice is the same as the primary address<\/span><\/span><\/span><\/span>\n<\/p>\n<h2 style=\"margin-bottom:5px;\">\n\t<font size=\"4\" color=\"#0092af\">Conference Participation\n\t<\/font>\n<\/h2>\n<p><label> Declaration of participation in one or more activities\n\t\t<font color=\"red\">*\n\t\t<\/font> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-173\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"checkbox-173[]\" value=\"Opening Ceremony\" \/><span class=\"wpcf7-list-item-label\">Opening Ceremony<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-173[]\" value=\"1st Day of the Conference\" \/><span class=\"wpcf7-list-item-label\">1st Day of the Conference<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"checkbox-173[]\" value=\"2nd Day of the Conference\" \/><span class=\"wpcf7-list-item-label\">2nd Day of the Conference<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"checkbox-173[]\" value=\"Excursion\" \/><span class=\"wpcf7-list-item-label\">Excursion<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> How will you participate in the conference:\n\t\t<font color=\"red\">*\n\t\t<\/font> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-783\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><input type=\"radio\" name=\"radio-783\" value=\"Online\" \/><span class=\"wpcf7-list-item-label\">Online<\/span><\/span><span class=\"wpcf7-list-item last\"><input type=\"radio\" name=\"radio-783\" value=\"Physical Attendance\" \/><span class=\"wpcf7-list-item-label\">Physical Attendance<\/span><\/span><\/span><\/span>\n<\/p>\n<h2 style=\"margin-bottom:5px;\">\n\t<font size=\"4\" color=\"#0092af\">Privacy Policy\n\t<\/font>\n<\/h2>\n<p><label>By registering, I consent and agree, that the Organizing Committee, to collect, store and process the data I transmit in accordance with EU Regulation 2016\/679 (GDPR) solely for their use for the purposes of the 12th International Hydrogeological Conference.\n\t\t<font color=\"red\">*\n\t\t<\/font><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-175\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><input type=\"checkbox\" name=\"checkbox-175[]\" value=\"I Agree\" \/><span class=\"wpcf7-list-item-label\">I Agree<\/span><\/span><\/span><\/span> <\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"fusion-alert alert custom alert-custom fusion-alert-center wpcf7-response-output fusion-alert-capitalize awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" style=\"--awb-border-size:1px;--awb-border-top-left-radius:0px;--awb-border-top-right-radius:0px;--awb-border-bottom-left-radius:0px;--awb-border-bottom-right-radius:0px;\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"fusion-alert-content\"><\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div>\n<\/form>\n<\/div>\n<div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/pages\/279"}],"collection":[{"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/comments?post=279"}],"version-history":[{"count":5,"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/pages\/279\/revisions"}],"predecessor-version":[{"id":562,"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/pages\/279\/revisions\/562"}],"wp:attachment":[{"href":"https:\/\/www.hydrogeologyconference2022.com.cy\/en\/wp-json\/wp\/v2\/media?parent=279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}