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	Teen Programs on Van Buren Grades 6 - 12 - Chabad of East Hollywood 
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        z-index: 2;
    }

    .chabad_header img {
        position: absolute;
        background-position: right bottom;
        background-repeat: no-repeat;
        background-color: rgba(255, 255, 255, .2);
        background-blend-mode: screen;
        left: 0px;
        z-index: 1;
        object-fit: cover;
        width: 100%;
        height: 450px;
    }

    .article-header__subtitle,
    .article-header__title {
        color: #66635b;
        font-family: Montserrat, sans-serif
    }

    .headerSubTitle {
        font-size: 27pt;
        position: relative;
        z-index: 2;
    }

    .header-desc {
        font-size: 23pt;
        font-weight: lighter;
        font-family: Montserrat, sans-serif;
        position: relative;
        z-index: 2;
    }

    div#chabad_head .chabad_navigator_bar {
        width: 100%;
        border: none;
        margin: 0;
        height: 45px
    }

    div#chabad_head .chabad_navigator_bar ul {
        display: inline-block;
        margin: auto
    }

    div#chabad_head .chabad_navigator_bar ul li a {
        font-size: 17px;
        font-weight: 400;
        visibility: visible;
        line-height: 45px;
        margin-top: 0;
        color: #fff;
        font-family: Montserrat, sans-serif !important;
        border-right: 2px solid #fff;
    }

    div#chabad_head .chabad_navigator_bar ul li ul li a {
        line-height: 28px;
        min-width: 140px
    }

    div#chabad_head .chabad_navigator_bar ul li .sub_menu {
        top: 45px !important;
        text-align: left
    }

    #navigation li.parent:last-child a.parent {
        border-right: 0 solid;
    }

    #navigation li.parent a.parent {
        transition: all .5s;
    }

    .arrow {
        transition: none !important
    }

    .sub_menu .item a {
        border-right: 0 !important;
        max-width: 100% !important
    }

    .large_banner {
        border: 1px solid #c3c1b8;
        overflow: hidden;
        position: relative;
        margin-left: auto;
        margin-right: auto;
        margin-bottom: 20px;
    }

    .bannerCta button,
    .donate_link a,
    .read-more_link a {
        border: 2px solid #2d2317;
        font-family: Montserrat, sans-serif
    }

    .bannerContainer a {
        width: 100%;
        height: 100%;
        position: absolute;
        left: 0;
        right: 0;
        z-index: 1
    }

    .donate_link a,
    .read-more_link a {
        color: #2d2317;
        background: 0 0
    }

    .donate_link a:hover,
    .read-more_link a:hover {
        background: #2d2317;
        color: #fff
    }

    .textWrapper {
        background: rgba(255, 255, 255, .75);
        padding: 11px 100px;
        width: 100%;
        position: absolute;
        bottom: 0;
        left: 0;
        text-align: center;
        box-sizing: border-box
    }

    .textWrapper span {
        text-align: center;
        font-size: 14px;
        line-height: 20px;
        color: #000;
        font-family: Montserrat, sans-serif
    }

    .textWrapper .big {
        display: block;
        font-size: 22px;
        margin: 5px
    }

    .bannerCta button {
        display: inline-block;
        padding: 10px 24px;
        font-size: 18px;
        font-weight: 700;
        transition: all .4s;
        color: #fff;
        background: #2d2317
    }

    .small_promos {
        display: flex;
        margin-bottom: 50px;
        text-align: center
    }

    .wrap-image .bannerContainer img,
    .wrap-image .statimg {
        opacity: 1;
        display: block;
        width: 100%;
        transition: .5s ease;
        backface-visibility: hidden
    }

    .wrap-image:hover .bannerContainer img,
    .wrap-image:hover .statimg {
        opacity: .5
    }

    #co_calendar,
    #co_photo_gallery {
        margin-bottom: 50px
    }

    .custom_message .title {
        font-size: 34pt;
        text-align: center
    }

    #co_calendar {
        display: inline-block;
        text-align: left
    }

    #co_calendar .item {
        float: left;
        padding: 15px
    }

    .co_calendar_head,
    .features_title,
    .photo_title {
        font-size: 20pt;
        text-transform: uppercase;
        text-align: center
    }

    .co_content {
        margin-left: auto;
        margin-right: auto;
        text-align: center
    }

    .co_calendar_text {
        display: flex;
        flex-wrap: wrap;
        font-family: Montserrat, sans-serif;
        color: #fff;
        background-color: #e3cca4;
        background-clip: content-box
    }

    .co_date,
    .co_title_calendar a {
        font-size: 17pt;
        text-decoration: none;
        line-height: 25px;
        font-family: Oswald, Arimo, sans-serif;
        color: #fff;
        text-transform: uppercase
    }

    .co_date {
        font-weight: bold;
        margin-bottom: 15px;
    }

    .co_date::after {
        content: ""
    }

    .co_title_calendar a {
        font-size: 15pt;
    }

    .co_text_calendar {
        padding-top: 10px
    }

    .co_photo_gallery {
        text-align: center
    }

    .co_photo_gallery a {
        display: inline;
        margin: 0
    }

    .co_photo_gallery a:hover {
        text-decoration: none !important;
        transition: .5s ease;
        opacity: .5;
    }

    .co_photo_gallery a img {
        width: 20%;
        margin: 4px;
        height: 150px;
        object-fit: cover
    }

    .co_features {
        display: inline-block;
        margin: 5px;
        width: 250px
    }

    .co_features img,
    .g960 {
        width: 100%
    }

    .section_branch .chabad_header {
        height: 300px;
    }

    .section_branch .chabad_header img {
        height: 300px;
    }

    .section_branch .chabad_header .headerTitle {
        padding-top: 30px;
    }

    .feature_caption,
    .feature_caption a {
        font-size: 14pt;
        text-transform: uppercase;
        text-decoration: none;
        text-align: center
    }

    #footerContainer,
    #footerContainer a,
    .footer,
    .footer a {
        font-size: 15px;
    }

    .co_photo_gallery_footer {
        display: none
    }

    #footerContainer,
    .footer {
        margin-top: 0;
        padding: 10px;
        text-align: center;
        width: 100%;
        font-family: Montserrat, sans-serif
    }

    .large_bottom_margin {
        margin: 20px
    }

    .g960 {
        margin: 0 auto
    }

    body.mobile div#co_calendar {
        margin-bottom: 50px;
    }

    body.mobile div#co_photo_gallery {
        margin-top: 0px;
        margin-bottom: 50px;
    }

    .mobile .footer_inner_container .back_to_top {
        left: 10px;
        bottom: 25px;
        width: 30px;
        height: 30px
    }

    .mobile .footer_inner_container .back_to_top .arrow {
        margin: -3px -6px
    }

    .indexsection .title,
    .section_root #co_body_container {
        text-align: left
    }

    .sub_menu {
        visibility: visible
    }

    div#chabad_head .chabad_navigator_bar ul li {
        color: #fff;
        background-color: #fff;
    }

    .cco_templateless_page #chabad_main_content {
        background-image: url(https://w2.chabad.org/images/Shluchim/minisites/themes/Generic_New/abstract2.jpg);
        background-blend-mode: screen;
        background-size: contain;
        background-color: rgba(255, 255, 255, .7)
    }

    .article-header__title,
    .read-more_link,
    .titleIcon {
        text-align: center
    }

    .titleIcon img {
        display: none
    }

    .bannerCta button,
    .custom_message .title,
    .read-more_link a,
    .sPromo-wrap .caption,
    [class=widget-] {
        text-transform: uppercase
    }

    .sPromo-wrap {
        display: inline-block;
        margin-left: 4px;
        width: 100%;
        max-height: 250px;
        position: relative
    }

    .sPromo-wrap:first-child {
        margin-left: 0
    }

    .sPromo-wrap a {
        position: absolute;
        width: 100%;
        height: 100%;
        left: 0;
        right: 0;
        z-index: 1
    }

    .sPromo-wrap img {
        height: 100%;
        border: 1px solid #c3c1b8;
        object-fit: cover;
        opacity: 1;
        display: block;
        width: 100%;
        transition: .5s ease;
        backface-visibility: hidden
    }

    .sPromo-wrap .caption {
        font-family: Oswald, Arimo, sans-serif;
        position: absolute;
        width: 100%;
        bottom: 0;
        height: 38px;
        line-height: 36px;
        font-weight: 400;
        font-size: 15pt;
        overflow: hidden;
        text-overflow: ellipsis;
        white-space: nowrap;
        background: rgba(255, 255, 255, .75)
    }

    .sPromo-wrap:hover img {
        opacity: .5
    }

    div#chabad_main_content {
        width: 100%
    }

    .article-header__title {
        font-size: 30px;
        color: #66635b;
        font-family: Montserrat, sans-serif
    }

    .wrap-image .bannerContainer img {
        opacity: 1;
        display: block;
        width: 100%;
        transition: .5s ease;
        backface-visibility: hidden
    }

    .wrap-image:hover .bannerContainer img {
        opacity: .5
    }

    .wrap-image:hover .wrap-image2 {
        opacity: 1
    }

    .wrap-image2 {
        transition: .5s ease;
        opacity: 0;
        position: absolute;
        top: 50%;
        left: 50%;
        -ms-transform: translate(-50%, -50%);
        -webkit-transform: translate(-50%, -50%);
        transform: translate(-50%, -50%)
    }

    .custom_message {
        margin-bottom: 50px
    }

    .custom_message .message {
        font-family: Montserrat, sans-serif;
        font-size: 16pt;
        margin: 0 auto;
        text-align: center;
        padding: 25px
    }

    .photo_title {
        font-size: 20pt;
        text-transform: uppercase;
        text-align: center
    }

    .co_date {
        font-size: 17pt;
        text-decoration: none;
        line-height: 25px;
        font-family: Oswald, Arimo, sans-serif;
        color: #fff;
        text-transform: uppercase
    }

    .chabad_header {
        height: 450px;
        text-align: center;
        background-position: right bottom;
        background-repeat: no-repeat;
        background-color: rgba(255, 255, 255, .2);
        background-blend-mode: screen
    }

    .indexsection {
        padding: 0 100px
    }

    .indexsection .title {
        text-transform: uppercase;
        font-size: 20pt;
        text-align: left
    }

    .indexsection .read-more_link {
        margin: 25px 0;
        width: 15%
    }

    .indexsection .custom_message {
        padding: 25px
    }

    .indexsection .message {
        padding: 20px 0;
        text-align: left;
        font-family: Montserrat, sans-serif !important;
        color: #000
    }

    .indexsectionImg img {
        width: 40%;
        float: right
    }

    .custom-mini-banner .banner-box {
        display: inline-block
    }

    .custom-mini-banner {
        margin: 0px 0px 50px 0px;
        font-family: Montserrat, sans-serif;
        text-transform: uppercase;
        padding-left: 100px;
        padding-right: 100px;
    }

    .custom-mini-banner .mini-banner-1,
    .custom-mini-banner .mini-banner-2 {
        margin: 10px 0 2px
    }

    .custom-mini-banner .banner-box {
        padding: 20px 35px;
        vertical-align: middle;
        text-align: left;
        box-sizing: border-box
    }

    .custom-mini-banner .banner-box .title {
        font-weight: 700;
        display: inline-block;
        font-size: 18px
    }

    .custom-mini-banner .banner-box .desc {
        font-size: 11px;
        line-height: 16px;
        padding-top: 6px;
    }

    .prepResource-title {
        font-size: 20pt;
        text-align: center;
        text-transform: uppercase;
    }

    .mobile div#chabad_head .chabad_navigator_bar ul li {
        background-color: inherit;
    }

    /* End of desktop CSS */
    /* Start of Media Queries */

    @media only screen and (min-device-width:651px) {
        #co_calendar .item {
            min-height: 175px
        }

        .co_calendar_text {
            padding-left: 52px;
            padding-right: 52px
        }
    }

    @media only screen and (min-device-width:1025px) {
        #co_calendar .item.small-width {
            width: 160px
        }

        #co_calendar .item.normal-width {
            width: 25%
        }

        #co_calendar .item.medium-width {
            width: 267px
        }

        #co_calendar .item.large-width {
            width: 400px
        }
    }

    @media only screen and (min-device-width:1024px) and (max-device-width:1366px) and (orientation:landscape) {
        .co_calendar_text {
            padding-left: 52px;
            padding-right: 52px
        }
    }

    @media only screen and (min-device-width:768px) and (max-device-width:1024px) and (orientation:landscape) {
        .co_calendar_text {
            padding-left: 62px;
            padding-right: 62px
        }
    }

    @media only screen and (min-device-width:768px) and (max-device-width:1024px) and (orientation:portrait) {
        .co_calendar_text {
            padding-left: 53px;
            padding-right: 52px
        }
    }

    @media only screen and (min-device-width:1024px) and (max-device-width:1366px) and (orientation:portrait) {
        .co_calendar_text {
            padding-left: 62px;
            padding-right: 62px
        }
    }

    @media only screen and (max-device-width:650px) and (max-width:650px) {
        .small_promos {
            flex-wrap: wrap;
            justify-content: center
        }
    }

    @media only screen and (max-device-width:650px) {

        .bannerCta,
        .textWrapper .wrapper-message {
            display: none
        }

        .co_photo_gallery_head,
        .textWrapper span {
            text-align: center
        }

        .textWrapper {
            background: rgba(255, 255, 255, .75)
        }

        .textWrapper .big {
            color: #000;
            margin: 0
        }

        .cco_templateless_template a {
            padding-left: 0
        }

        div.chabad_left_column {
            padding-top: 10px
        }

        .chabad_header {
            background-image: none;
        }

        .chabad_header img {
            background-size: cover;
            background-position: center 0;
            background-attachment: inherit;
            height: 290px !important;
        }

        .headerTitle {
            padding-top: 50px;
        }

        .headerSubTitle,
        .header-desc {
            font-size: 20pt
        }

        .header-desc {
            padding-bottom: 60px
        }

        div#chabad_head .chabad_navigator_bar ul li a {
            border-right: none;
            line-height: 45px
        }

        body.mobile #navigation.chabad_navigator_bar #menu {
            width: 100%;
            height: 45px
        }

        body.mobile .g960.footer {
            padding: 10px
        }

        .textWrapper {
            padding: 5px;
            float: none;
            left: 0;
            height: auto !important
        }

        .sPromo-wrap {
            margin: 8px 8px 8px auto
        }

        .small_promos img {
            width: 75%;
            display: initial
        }

        .custom_message .title {
            font-size: 25pt
        }

        .custom_message .message {
            width: 100%;
            font-size: 13pt;
            padding: 10px;
        }

        #co_calendar {
            display: block;
            clear: both
        }

        #co_calendar .item {
            float: none;
            width: 100% !important;
            height: auto
        }

        .co_features,
        .photo {
            display: inline-block;
            margin: 0 auto;
            width: 45%;
            padding-bottom: 15px
        }

        .feature_caption a {
            font-size: 10pt
        }

        .co_photo_gallery a img {
            width: 49% !important
        }

        .chabad_header .headerTitle {
            font-size: 43px;
            line-height: 70px
        }

        .indexsection,
        .indexsection .custom_message {
            padding: 10px
        }

        .indexsection .message,
        .indexsection .title {
            text-align: center
        }

        .indexsection .read-more_link {
            width: 100%
        }

        .indexsectionImg img {
            float: none;
            width: 75%
        }

        .sPromo-wrap {
            margin: 8px auto
        }

        .textWrapper {
            background: rgba(255, 255, 255, .75)
        }

        .textWrapper .big {
            color: #000
        }

        .custom-mini-banner .banner-box .desc {
            width: 100%
        }

        .custom-mini-banner .banner-box {
            display: block;
            width: 100%;
            padding: 10px
        }

        .custom-mini-banner {
            padding-left: 0px;
            padding-right: 0px;
        }
    }

    @media only screen and (max-device-width:1024px) {

        #co_calendar .item .calendar-width,
        .calendar-width {
            max-width: 936px
        }

        #co_calendar .item .normal-width {
            width: 300px
        }

        #co_calendar .item .normal-width.last {
            width: 600px
        }

        #co_calendar .item.medium-width,
        #co_calendar .item.small-width {
            width: 203px
        }

        #co_calendar .item.normal-width {
            width: 25%;
        }

        #co_calendar .item.large-width {
            width: 300px
        }

        div#chabad_body_content {
            background-color: #fff
        }

        body.mobile #navigation.chabad_navigator_bar #menu li:not(.heading) {
            padding: 0
        }

        div#chabad_head .chabad_navigator_bar ul li a {
            border-right: 0 !important
        }

        body.cco_templateless_page.mobile #navigation.chabad_navigator_bar #menu {
            margin-top: 10px;
            height: 45px
        }

        body.mobile .chabad_navigator_bar #menu .item.heading a {
            background: url('https://w2.chabad.org/images/shluchim/minisites/down_triangle_white.gif') no-repeat right center
        }

        body.mobile .chabad_navigator_bar .sub_menu_toggle {
            background: background: url(https://w2.chabad.org/images/shluchim/minisites/down_triangle_white.gif) no-repeat center
        }

        body.mobile div.chabad_navigator_bar #menu .sub_menu ul {
            border-left: 3px solid #fff
        }

        body.mobile #navigation.chabad_navigator_bar #menu li:not(.heading) {
            padding-left: 0
        }

        div#chabad_head .chabad_navigator_bar ul li ul li {
            min-height: 0
        }

        body.mobile #navigation.chabad_navigator_bar #menu {
            width: 100%
        }

        .cco_templateless_page #chabad_main_content {
            background-image: url(https://w2.chabad.org/images/Shluchim/minisites/themes/Generic_New/abstract2.jpg);
            background-blend-mode: screen;
            background-size: contain;
            background-color: rgba(255, 255, 255, .7)
        }

        .bannerCta button {
            margin-top: 0
        }

        .small_promos {
            margin-top: 10px
        }

        .co_features {
            width: 25%
        }

        .co_photo_gallery_head {
            text-align: center
        }

        .co_photo_gallery a {
            margin: 5px
        }

        .co_photo_gallery a img {
            width: 27%
        }

        .g960.footer {
            padding: 20px;
            width: 100%
        }

        .arrow:hover {
            background: 0 0
        }

        .sPromo-wrap .caption {
            max-width: 100%
        }

        .custom_message .message {
            width: 100%
        }

        .co_content {
            width: 100%
        }

        .chabad_header {
            background-position: bottom center;
            background-attachment: inherit
        }

        .chabad_header .headerTitle {
            padding-top: 100px
        }

        .header-desc {
            padding-bottom: 75px
        }

        .cco_templateless_page .chabad_header,
        .chabad_header {
            background-blend-mode: screen;
            background-position: left bottom;
            background-color: rgba(255, 255, 255, .3)
        }

        .header-desc {
            padding-bottom: 50px
        }
    }

</style>


<div id="chabad_body_page">
<div id="chabad_main_content">
<div id="chabad_head">

<div>
<div>
<div>
<div>
<div>
<div>

<div class="chabad_header">
<br/>

<div class="headerTitle">
<a href="/5077000" style="text-decoration: none;">
 
<img src="https://w2.chabad.org/media/images/1169/pbUx11695032.jpg" alt="Copy of CHS Header.jpg" real_width="663" real_height="351" border="0" />                             </a></div>
<div class="headerSubTitle">
 </div>
<div class="header-desc">
 </div>
</div>


<div id="navigation" class="chabad_navigator_bar">
<div class="chabad_menu_content">
<ul id="menu" class="navi">
<li class="item parent">
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</li>
<li class="item parent arrow selected">
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<div class="sub_menu">
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<li class="item parent arrow">
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<div class="sub_menu">
<ul>
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			<h1 class="article-header__title js-article-title js-page-title">ISA Teen Programs & Torah Classes on Van Buren </h1>
		
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<form class="userform-form" action="" method="post" name="form_5680927" id="5680927" accept-charset="utf-8"><input type="hidden" name="formID" value="5680927" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_37"><div id="cid_37" class="form-input-wide"> <div id="text_37" class="form-html"><p>This program is not affiliated, associated, authorized, endorsed by, or in any way officially connected with ISA .</p>

<p>Jewish programming &amp; Torah Classes for students grades 6 - 12. Programs are at 2635 Van Buren Street after school. Please choose the programs that you would like to Join. <br />
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</div> </div></li><li id="cid_39" class="form-input-wide"> <div class="form-header-group"><h3 id="header_39" class="form-header">Student Information</h3></div> </li><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q1_fullName[first]" id="first_1" autocomplete="given-name" />  <label class="form-sub-label" for="first_1" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q1_fullName[last]" id="last_1" autocomplete="family-name" />  <label class="form-sub-label" for="last_1" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Hebrew Name<span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q3_fullName3[first]" id="first_3" autocomplete="given-name" />  <label class="form-sub-label" for="first_3" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q3_fullName3[last]" id="last_3" autocomplete="family-name" />  <label class="form-sub-label" for="last_3" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_4"> </label></div><div id="cid_4" class="form-input"> <div 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Number</label></span></div> </div></li><li class="form-line" id="id_35"><div class="form-label-left" id="label_35"><label for="input_35"> Student's E-mail </label><label class="label-message" for="input_35"> </label></div><div id="cid_35" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_35" name="q35_email35" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> Current Grade 2025-6<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <select class="form-dropdown validate[required]" style="width:150px" id="input_7" name="q7_input7"><option value=""></option><option value="6th ">6th </option><option value="7th ">7th </option><option value="8th ">8th </option><option value="9th ">9th </option><option value="10th ">10th </option><option value="11th ">11th </option><option value="12th">12th</option></select> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Address<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q8_address[addr_line1]" id="input_8_addr_line1" size="46" autocomplete="address-line1" />  <label class="form-sub-label" for="input_8_addr_line1" id="sublabel_8_addr_line1">Street Address</label></span></td></tr><tr><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox form-address-line no-validation" type="text" name="q8_address[addr_line2]" id="input_8_addr_line2" size="46" autocomplete="address-line2" />  <label class="form-sub-label" 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Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option value="Colombia">Colombia</option><option value="Comoros">Comoros</option><option value="Congo">Congo</option><option value="Cook Islands">Cook Islands</option><option value="Costa Rica">Costa Rica</option><option value="Cote d'Ivoire">Cote d'Ivoire</option><option value="Croatia">Croatia</option><option value="Cuba">Cuba</option><option value="Cyprus">Cyprus</option><option value="Czech Republic">Czech Republic</option><option value="Denmark">Denmark</option><option value="Djibouti">Djibouti</option><option 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name="q12_fullName12[last]" id="last_12" autocomplete="family-name" />  <label class="form-sub-label" for="last_12" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> Father's Cell<span class="form-required">*</span> </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q13_phoneNumber[area]" id="input_13_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_13_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q13_phoneNumber[phone]" id="input_13_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_13_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_33"><div class="form-label-left" id="label_33"><label for="input_33"> Father's E-mail </label><label class="label-message" for="input_33"> </label></div><div id="cid_33" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_33" name="q33_email33" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_14"><div class="form-label-left" id="label_14"><label for="input_14"> Mother's Name<span class="form-required">*</span> </label><label class="label-message" for="input_14"> </label></div><div id="cid_14" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q14_fullName14[first]" id="first_14" autocomplete="given-name" />  <label class="form-sub-label" for="first_14" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q14_fullName14[last]" id="last_14" autocomplete="family-name" />  <label class="form-sub-label" for="last_14" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_31"><div class="form-label-left" id="label_31"><label for="input_31"> Mother's E-mail </label><label class="label-message" for="input_31"> </label></div><div id="cid_31" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_31" name="q31_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> Mother's Cell<span class="form-required">*</span> </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" 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