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<title>
	JewQ Shabbaton - L'Chaim Chabad - Kingston
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		text-overflow: ellipsis;
		white-space: nowrap;
		background: rgba(255, 255, 255, 0.75);
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		min-width: 200px;
		max-width: 500px;
		text-align: center;
		display: inline-block;
		position: relative;
		border: 1px solid #c3c1b8;
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		position: absolute;
		width: 100%;
		height: 100%;
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		right: 0;
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	.sPromo-flex img {
		height: 100%;
		object-fit: cover;
		opacity: 1;
		display: block;
		width: 100%;
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		backface-visibility: hidden;
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	div#chabad_main_content {
		width: 100%;
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	.article-header__title {
		font-size: 30px;
		color: #66635b;
		font-family: Montserrat, sans-serif;
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	.wrap-image .bannerContainer img {
		opacity: 1;
		display: block;
		width: 100%;
		transition: 0.5s ease;
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	.wrap-image:hover .wrap-image2 {
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	.wrap-image2 {
		transition: 0.5s ease;
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		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;
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	.photo_title {
		font-size: 20pt;
		text-transform: uppercase;
		text-align: center;
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	.co_date {
		font-size: 17pt;
		text-decoration: none;
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		font-family: Oswald, Arimo, sans-serif;
		color: #fff;
		text-transform: uppercase;
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	.chabad_header {
		height: 450px;
		text-align: center;
		background-position: right bottom;
		background-repeat: no-repeat;
		background-color: rgba(255, 255, 255, 0.2);
		background-blend-mode: screen;
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	.indexsection {
		padding: 0 100px;
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	.indexsection .title {
		text-transform: uppercase;
		font-size: 20pt;
		text-align: left;
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	.indexsection .read-more_link {
		margin: 25px 0;
		width: 15%;
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	.indexsection .custom_message {
		padding: 25px;
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	.indexsection .message {
		padding: 20px 0;
		text-align: left;
		font-family: Montserrat, sans-serif !important;
		color: #000;
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	.indexsectionImg img {
		width: 40%;
		float: right;
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	.custom-mini-banner .banner-box {
		display: inline-block;
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	.custom-mini-banner {
		margin: 0px 0px 50px 0px;
		font-family: Montserrat, sans-serif;
		text-transform: uppercase;
		padding-left: 100px;
		padding-right: 100px;
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	.custom-mini-banner .mini-banner-1,
	.custom-mini-banner .mini-banner-2 {
		margin: 10px 0 2px;
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	.custom-mini-banner .banner-box {
		padding: 20px 35px;
		vertical-align: middle;
		text-align: left;
		box-sizing: border-box;
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	.custom-mini-banner .banner-box .title {
		font-weight: 700;
		display: inline-block;
		font-size: 18px;
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	.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;
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	/* End of desktop CSS */

	/* Start of Media Queries */

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		#co_calendar .item {
			min-height: 175px;
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		.co_calendar_text {
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			width: 160px;
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		#co_calendar .item.normal-width {
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		#co_calendar .item.medium-width {
			width: 267px;
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		#co_calendar .item.large-width {
			width: 400px;
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		.co_calendar_text {
			padding-left: 52px;
			padding-right: 52px;
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	@media only screen and (min-width: 768px) and (max-width: 1024px) and (orientation: landscape) {
		.co_calendar_text {
			padding-left: 62px;
			padding-right: 62px;
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	@media only screen and (min-width: 768px) and (max-width: 1024px) and (orientation: portrait) {
		.co_calendar_text {
			padding-left: 53px;
			padding-right: 52px;
		}
	}
	@media only screen and (min-width: 1024px) and (max-width: 1366px) and (orientation: portrait) {
		.co_calendar_text {
			padding-left: 62px;
			padding-right: 62px;
		}
	}
	@media only screen and (max-width: 650px) and (max-width: 650px) {
		.small_promos {
			flex-wrap: wrap;
			justify-content: center;
		}
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	@media only screen and (max-width: 650px) {
		.bannerCta,
		.textWrapper .wrapper-message {
			display: none;
		}
		.co_photo_gallery_head,
		.textWrapper span {
			text-align: center;
		}
		.textWrapper {
			background: rgba(255, 255, 255, 0.75);
		}
		.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;
			height: 250px;
			display: block !important;
		}
		.chabad_header img {
			background-size: cover;
			background-position: center 0;
			background-attachment: inherit;
			height: 250px;
		}
		.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;
		}
		.chabad_header div.headerTitle {
			font-size: 43px;
			line-height: 70px;
			padding-top: initial;
		}
		.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;
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		.textWrapper {
			background: rgba(255, 255, 255, 0.75);
		}
		.textWrapper .big {
			color: #000;
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		.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-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: 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, 0.7);
		}*/
		.bannerCta button {
			margin-top: 0;
		}
		.small_promos {
			margin-top: 10px;
		}
		.co_features {
			width: 25%;
		}
		.co_photo_gallery_head {
			text-align: center;
		}
		.g960.footer {
			padding: 20px;
			width: 100%;
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		.arrow:hover {
			background: 0 0;
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		.sPromo-wrap .caption {
			max-width: 100%;
		}
		.custom_message .message {
			width: 100%;
		}
		.co_content {
			width: 100%;
		}
		.chabad_header {
			background-position: bottom center;
			background-attachment: inherit;
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		.chabad_header .headerTitle {
			padding-top: 100px;
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		.header-desc {
			padding-bottom: 75px;
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		.cco_templateless_page .chabad_header,
		.chabad_header {
			background-blend-mode: screen;
			background-position: left bottom;
			background-color: rgba(255, 255, 255, 0.3);
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		.header-desc {
			padding-bottom: 50px;
		}
	}
	#RegisterSinglePage {
		text-align: left;
		.form-label {
			width: 250px !important;
		}
		.form-label-left {
			width: 250px !important;
		}
		.form-line {
			padding-top: 12px;
			padding-bottom: 12px;
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		.form-label-right {
			width: 250px !important;
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		.form-all {
			font-size: 14px;
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		.co_body .content .form-all p {
			font-size: 14px;
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	.co_photo_gallery {
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	.co_photo_gallery a img {
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.co_photo_gallery a {
  flex: 1 1 220px;
gap: 5px;
}
</style>


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			<h1 class="article-header__title js-article-title js-page-title">JewQ Shabbaton</h1>
		
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<div id="formContainer"><script type="text/javascript">var defaultCurrency = { value: 'AUD', symbol: '$'};
$j(function(){
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window.formJson = Object.extend([{"form_height":450,"24_text":"Jew Q Shabbaton Friday Sept 6th- Shabbat Sept 7th 2024","24_subHeader":"","24_headerType":"Default","24_name":"clickTo24","24_qid":24,"24_type":"control_head","24_order":1,"14_text":"\u003cp\u003eWe are pleased to provide you with the details for your child\u0026#39;s Jew Q\u0026nbsp;Shabbaton.\u003c/p\u003e\n\n\u003cp\u003eThis Shabbaton will be a wonderful celebration\u0026nbsp;of the program for the children\u0026nbsp;and their families, and we look forward to a wonderful experience.\u003c/p\u003e\n\n\u003cp\u003eThe program includes a Friday night dinner,\u0026nbsp;followed by a special overnight program for the children.\u0026nbsp;\u003c/p\u003e\n\n\u003cp\u003eThe children will have the opportunity to experience a whole Shabbat in a relaxed and fun atmosphere with special programs and workshops over the weekend. Full care and supervision will be provided.\u003c/p\u003e\n\n\u003cp\u003eThe Shabbaton will be held at Moorabbin Shule and L\u0026rsquo;Chaim Chabad \u0026ndash; Youth Centre and the children are to arrive at the Shul \u003cb\u003e\u003ci\u003e\u003cu\u003eat 5.15pm on Friday, 6th September\u003c/u\u003e.\u003c/i\u003e\u003c/b\u003e\u0026nbsp; Candle Lighting is 5.45pm. The Friday night service will commence at 6pm followed by a Shabbat meal.\u0026nbsp;\u003c/p\u003e\n\n\u003cp\u003eChlidren\u0026nbsp;are expected to bring a sleeping bag, pillow, pajamas, personal belongings and modest Shabbat clothing.\u0026nbsp;Please do not send your child with personal electronic items and mobile phones.*\u0026nbsp;All food and nosh will be provided.\u0026nbsp;The program will be followed after Shabbat by a bowling trip to Zone Bowling\u0026nbsp;Moorabbin on \u003cspan\u003eSaturday night, returning to the youth centre for the finale and awards and the children\u0026nbsp;can be picked up after 8.30pm.\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\n\u003cp\u003eFor catering purposes, we need to know the numbers attending as soon as possible. If you can please register by the latest \u003cb\u003e\u003cu\u003eFriday 30th August\u003c/u\u003e\u003c/b\u003e\u0026nbsp;it would be greatly appreciated.\u003c/p\u003e\n\n\u003cp\u003ePlease feel free to contact us if you have any queries. Looking forward to sharing this wonderful experience with you.\u003cbr\u003e\n\u003cbr\u003e\n*If your child would like to bring their device, we will store it away safely during Shabbat.\u0026nbsp;\u003cbr\u003e\n*Parents are welcome to join us on Shabbat morning. 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"}},"11_text":"Submit","11_buttonAlign":"Auto","11_clear":"No","11_print":"No","11_name":"submit","11_qid":11,"11_type":"control_button","11_order":17,"21_text":"\u003cp\u003e\u003cem\u003e*As always, all are welcome. In case of financial difficulties please contact Leah on 0425 844 050\u003c/em\u003e\u003c/p\u003e\n","21_name":"doubleclickTo21","21_qid":21,"21_type":"control_text","21_order":18,"form_title":"Friday Night Dinner","form_pagetitle":"Form","form_styles":"nova","form_font":"","form_fontsize":"14","form_fontcolor":"","form_optioncolor":"","form_lineSpacing":"12","form_background":"","form_formWidth":"685","form_labelWidth":"150","form_alignment":"Left","form_thankurl":"","form_thanktext":"","form_highlightLine":"Enabled","form_activeRedirect":"default","form_sendpostdata":"No","form_unique":"None","form_uniqueField":"\u003cField Id\u003e","form_status":"Enabled","form_injectCSS":"","form_hideMailEmptyFields":"disable","form_showProgressBar":"disable","form_formStrings":[{"alphabetic":"This field can only contain letters","alphanumeric":"This field can only contain letters and numbers.","confirmClearForm":"Are you sure you want to clear the form?","confirmEmail":"E-mail does not match","email":"Enter a valid e-mail address","generalError":"There are errors on the form. 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<form class="userform-form" action="" method="post" name="form_6560594" id="6560594" accept-charset="utf-8"><input type="hidden" name="formID" value="6560594" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li id="cid_24" class="form-input-wide"> <div class="form-header-group"><h2 id="header_24" class="form-header">Jew Q Shabbaton Friday Sept 6th- Shabbat Sept 7th 2024</h2></div> </li><li class="form-line" id="id_14"><div id="cid_14" class="form-input-wide"> <div id="text_14" class="form-html"><p>We are pleased to provide you with the details for your child's Jew Q Shabbaton.</p>

<p>This Shabbaton will be a wonderful celebration of the program for the children and their families, and we look forward to a wonderful experience.</p>

<p>The program includes a Friday night dinner, followed by a special overnight program for the children. </p>

<p>The children will have the opportunity to experience a whole Shabbat in a relaxed and fun atmosphere with special programs and workshops over the weekend. Full care and supervision will be provided.</p>

<p>The Shabbaton will be held at Moorabbin Shule and L’Chaim Chabad – Youth Centre and the children are to arrive at the Shul <b><i><u>at 5.15pm on Friday, 6th September</u>.</i></b>  Candle Lighting is 5.45pm. The Friday night service will commence at 6pm followed by a Shabbat meal. </p>

<p>Chlidren are expected to bring a sleeping bag, pillow, pajamas, personal belongings and modest Shabbat clothing. Please do not send your child with personal electronic items and mobile phones.* All food and nosh will be provided. The program will be followed after Shabbat by a bowling trip to Zone Bowling Moorabbin on <span>Saturday night, returning to the youth centre for the finale and awards and the children can be picked up after 8.30pm. </span></p>

<p>For catering purposes, we need to know the numbers attending as soon as possible. If you can please register by the latest <b><u>Friday 30th August</u></b> it would be greatly appreciated.</p>

<p>Please feel free to contact us if you have any queries. Looking forward to sharing this wonderful experience with you.<br />
<br />
*If your child would like to bring their device, we will store it away safely during Shabbat. <br />
*Parents are welcome to join us on Shabbat morning. Detailed schedule of activities will be sent. </p>
</div> </div></li><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Name of Child </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" 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" 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_31"><div class="form-label-left" id="label_31"><label for="input_31"> E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_31"> </label></div><div id="cid_31" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_31" name="q31_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Emergency Phone Number of parent 1 <span class="form-required">*</span> </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q3_phoneNumber[area]" id="input_3_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_3_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q3_phoneNumber[phone]" id="input_3_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_3_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_28"><div class="form-label-left" id="label_28"><label for="input_28"> Emergency Phone Number of Parent 2 </label><label class="label-message" for="input_28"> </label></div><div id="cid_28" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox" type="tel" name="q28_phoneNumber28[full]" id="input_28_full" autocomplete="tel" />  <label class="form-sub-label" for="input_28_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_26"><div class="form-label-left" id="label_26"><label for="input_26"> Emergency contact Name <span class="form-required">*</span> </label><label class="label-message" for="input_26"> </label></div><div id="cid_26" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q26_fullName26[first]" id="first_26" autocomplete="given-name" />  <label class="form-sub-label" for="first_26" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q26_fullName26[last]" id="last_26" autocomplete="family-name" />  <label class="form-sub-label" for="last_26" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_27"><div class="form-label-left" id="label_27"><label for="input_27"> Emergency contact phone Number <span class="form-required">*</span> </label><label class="label-message" for="input_27"> </label></div><div id="cid_27" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input data-type="mask-number" class="mask-phone-number form-textbox validate[required]" type="tel" name="q27_phoneNumber27[full]" id="input_27_full" autocomplete="tel" />  <label class="form-sub-label" for="input_27_full"><span> </span></label></span></div> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> Medicare #<span class="form-required">*</span> </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_8" name="q8_input8" size="20" value="" /> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> Child- $36 each </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_12" name="q12_input12" size="20" value="" /> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> Medical Conditions (Please write N/A if none) <span class="form-required">*</span> </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_18" name="q18_input18" size="20" value="" /> </div></li><li class="form-line" id="id_20"><div class="form-label-left" id="label_20"><label for="input_20"> Allergies (Please write N/A if none)<span class="form-required">*</span> </label><label class="label-message" for="input_20"> </label></div><div id="cid_20" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_20" name="q20_input20" size="20" value="" /> </div></li><li class="form-line" id="id_29"><div class="form-label-left" id="label_29"><label for="input_29"> Any additional information we should know to ensure your child has a successful and pleasant time. </label><label class="label-message" for="input_29"> </label></div><div id="cid_29" class="form-input"> <textarea id="input_29" class="form-textarea" name="q29_input29" cols="40" rows="6"></textarea> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> I give permission to my child to attend the Shabbaton. I acknowledge that my child will obey all instructions by Moorabbin Hebrew Congregation &amp; L'Chaim Chabad staff &amp; Youth Leaders. I permit said staff and Youth Leaders to access medical attention for my child in case of emergency.<span class="form-required">*</span> </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_6" name="q6_input6" size="20" value="" /> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> Signed on<span class="form-required">*</span> </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q7_birthDate[month]" id="input_7_month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_7_month" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q7_birthDate[day]" id="input_7_day"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select>  <label class="form-sub-label" for="input_7_day" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" name="q7_birthDate[year]" id="input_7_year"><option></option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option></select>  <label class="form-sub-label" for="input_7_year" id="sublabel_year">Year</label></span></div> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_30_creditCard" name="q30_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_30_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_30_other" name="q30_payment[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_30_other">Bank Transfer</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div></div><input type="hidden" name="q30_payment[cc_type]" id="input_30_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q30_payment[cc_number]" id="input_30_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_30_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv hide"><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q30_payment[cc_ccv]" id="input_30_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_30_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q30_payment[cc_nameOnCard]" id="input_30_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_30_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q30_payment[cc_exp_month]" id="input_30_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_30_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q30_payment[cc_exp_year]" id="input_30_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2024">2024</option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option></select>  <label class="form-sub-label" for="input_30_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="other hide"><td colspan="2">Please email office@jewishmelbourne.com.au for details. </td></tr><tr class="billing_address hide"><th colspan="2">Billing Address</th></tr><tr class="billing_address hide"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q30_payment[addr_line1]" id="input_30_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_30_addr_line1" id="sublabel_30_addr_line1">Street Address</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q30_payment[city]" id="input_30_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_30_city" id="sublabel_30_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q30_payment[state]" id="input_30_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_30_state" id="sublabel_30_state">State / Province</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q30_payment[postal]" id="input_30_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_30_postal" id="sublabel_30_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q30_payment[country]" id="input_30_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman 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 value="Dominica">Dominica</option><option value="Dominican Republic">Dominican Republic</option><option value="Ecuador">Ecuador</option><option value="Egypt">Egypt</option><option value="El Salvador">El Salvador</option><option value="Equatorial Guinea">Equatorial Guinea</option><option value="Eritrea">Eritrea</option><option value="Estonia">Estonia</option><option value="Eswatini">Eswatini</option><option value="Ethiopia">Ethiopia</option><option value="Falkland Islands">Falkland Islands</option><option value="Faroe Islands">Faroe Islands</option><option value="Fiji">Fiji</option><option value="Finland">Finland</option><option value="France">France</option><option value="French Polynesia">French Polynesia</option><option value="Gabon">Gabon</option><option value="The Gambia">The Gambia</option><option value="Georgia">Georgia</option><option value="Germany">Germany</option><option value="Ghana">Ghana</option><option value="Gibraltar">Gibraltar</option><option value="Greece">Greece</option><option value="Greenland">Greenland</option><option value="Grenada">Grenada</option><option value="Guadeloupe">Guadeloupe</option><option value="Guam">Guam</option><option value="Guatemala">Guatemala</option><option value="Guernsey">Guernsey</option><option value="Guinea">Guinea</option><option value="Guinea-Bissau">Guinea-Bissau</option><option value="Guyana">Guyana</option><option value="Haiti">Haiti</option><option value="Honduras">Honduras</option><option value="Hong Kong">Hong Kong</option><option value="Hungary">Hungary</option><option value="Iceland">Iceland</option><option value="India">India</option><option value="Indonesia">Indonesia</option><option value="Iran">Iran</option><option value="Iraq">Iraq</option><option value="Ireland">Ireland</option><option value="Israel">Israel</option><option value="Italy">Italy</option><option value="Jamaica">Jamaica</option><option value="Japan">Japan</option><option value="Jersey">Jersey</option><option value="Jordan">Jordan</option><option value="Kazakhstan">Kazakhstan</option><option value="Kenya">Kenya</option><option value="Kiribati">Kiribati</option><option value="North Korea">North Korea</option><option value="South Korea">South Korea</option><option value="Kosovo">Kosovo</option><option value="Kuwait">Kuwait</option><option value="Kyrgyzstan">Kyrgyzstan</option><option value="Laos">Laos</option><option value="Latvia">Latvia</option><option value="Lebanon">Lebanon</option><option value="Lesotho">Lesotho</option><option value="Liberia">Liberia</option><option value="Libya">Libya</option><option value="Liechtenstein">Liechtenstein</option><option value="Lithuania">Lithuania</option><option value="Luxembourg">Luxembourg</option><option value="Macau">Macau</option><option value="Macedonia">Macedonia</option><option value="Madagascar">Madagascar</option><option value="Malawi">Malawi</option><option value="Malaysia">Malaysia</option><option value="Maldives">Maldives</option><option value="Mali">Mali</option><option value="Malta">Malta</option><option value="Marshall Islands">Marshall Islands</option><option value="Martinique">Martinique</option><option value="Mauritania">Mauritania</option><option value="Mauritius">Mauritius</option><option value="Mayotte">Mayotte</option><option value="Mexico">Mexico</option><option value="Micronesia">Micronesia</option><option value="Moldova">Moldova</option><option value="Monaco">Monaco</option><option value="Mongolia">Mongolia</option><option value="Montenegro">Montenegro</option><option value="Montserrat">Montserrat</option><option value="Morocco">Morocco</option><option value="Mozambique">Mozambique</option><option value="Myanmar">Myanmar</option><option value="Namibia">Namibia</option><option value="Nauru">Nauru</option><option value="Nepal">Nepal</option><option value="Netherlands">Netherlands</option><option value="New Caledonia">New Caledonia</option><option value="New Zealand">New Zealand</option><option value="Nicaragua">Nicaragua</option><option value="Niger">Niger</option><option value="Nigeria">Nigeria</option><option value="Niue">Niue</option><option value="Norfolk Island">Norfolk Island</option><option value="Northern Mariana">Northern Mariana</option><option value="Norway">Norway</option><option value="Oman">Oman</option><option value="Pakistan">Pakistan</option><option value="Palau">Palau</option><option value="Panama">Panama</option><option value="Papua New Guinea">Papua New Guinea</option><option value="Paraguay">Paraguay</option><option value="Peru">Peru</option><option value="Philippines">Philippines</option><option value="Pitcairn Islands">Pitcairn Islands</option><option value="Poland">Poland</option><option value="Portugal">Portugal</option><option value="Puerto Rico">Puerto Rico</option><option value="Qatar">Qatar</option><option value="Romania">Romania</option><option value="Russia">Russia</option><option value="Rwanda">Rwanda</option><option value="Saint Barthelemy">Saint Barthelemy</option><option value="Saint Helena">Saint Helena</option><option value="Saint Kitts and Nevis">Saint Kitts and Nevis</option><option value="Saint Lucia">Saint Lucia</option><option value="Saint Martin">Saint Martin</option><option value="Saint Pierre and Miquelon">Saint Pierre and Miquelon</option><option value="Saint Vincent and the Grenadines">Saint Vincent and the Grenadines</option><option value="Samoa">Samoa</option><option value="San Marino">San Marino</option><option value="Sao Tome and Principe">Sao Tome and Principe</option><option value="Saudi Arabia">Saudi Arabia</option><option value="Senegal">Senegal</option><option value="Serbia">Serbia</option><option value="Seychelles">Seychelles</option><option value="Sierra Leone">Sierra Leone</option><option value="Singapore">Singapore</option><option value="Slovakia">Slovakia</option><option value="Slovenia">Slovenia</option><option value="Solomon Islands">Solomon Islands</option><option value="Somalia">Somalia</option><option value="Somaliland">Somaliland</option><option value="South Africa">South Africa</option><option value="South Ossetia">South Ossetia</option><option value="Spain">Spain</option><option value="Sri Lanka">Sri Lanka</option><option value="Sudan">Sudan</option><option value="Suriname">Suriname</option><option value="Svalbard">Svalbard</option><option value="Sweden">Sweden</option><option value="Switzerland">Switzerland</option><option value="Syria">Syria</option><option value="Taiwan">Taiwan</option><option value="Tajikistan">Tajikistan</option><option value="Tanzania">Tanzania</option><option value="Thailand">Thailand</option><option value="Timor-Leste">Timor-Leste</option><option value="Togo">Togo</option><option value="Tokelau">Tokelau</option><option value="Tonga">Tonga</option><option value="Trinidad and Tobago">Trinidad and Tobago</option><option value="Tristan da Cunha">Tristan da Cunha</option><option value="Tunisia">Tunisia</option><option value="Turkey">Turkey</option><option value="Turkmenistan">Turkmenistan</option><option value="Turks and Caicos Islands">Turks and Caicos Islands</option><option value="Tuvalu">Tuvalu</option><option value="Uganda">Uganda</option><option value="Ukraine">Ukraine</option><option value="United Arab Emirates">United Arab Emirates</option><option value="United Kingdom">United Kingdom</option><option value="Uruguay">Uruguay</option><option value="Uzbekistan">Uzbekistan</option><option value="Vanuatu">Vanuatu</option><option value="Vatican City">Vatican City</option><option value="Venezuela">Venezuela</option><option value="Vietnam">Vietnam</option><option value="British Virgin Islands">British Virgin Islands</option><option value="US Virgin Islands">US Virgin Islands</option><option value="Wallis and Futuna">Wallis and Futuna</option><option value="Western Sahara">Western Sahara</option><option value="Yemen">Yemen</option><option value="Zambia">Zambia</option><option value="Zimbabwe">Zimbabwe</option><option value="other">Other</option></select>  <label class="form-sub-label" for="input_30_country" id="sublabel_30_country">Country</label></span></td></tr></tbody></table> </div></li><li class="form-line" id="id_11"><div id="cid_11" class="form-input-wide"> <div style="text-align: center; text-indent:156px;" class="form-buttons-wrapper button-align-auto"><button id="input_11" type="submit" class="form-submit-button  form-submit-button-none;">Submit</button></div> </div></li><li class="form-line" id="id_21"><div id="cid_21" class="form-input-wide"> <div id="text_21" class="form-html"><p><em>*As always, all are welcome. In case of financial difficulties please contact Leah on 0425 844 050</em></p>
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