document.write('<!-- phpForms.net form BEGIN -->');document.write('<style>');document.write('<!--');document.write('.phpForms_pgtitle');document.write('{');document.write('    font-family : Arial;');document.write('    font-size   : 18px;');document.write('    color       : #1200d9;');document.write('    font-weight : bold;');document.write('}');document.write('.phpForms_btn');document.write('{');document.write('    border-top-width    : 1px;');document.write('    border-left-width   : 1px;');document.write('    border-bottom-width : 1px;');document.write('    border-right-width  : 1px;');document.write('    border-top-color    : #e4e4e4;');document.write('    border-left-color   : #e4e4e4;');document.write('    border-right-color  : #c1c1c1;');document.write('    border-bottom-color : #c1c1c1;');document.write('    font                : Verdana, Arial, Helvetica, sans-serif;');document.write('    color               : #000000;');document.write('}');document.write('-->');document.write('</style>');var aIds = Array( 'pg_29cc829e54','pg_21c137c73d','pg_b6e55f6cc3' );var aId  = Array ('pg_b6e55f6cc3qz', 'pg_b6e55f6cc3');function ChangePage( to_hide, to_show ){   var tbl_hide = document.getElementById( aIds[to_hide] );   var tbl_show = document.getElementById( aIds[to_show] );   if ( typeof(tbl_hide)=='object' && tbl_hide!=null )    if ( typeof(tbl_show)=='object' && tbl_show!=null )    {       tbl_hide.style.display = 'none';       tbl_show.style.display = '';    }	tbl_pre=document.getElementById(aId[0]);    tbl_pre.style.display='none';;tbl_show.style.display = '';}function NotEmpty( old_res, id, field_title ){   if ( old_res==0 )   {      var el = document.getElementById( id );      if ( typeof(el)=='object' && el!=null )        if ( el.value=='' )        {           alert( 'You should fill "' + field_title + '"' );           return 1;        }   }   return 0;}function CheckLeapYear( id ){   var aDaysNum = Array( 31, 28, 31, 30, 31, 30, 31, 31, 30, 31, 30, 31 );   var id_cut   = id.substr( 6, id.length-6 );   var day_sel   = document.getElementById( 'fld_d_' + id_cut );   var month_sel = document.getElementById( 'fld_m_' + id_cut );   var year_sel  = document.getElementById( 'fld_y_' + id_cut );   if ( typeof(day_sel)=='object' && day_sel!=null )    if ( typeof(month_sel)=='object' && month_sel!=null )     if ( typeof(year_sel)=='object' && year_sel!=null )     {        if ( month_sel.selectedIndex==1 )        {          if ( year_sel.value % 400==0 || (year_sel.value % 100!=0 && year_sel.value % 4==0) ) aDaysNum[1] = 29;        }        var day_sel_ix = day_sel.selectedIndex;        day_sel.options.length = 0;        for ( i=1; i<=aDaysNum[month_sel.selectedIndex]; i++ )        {           if ( document.createElement )           {              var newOpt = document.createElement( "OPTION" );              newOpt.text = i;              newOpt.value = i;              ( day_sel.options.add ) ? day_sel.options.add(newOpt) : day_sel.add(newOpt, null);           }           else           {              day_sel.options[i-1] = new Option( i, i, false, false );           }        }        if ( day_sel.options.length < (day_sel_ix+1) )           day_sel.selectedIndex = day_sel.options.length-1;        else day_sel.selectedIndex = day_sel_ix;     }}function CeckDis( ){    var fagr = document.getElementById('box_confirm');	if (fagr.checked)	{	   document.getElementById("subbut").disabled=false;	   document.getElementById("subbut").style.backgroundColor  = '#a2a2a2';       var subs = document.getElementById( "subbut_s" );       if ( typeof(subs)=='object' && subs!=null )       {          subs.disabled=false;		  subs.style.backgroundColor  = '#a2a2a2';	   }	}	else    {	  document.getElementById("subbut").disabled=true;      document.getElementById("subbut").style.backgroundColor  = '#FAEBD7';                var subs = document.getElementById( "subbut_s" );      if ( typeof(subs)=='object' && subs!=null )      {         subs.disabled=true;		 subs.style.backgroundColor  = '#FAEBD7';	  }	}    }document.write('<form name="frm_d0606843a2" id="frm_d0606843a2" method="POST" enctype="multipart/form-data" action="http://www.formtoolkit.com/phpforms/index.php?sid=0" onSubmit="return false;">');document.write('<input type="hidden" name="act" value="idx">');document.write('<input type="hidden" name="code" value="01">');document.write('<input type="hidden" name="fid" value="d0606843a2">');function CheckPage29cc829e54(){   var nResult = 0;      nResult += NotEmpty( nResult, 'fld_bac40faa0f','Name' );   if ( nResult == 0 )   {              if (0)      {         var el = document.getElementById( 'frm_d0606843a2' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 0, 1 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_29cc829e54" border="0" cellpadding="2" cellspacing="1" width="720" bgcolor="#F5F5F5" class="phpForms_main" style="display:;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Camper Information</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Enter camper information please.  ');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Name</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_bac40faa0f" maxlength="50" size="40" id="fld_bac40faa0f" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Middle Initial</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_3bc902eddb" maxlength="1" size="1" id="fld_3bc902eddb" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Last Name</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_c61344d0fc" maxlength="50" size="40" id="fld_c61344d0fc" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Address line 1</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_285d2ab666" maxlength="50" size="40" id="fld_285d2ab666" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Address Line 2</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_16b5678838" maxlength="50" size="40" id="fld_16b5678838" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Gender</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="radio" name="fld_8e4b17ba5c" id="f2d0c61f91"   value="M" style=""><label for="f2d0c61f91">Male</label><br>');document.write('<input type="radio" name="fld_8e4b17ba5c" id="103de5fdf5"   value="F" style=""><label for="103de5fdf5">Female</label>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Grade (As of Sep. 2010)</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_4cd11d4296" maxlength="7" size="7" id="fld_4cd11d4296" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Date of Birth</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <select onChange="CheckLeapYear(\'fld_m_7733982e92\')" name="fld_m_7733982e92" id="fld_m_7733982e92" style="">');document.write(' <option value=\'Jan\' selected>Jan</option>');document.write('<option value=\'Feb\'>Feb</option>');document.write('<option value=\'Mar\'>Mar</option>');document.write('<option value=\'Apr\'>Apr</option>');document.write('<option value=\'May\'>May</option>');document.write('<option value=\'Jun\'>Jun</option>');document.write('<option value=\'Jul\'>Jul</option>');document.write('<option value=\'Aug\'>Aug</option>');document.write('<option value=\'Sep\'>Sep</option>');document.write('<option value=\'Oct\'>Oct</option>');document.write('<option value=\'Nov\'>Nov</option>');document.write('<option value=\'Dec\'>Dec</option>');document.write('</select>');document.write('&nbsp;');document.write('<select onChange="CheckLeapYear(\'fld_m_7733982e92\')" name="fld_d_7733982e92" id="fld_d_7733982e92" style="">');document.write(' <option value=\'1\' selected>1</option>');document.write('<option value=\'2\'>2</option>');document.write('<option value=\'3\'>3</option>');document.write('<option value=\'4\'>4</option>');document.write('<option value=\'5\'>5</option>');document.write('<option value=\'6\'>6</option>');document.write('<option value=\'7\'>7</option>');document.write('<option value=\'8\'>8</option>');document.write('<option value=\'9\'>9</option>');document.write('<option value=\'10\'>10</option>');document.write('<option value=\'11\'>11</option>');document.write('<option value=\'12\'>12</option>');document.write('<option value=\'13\'>13</option>');document.write('<option value=\'14\'>14</option>');document.write('<option value=\'15\'>15</option>');document.write('<option value=\'16\'>16</option>');document.write('<option value=\'17\'>17</option>');document.write('<option value=\'18\'>18</option>');document.write('<option value=\'19\'>19</option>');document.write('<option value=\'20\'>20</option>');document.write('<option value=\'21\'>21</option>');document.write('<option value=\'22\'>22</option>');document.write('<option value=\'23\'>23</option>');document.write('<option value=\'24\'>24</option>');document.write('<option value=\'25\'>25</option>');document.write('<option value=\'26\'>26</option>');document.write('<option value=\'27\'>27</option>');document.write('<option value=\'28\'>28</option>');document.write('<option value=\'29\'>29</option>');document.write('<option value=\'30\'>30</option>');document.write('<option value=\'31\'>31</option>');document.write('</select>');document.write('&nbsp;');document.write('<select onChange="CheckLeapYear(\'fld_y_7733982e92\')" name="fld_y_7733982e92" id="fld_y_7733982e92" style="">');document.write(' <option value=\'2010\' selected>2010</option>');document.write('<option value=\'2009\'>2009</option>');document.write('<option value=\'2008\'>2008</option>');document.write('<option value=\'2007\'>2007</option>');document.write('<option value=\'2006\'>2006</option>');document.write('<option value=\'2005\'>2005</option>');document.write('<option value=\'2004\'>2004</option>');document.write('<option value=\'2003\'>2003</option>');document.write('<option value=\'2002\'>2002</option>');document.write('<option value=\'2001\'>2001</option>');document.write('<option value=\'2000\'>2000</option>');document.write('<option value=\'1999\'>1999</option>');document.write('<option value=\'1998\'>1998</option>');document.write('<option value=\'1997\'>1997</option>');document.write('<option value=\'1996\'>1996</option>');document.write('<option value=\'1995\'>1995</option>');document.write('<option value=\'1994\'>1994</option>');document.write('<option value=\'1993\'>1993</option>');document.write('<option value=\'1992\'>1992</option>');document.write('<option value=\'1991\'>1991</option>');document.write('<option value=\'1990\'>1990</option>');document.write('<option value=\'1989\'>1989</option>');document.write('<option value=\'1988\'>1988</option>');document.write('<option value=\'1987\'>1987</option>');document.write('<option value=\'1986\'>1986</option>');document.write('<option value=\'1985\'>1985</option>');document.write('<option value=\'1984\'>1984</option>');document.write('<option value=\'1983\'>1983</option>');document.write('<option value=\'1982\'>1982</option>');document.write('<option value=\'1981\'>1981</option>');document.write('<option value=\'1980\'>1980</option>');document.write('<option value=\'1979\'>1979</option>');document.write('<option value=\'1978\'>1978</option>');document.write('<option value=\'1977\'>1977</option>');document.write('<option value=\'1976\'>1976</option>');document.write('<option value=\'1975\'>1975</option>');document.write('<option value=\'1974\'>1974</option>');document.write('<option value=\'1973\'>1973</option>');document.write('<option value=\'1972\'>1972</option>');document.write('<option value=\'1971\'>1971</option>');document.write('<option value=\'1970\'>1970</option>');document.write('<option value=\'1969\'>1969</option>');document.write('<option value=\'1968\'>1968</option>');document.write('<option value=\'1967\'>1967</option>');document.write('<option value=\'1966\'>1966</option>');document.write('<option value=\'1965\'>1965</option>');document.write('<option value=\'1964\'>1964</option>');document.write('<option value=\'1963\'>1963</option>');document.write('<option value=\'1962\'>1962</option>');document.write('<option value=\'1961\'>1961</option>');document.write('<option value=\'1960\'>1960</option>');document.write('<option value=\'1959\'>1959</option>');document.write('<option value=\'1958\'>1958</option>');document.write('<option value=\'1957\'>1957</option>');document.write('<option value=\'1956\'>1956</option>');document.write('<option value=\'1955\'>1955</option>');document.write('<option value=\'1954\'>1954</option>');document.write('<option value=\'1953\'>1953</option>');document.write('<option value=\'1952\'>1952</option>');document.write('<option value=\'1951\'>1951</option>');document.write('<option value=\'1950\'>1950</option>');document.write('<option value=\'1949\'>1949</option>');document.write('<option value=\'1948\'>1948</option>');document.write('<option value=\'1947\'>1947</option>');document.write('<option value=\'1946\'>1946</option>');document.write('<option value=\'1945\'>1945</option>');document.write('<option value=\'1944\'>1944</option>');document.write('<option value=\'1943\'>1943</option>');document.write('<option value=\'1942\'>1942</option>');document.write('<option value=\'1941\'>1941</option>');document.write('<option value=\'1940\'>1940</option>');document.write('<option value=\'1939\'>1939</option>');document.write('<option value=\'1938\'>1938</option>');document.write('<option value=\'1937\'>1937</option>');document.write('<option value=\'1936\'>1936</option>');document.write('<option value=\'1935\'>1935</option>');document.write('<option value=\'1934\'>1934</option>');document.write('<option value=\'1933\'>1933</option>');document.write('<option value=\'1932\'>1932</option>');document.write('<option value=\'1931\'>1931</option>');document.write('<option value=\'1930\'>1930</option>');document.write('<option value=\'1929\'>1929</option>');document.write('<option value=\'1928\'>1928</option>');document.write('<option value=\'1927\'>1927</option>');document.write('<option value=\'1926\'>1926</option>');document.write('<option value=\'1925\'>1925</option>');document.write('<option value=\'1924\'>1924</option>');document.write('<option value=\'1923\'>1923</option>');document.write('<option value=\'1922\'>1922</option>');document.write('<option value=\'1921\'>1921</option>');document.write('<option value=\'1920\'>1920</option>');document.write('<option value=\'1919\'>1919</option>');document.write('<option value=\'1918\'>1918</option>');document.write('<option value=\'1917\'>1917</option>');document.write('<option value=\'1916\'>1916</option>');document.write('<option value=\'1915\'>1915</option>');document.write('<option value=\'1914\'>1914</option>');document.write('<option value=\'1913\'>1913</option>');document.write('<option value=\'1912\'>1912</option>');document.write('<option value=\'1911\'>1911</option>');document.write('<option value=\'1910\'>1910</option>');document.write('</select>');document.write('&nbsp;');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Shirt Size</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <select name="fld_f5fa1a74c0" id="fld_f5fa1a74c0" style="width:100%;">');document.write('  <option value=\'none selected\'>please select...</option>');document.write('<option value=\'1\'>Youth M</option>');document.write('<option value=\'YL\'>Youth L</option>');document.write('<option value=\'AS\'>Adult S</option>');document.write('<option value=\'AM\'>Adult M</option>');document.write('<option value=\'AL\'>Adult L</option>');document.write('<option value=\'AXL\'>Adult XL</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Camper e-mail</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_db7d361228" maxlength="40" size="25" id="fld_db7d361228" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">School Name</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_f7f61ce20f" maxlength="50" size="40" id="fld_f7f61ce20f" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Synagogue Name</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_66714abea9" maxlength="50" size="40" id="fld_66714abea9" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Camper Lives With</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_2a24609c2a" maxlength="50" size="40" id="fld_2a24609c2a" value=" (e.g. both parents, mother, grandparents)" style="">');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            ');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('<input type="button"  value="Go to parent / guardian information" onClick=\'CheckPage29cc829e54();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPage21c137c73d(){   var nResult = 0;      nResult += NotEmpty( nResult, 'fld_e127d70cf2','Father/Guardian Name' );   nResult += NotEmpty( nResult, 'fld_d1596164d3','Father/Guardian email' );   nResult += NotEmpty( nResult, 'fld_efad1b0cd8','Father/Guardian Home Phone' );   nResult += NotEmpty( nResult, 'fld_e3ea00b0c4','Mother/Guardian Name' );   nResult += NotEmpty( nResult, 'fld_526fcdb53d','Mother/Guardian email' );   nResult += NotEmpty( nResult, 'fld_d7100ef5ff','Mother/Guardian Home Phone' );   if ( nResult == 0 )   {              if (0)      {         var el = document.getElementById( 'frm_d0606843a2' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 1, 2 );   }}document.write('     <!-- Page -->');document.write('     <table id="pg_21c137c73d" border="0" cellpadding="2" cellspacing="1" width="720" bgcolor="#F5F5F5" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Parent / Guardian Information</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Enter camper information please.  ');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Father/Guardian Name</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_e127d70cf2" maxlength="40" size="30" id="fld_e127d70cf2" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Father/Guardian email</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_d1596164d3" maxlength="40" size="30" id="fld_d1596164d3" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Father/Guardian Home Phone</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_efad1b0cd8" maxlength="15" size="15" id="fld_efad1b0cd8" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Father/Guardian Cell Phone</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_1be34b7483" maxlength="15" size="15" id="fld_1be34b7483" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Father/Guardian Work Phone</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_2519a1c585" maxlength="15" size="15" id="fld_2519a1c585" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('<tr><td colspan="2" bgcolor="#cdcdcd">');document.write('<hr>');document.write('</td></tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Mother/Guardian Name</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_e3ea00b0c4" maxlength="40" size="30" id="fld_e3ea00b0c4" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Mother/Guardian email</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_526fcdb53d" maxlength="40" size="30" id="fld_526fcdb53d" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Mother/Guardian Home Phone</span>&nbsp;<font color=\'red\'>*</font>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_d7100ef5ff" maxlength="40" size="30" id="fld_d7100ef5ff" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Mother/Guardian Cell Phone</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_663fab055c" maxlength="15" size="15" id="fld_663fab055c" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Mother/Guardian Work Phone</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_3ce9b24e23" maxlength="15" size="15" id="fld_3ce9b24e23" value="" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">Referred By</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <input type="text" name="fld_bb64b7520d" maxlength="40" size="30" id="fld_bb64b7520d" value=" (For New Campers Only)" style="">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#F5F5F5" valign="top">');document.write('             <span style="">If parents divorced / legally separated: who has custody?</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#F5F5F5">');document.write('             <label for="bd807f6a70">Father</label><input type="radio" name="fld_cc1969d2f8" id="bd807f6a70"   value="F" style="">&nbsp;&nbsp;&nbsp;<label for="239032388d">Mother</label><input type="radio" name="fld_cc1969d2f8" id="239032388d"   value="M" style="">');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('            ');document.write('          </td>');document.write('      </tr>');document.write('<tr>');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('          </td>');document.write('      </tr>');document.write('      <tr>');document.write('          <!-- Buttons -->');document.write('          <td colspan="2" align="center" class="phpForms_main">');document.write('<input type="button"  value="Return to Camper information" onClick=\'ChangePage(1,0)\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('<input type="button"  value="Complete the Registration " onClick=\'CheckPage21c137c73d();\' style="width:30%; background-color : #a2a2a2" class="phpForms_btn">');document.write('          </td>');document.write('      </tr>');document.write('     </table>');document.write('     <!-- /Page -->');function CheckPageb6e55f6cc3(){   var nResult = 0;      if ( nResult == 0 )   {              if (1)      {         var el = document.getElementById( 'frm_d0606843a2' );         if ( typeof(el)=='object' && el != null ) if (arguments[0] == 1)                                     {		                                el.submit();                                     } 		                             else Preview(1,0);      }      else ChangePage( 2, 3 );   }}      function formatCurrency(num) {      num = num.toString().replace(/\$|\,/g,'');      if(isNaN(num))      num = "0";      sign = (num == (num = Math.abs(num)));      num = Math.floor(num*100+0.50000000001);      cents = num%100;      num = Math.floor(num/100).toString();      if(cents<10)      cents = "0" + cents;      for (var i = 0; i < Math.floor((num.length-(1+i))/3); i++)      num = num.substring(0,num.length-(4*i+3))+','+      num.substring(num.length-(4*i+3));      return (((sign)?'':'-') + '' + num + '.' + cents);      }function paymentTotal5ab1a2ca6a(){ var products = new Array( new Array(),                              new Array() );var currency = 'USD';							     var price = 0;   for ( i=0; i<products[0].length; i++ )   {      if(document.getElementById(products[0][i]))	  {	    if(document.getElementById(products[0][i]).checked==true)		{		 price = parseFloat(price) + parseFloat(products[1][i]);		}	  }   }	        if ( parseFloat(price) > 0 )	  {	            document.getElementById('paymentTotal').innerHTML = ""+formatCurrency(parseFloat(price))+"";		document.getElementById('paymentCurrency').innerHTML = ""+currency+"";		document.getElementById('paymentPrev5ab1a2ca6a').value = ""+formatCurrency(parseFloat(price))+" "+currency+"";	  }	  else	  {	    document.getElementById('paymentTotal').innerHTML = "";		document.getElementById('paymentCurrency').innerHTML = "";		document.getElementById('paymentPrev5ab1a2ca6a').value = "";	  }   }document.write('     <!-- Page -->');document.write('     <table id="pg_b6e55f6cc3" border="0" cellpadding="2" cellspacing="1" width="720" bgcolor="#F5F5F5" class="phpForms_main" style="display:none;border: solid 1px #777777;">');document.write('      <tr>  <!-- Page title -->');document.write('          <td colspan="2" align="center" vAlign="top">');document.write('             <span class="phpForms_pgtitle">Season / Grade Selection and Payment</span>');document.write('          </td>');document.write('      </tr> <!-- /Page title -->');document.write('      <tr>  <!-- Page top text -->');document.write('          <td colspan="2" align="center">');document.write('          Please indicate the appropriate Session and Grade Level (2010 -2011 school year)');document.write('          </td>');document.write('      </tr> <!-- /Page top text -->');document.write('      <tr>');document.write('          <td width="30%" align="left" bgcolor="#FFFFC8" valign="top">');document.write('             <span style="">Select Session / Grade:</span>');document.write('          </td>');document.write('          <td width="70%" align="left" bgcolor="#FFFFC8">');document.write('             <select name="fld_8c3045b9fd" id="fld_8c3045b9fd" style="width:100%;">');document.write('  <option value=\'Full38\'>Full Season Grades 3-8</option>');document.write('<option value=\'full910\'>Full Season Grades 9-10</option>');document.write('<option value=\'First38\'>First Session Grades 3-8</option>');document.write('<option value=\'First910\'>First Session Grades 9-10</option>');document.write('<option value=\'Second38\'>Second Session Grades 3-8</option>');document.write('<option value=\'Second910\'>Second Session Grades 9-10</option>');document.write('<option value=\'RookieA\'>Rookie Session A</option>');document.write('<option value=\'RookieB\'>Rookie Session B</option>');document.write('</select>');document.write('          </td>');document.write('      </tr>');document.write('<tr><td colspan="2" bgcolor="#cdcdcd">');document.write('<!-- Rate table Start: -->');document.write('<table align="left" bgcolor="#ffffff" border="0"');document.write(' cellpadding="0" cellspacing="1" width="720">');document.write('  <tbody>');document.write('    <tr>');document.write('      <td colspan="5" align="left" valign="bottom">');document.write('      <center><!-- Rates are good through 10/30/09 -->');document.write('      </center>');document.write('      </td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td colspan="5" align="left" valign="bottom">');document.write('      <b>Dates and Rates for the appropriate Session and Grade');document.write('Level');document.write('(2010-2011 school year):</b>');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="middle" valign="bottom" width="400"><b>&nbsp;</b></td>');document.write('<!--R1C1--><td align="middle" valign="bottom"');document.write(' width="70"><b>Tuition</b><!--R1C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom" width="70"><b>Canteen</b>');document.write('<!--R1C3--></td>');document.write('      <td align="middle" valign="bottom" width="70"><b>Gratuity</b>');document.write('<!--R1C4--></td>');document.write('      <td align="middle" valign="bottom" width="70"><b>Total</b>');document.write('<!--R1C5--></td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom" width="400"><!--R2C1-->');document.write('      </td>');document.write('      <td align="left" valign="bottom" width="0"><!--R2C2-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R2C3-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R2C4-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R2C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom">');document.write('Full Season (Sunday, June 27th - Friday, August 13th)');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R3C2-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R3C3-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R3C4-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R3C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom">');document.write('Grades 3-8');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R4C2-->$6,650');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R4C3-->$125');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R4C4-->$60');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R4C5-->');document.write('$6,835');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R5C1-->');document.write('Grades 9-10');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R5C2-->$6,950');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R5C3-->$125');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R5C4-->$60');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R5C5-->$7,135');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R6C1-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C2-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C3-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C4-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R7C1-->');document.write('First Session (Sunday, June 27th - Friday, July 23rd)');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R7C2-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R7C3-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R7C4-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R7C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R8C1-->');document.write('Grades 3-8');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$4,895<!--R8C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$100<!--R8C3-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$60<!--R8C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$5,055<!--R8C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R9C1-->');document.write('Grades 9-10');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$4,945<!--R9C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$100<!--R9C3-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$60<!--R9C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$5,105<!--R9C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R10C1-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R10C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R10C3-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R10C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R10C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R11C1-->');document.write('Second Session (Sunday, July 25th - Friday, August 13th)');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R11C2-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R11C3-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R11C4-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R11C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R12C1-->');document.write('Grades 3-8');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$3,760<!--R12C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$100<!--R12C3-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$60<!--R12C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$3,920<!--R12C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R13C1-->');document.write('Grades 9-10');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$4,020<!--R13C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$100<!--R13C3-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$60<!--R13C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$4180<!--R13C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R14C1-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R14C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R14C3-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R14C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom"><!--R14C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R15C1-->');document.write('Rookie Session');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R15C2-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R15C3-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R15C4-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R15C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom">');document.write('Grades 3-6, Session A (Sunday, June 27th - Friday, July 9th)');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$2,060<!--R12C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$75<!--R12C3-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$60<!--R12C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$2,195<!--R12C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom">');document.write('<!--R13C1-->Grades 3-6, Session B (Sunday, July 25th -');document.write('Friday, August 6th)');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$2,060<!--R12C2-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$75');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$60<!--R13C4-->');document.write('      </td>');document.write('      <td align="middle" valign="bottom">$2,195');document.write('      </td>');document.write('    </tr>');document.write('    <tr align="left" valign="bottom">');document.write('      <td align="left" valign="bottom"><!--R6C1-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C2-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C3-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C4-->');document.write('      </td>');document.write('      <td align="left" valign="bottom"><!--R6C5-->');document.write('      </td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom">');document.write('Pioneers: Chalutzim');document.write('      </td>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td align="left" valign="bottom"></td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom">(Sunday,');document.write('June 27th – Friday, August 13th)</td>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td align="left" valign="bottom"></td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom">Grade 11</td>');document.write('      <td colspan="4" rowspan="1" align="left"');document.write(' valign="bottom">Contact camp office for more information</td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td colspan="4" rowspan="1" align="left"');document.write(' valign="bottom"></td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom">Staff-In-Training:');document.write('Ohr Machar</td>');document.write('      <td colspan="4" rowspan="1" align="left"');document.write(' valign="bottom"></td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom">(Sunday,');document.write('June 27th – Friday, August 13th)</td>');document.write('      <td colspan="4" rowspan="1" align="left"');document.write(' valign="bottom"></td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom">Grade 12</td>');document.write('      <td colspan="4" rowspan="1" align="left"');document.write(' valign="bottom">Contact camp office for more information</td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td align="left" valign="bottom"></td>');document.write('      <td colspan="4" rowspan="1" align="left"');document.write(' valign="bottom"></td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td colspan="5" rowspan="1" align="left"');document.write(' valign="bottom">');document.write('      <hr><span style="font-weight: bold;"><br>');document.write('Tuition</span>');document.write('includes weekly professional laundry service; 1 BBPC t-shirt;');document.write('out-of-camp trip expenses (admission, food, transportation, lodging and');document.write('extra spending money); all in-camp programs, activities and supplies;');document.write('t-shirt for special programs; transportation on select dates to/from');document.write('the Long Island, Rockland, Westchester, Maryland or Philadelphia area.<br>');document.write('      <br>');document.write('      <span style="font-weight: bold;">Canteen</span>');document.write('is a pre-paid account with which campers may purchase ice cream, snack');document.write('food and drinks, toiletries, stamps, camp supplies and Perlman Gear at');document.write('the Camp Canteen.<br>');document.write('      <br>');document.write('      <span style="font-weight: bold;">Gratuity: </span>In');document.write('accordance with American Camp Association guidelines, individual');document.write('tips/gratuities are not permitted. A gratuity fund has been established');document.write('to benefit all summer camp staff.<br>');document.write('      <br>');document.write('      <span style="font-weight: bold;">Sibling Discount:</span>');document.write('Families registering more than one child will receive a discount of');document.write('$100 per additional Full Season, Pioneer or PIE camper and $50 per');document.write('additional First, Second or Rookie Session camper. This amount does not');document.write('apply to the $750 deposit required for each camper. SIT campers are not');document.write('eligible for sibling discounts. Applicable discounts will be reflected');document.write('on the account statement.</td>');document.write('    </tr>');document.write('    <tr>');document.write('      <td colspan="5" rowspan="1" align="left"');document.write(' valign="bottom"></td>');document.write('    </tr>');document.write('  </tbody>');document.write('</table>');document.write('<!-- Rate table end. -->');document.write('</td></tr>');document.write('<tr><td colspan="2" bgcolor="#cdcdcd">');document.write('<table bgcolor="#ffffff" align="left" border="0" cellspacing="1" cellpadding="0" width="720">');document.write('  <tr align="left" valign="bottom">');document.write('    <td align="left" valign="bottom" width="0">');document.write('<br>');document.write('<B>Deposit:</B><BR>');document.write('A $750 deposit is required with each application. 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