{"id":836,"date":"2014-03-03T14:59:54","date_gmt":"2014-03-03T14:59:54","guid":{"rendered":"http:\/\/www.camppilgrim.ca\/?page_id=836"},"modified":"2024-05-04T12:56:47","modified_gmt":"2024-05-04T12:56:47","slug":"register-now","status":"publish","type":"page","link":"https:\/\/www.camppilgrim.ca\/en\/register-now\/","title":{"rendered":"Registration form"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper' id='gform_wrapper_5' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/en\/wp-json\/wp\/v2\/pages\/836' novalidate>\n                        <div class='gform_body gform-body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_5_2\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 class=\"gsection_title\">Applicant Information<\/h2><\/li><li id=\"field_5_1\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_1' >First Name<\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_5_1' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_5\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_5' >Family Name<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_44\" class=\"gfield require-field email field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_44' >Email<\/label><div class='ginput_container ginput_container_text'><input name='input_44' id='input_5_44' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_6\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Gender<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_6'>\n\t\t\t<li class='gchoice gchoice_5_6_0'>\n\t\t\t\t<input name='input_6' type='radio' value='Male'  id='choice_5_6_0'    \/>\n\t\t\t\t<label for='choice_5_6_0' id='label_5_6_0'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_6_1'>\n\t\t\t\t<input name='input_6' type='radio' value='Female'  id='choice_5_6_1'    \/>\n\t\t\t\t<label for='choice_5_6_1' id='label_5_6_1'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_7\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Birthdate<\/label><div id='input_5_7' class='ginput_container ginput_complex'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date' id='input_5_7_1_container'>\n                                            <input type='number'  name='input_7[]' id='input_5_7_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_5_7_1' class='screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date' id='input_5_7_2_container'>\n                                            <input type='number'  name='input_7[]' id='input_5_7_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_5_7_2' class='screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date' id='input_5_7_3_container'>\n                                            <input type='number'  name='input_7[]' id='input_5_7_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_5_7_3' class='screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_5_8\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_8' >Place of Birth<\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_5_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_9\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_9' >Nationality<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_5_9' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_10\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_10' >Citizenship<\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_5_10' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_49\" class=\"gfield gfield--width-full gf_readonly field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_49' >Arrival Date<\/label><div class='ginput_container ginput_container_text'><input name='input_49' id='input_5_49' type='text' value='July 12, 2026' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_11\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gfield_label_before_complex'  >Arrival date<\/label><div id='input_5_11' class='ginput_container ginput_complex'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date' id='input_5_11_1_container'>\n                                            <input type='number'  name='input_11[]' id='input_5_11_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_5_11_1' class='screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date' id='input_5_11_2_container'>\n                                            <input type='number'  name='input_11[]' id='input_5_11_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_5_11_2' class='screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date' id='input_5_11_3_container'>\n                                            <input type='number'  name='input_11[]' id='input_5_11_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_5_11_3' class='screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_5_18\" class=\"gfield gf_right_half field_sublabel_below field_description_below gfield_visibility_hidden\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gfield_label_before_complex'  >Departure<\/label><div id='input_5_18' class='ginput_container ginput_complex'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date' id='input_5_18_1_container'>\n                                            <input type='number'  name='input_18[]' id='input_5_18_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_5_18_1' class='screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date' id='input_5_18_2_container'>\n                                            <input type='number'  name='input_18[]' id='input_5_18_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_5_18_2' class='screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date' id='input_5_18_3_container'>\n                                            <input type='number'  name='input_18[]' id='input_5_18_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_5_18_3' class='screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_5_13\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Current Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address' id='input_5_13' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1' id='input_5_13_1_container' >\n                                        <input type='text' name='input_13.1' id='input_5_13_1' value=''    aria-required='false'    \/>\n                                        <label for='input_5_13_1' id='input_5_13_1_label' >Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2' id='input_5_13_2_container' >\n                                        <input type='text' name='input_13.2' id='input_5_13_2' value=''     aria-required='false'   \/>\n                                        <label for='input_5_13_2' id='input_5_13_2_label' >Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city' id='input_5_13_3_container' >\n                                    <input type='text' name='input_13.3' id='input_5_13_3' value=''    aria-required='false'    \/>\n                                    <label for='input_5_13_3' id='input_5_13_3_label' >City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state' id='input_5_13_4_container' >\n                                        <input type='text' name='input_13.4' id='input_5_13_4' value=''      aria-required='false'    \/>\n                                        <label for='input_5_13_4' id='input_5_13_4_label' >State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip' id='input_5_13_5_container' >\n                                    <input type='text' name='input_13.5' id='input_5_13_5' value=''    aria-required='false'    \/>\n                                    <label for='input_5_13_5' id='input_5_13_5_label' >ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country' id='input_5_13_6_container' >\n                                        <select name='input_13.6' id='input_5_13_6'   aria-required='false'    ><option value='' ><\/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='Antarctica' >Antarctica<\/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='Bahamas' >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='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/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' selected='selected'>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='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Congo, Republic of the' >Congo, Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czech Republic' >Czech Republic<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/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 (Swaziland)' >Eswatini (Swaziland)<\/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 Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >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='Heard and McDonald Islands' >Heard and McDonald Islands<\/option><option value='Holy See' >Holy See<\/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='Isle of Man' >Isle of Man<\/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='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/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='North Korea' >North Korea<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/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' >Pitcairn<\/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='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/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='Sint Maarten' >Sint Maarten<\/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='South Africa' >South Africa<\/option><option value='South Georgia' >South Georgia<\/option><option value='South Korea' >South Korea<\/option><option value='South Sudan' >South Sudan<\/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 and Jan Mayen Islands' >Svalbard and Jan Mayen Islands<\/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='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='US Minor Outlying Islands' >US Minor Outlying Islands<\/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='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/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='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_5_13_6' id='input_5_13_6_label' >Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_5_19\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 class=\"gsection_title\">Guardian Information<\/h2><\/li><li id=\"field_5_20\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Guardian 1<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_5_20'>\n                            <span id='input_5_20_3_container' class='name_first' >\n                                                    <input type='text' name='input_20.3' id='input_5_20_3' value=''   aria-required='false'    {\/>\n                                                    <label for='input_5_20_3' >First<\/label>\n                                               <\/span>\n                            <span id='input_5_20_6_container' class='name_last' >\n                                                    <input type='text' name='input_20.6' id='input_5_20_6' value=''   aria-required='false'    \/>\n                                                    <label for='input_5_20_6' >Last<\/label>\n                                                <\/span>\n                            <div class='gf_clear gf_clear_complex'><\/div>\n                        <\/div><\/li><li id=\"field_5_22\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_22' >Relationship<\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_5_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_24\" class=\"gfield gf field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_24' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_24' id='input_5_24' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_26\" class=\"gfield gf field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_26' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_26' id='input_5_26' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_21\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Guardian 2<\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name' id='input_5_21'>\n                            \n                            <span id='input_5_21_3_container' class='name_first' >\n                                                    <input type='text' name='input_21.3' id='input_5_21_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_21_3' >First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_5_21_6_container' class='name_last' >\n                                                    <input type='text' name='input_21.6' id='input_5_21_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_5_21_6' >Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_5_23\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_23' >Relationship<\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_5_23' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_5_25\" class=\"gfield gf field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_25' >Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_25' id='input_5_25' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_27\" class=\"gfield gf field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_27' >Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_27' id='input_5_27' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_28\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 class=\"gsection_title\">Medical Information<\/h2><\/li><li id=\"field_5_29\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Does the participant suffer from medical problems?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_29'>\n\t\t\t<li class='gchoice gchoice_5_29_0'>\n\t\t\t\t<input name='input_29' type='radio' value='Yes'  id='choice_5_29_0'    \/>\n\t\t\t\t<label for='choice_5_29_0' id='label_5_29_0'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_29_1'>\n\t\t\t\t<input name='input_29' type='radio' value='No'  id='choice_5_29_1'    \/>\n\t\t\t\t<label for='choice_5_29_1' id='label_5_29_1'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_30\" class=\"gfield field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_30' >If yes, please describe<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_30' id='input_5_30' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_5_31\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 class=\"gsection_title\">Program Information<\/h2><div class='gsection_description' id='gfield_description_5_31'>Please select the program you wish to enroll in as well as any of the optional tours. Payment will not be processed at this time, but rather we will contact you with payment details.<\/div><\/li><li id=\"field_5_37\" class=\"gfield gfield_price gfield_price_5_37 gfield_product_5_37 field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Select Program Duration<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_37'>\n\t\t\t<li class='gchoice gchoice_5_37_0'>\n\t\t\t\t<input name='input_37' type='radio' value='2 Week Program|3350'  id='choice_5_37_0'    \/>\n\t\t\t\t<label for='choice_5_37_0' id='label_5_37_0'>2 Week Program<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_37_1'>\n\t\t\t\t<input name='input_37' type='radio' value='3 Week Program|4550'  id='choice_5_37_1'    \/>\n\t\t\t\t<label for='choice_5_37_1' id='label_5_37_1'>3 Week Program<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_37_2'>\n\t\t\t\t<input name='input_37' type='radio' value='4 Week Program|5650'  id='choice_5_37_2'    \/>\n\t\t\t\t<label for='choice_5_37_2' id='label_5_37_2'>4 Week Program<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_34\" class=\"gfield gfield_price gfield_price_5_37 gfield_option_5_37 field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Additional options<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_34'><li class='gchoice gchoice_5_34_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_34.1' type='checkbox'  value='Toronto\/Niagara Fall Tour|595'  id='choice_5_34_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_34_1' id='label_5_34_1'>Toronto\/Niagara Fall Tour<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_36\" class=\"gfield gfield_price gfield_price_5_ gfield_total gfield_total_5_ field_sublabel_below field_description_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\"><label class='gfield_label' for='input_5_36' >Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<span class='ginput_total ginput_total_5'>$ 0.00 CAD<\/span>\n\t\t\t\t\t\t\t<input type='hidden' name='input_36' id='input_5_36' class='gform_hidden'\/>\n\t\t\t\t\t\t<\/div><\/li><li id=\"field_5_42\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 class=\"gsection_title\">Important Information on the Payment Process<\/h2><\/li><li id=\"field_5_41\" class=\"gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below field_description_below gfield_visibility_visible\" ><ol>\n<li>The prices are only for Canadian Citizens. For International Campers \u2013 please contact <a href=\"mailto:info@destination-canada.ca\">info@destination-canada.ca<\/a> for an alternative pricing.<\/li>\n<li>A deposit is of $500 USD is required to secure your child\u2019s enrollment.<\/li>\n<li>Full payment is required by June 1.<\/li>\n<li>All payments are 100% refundable.<\/li>\n<li>Payments can be made by cheque or International Bank Wire Transfer. (please contact <a href=\"mailto: inscriptions@camppilgrim.ca\"> inscriptions@camppilgrim.ca<\/a> for more information on payment process).<\/li>\n<li>The program pricing outlined above does not include laundry services and certain optional off-campus activities (from $25 CAN to $50 CAN per week). <\/li>\n<\/ol><\/li><li id=\"field_5_38\" class=\"gfield gsection field_sublabel_below field_description_below gfield_visibility_visible\" ><h2 class=\"gsection_title\">Guardians: Acceptance and Permission<\/h2><div class='gsection_description' id='gfield_description_5_38'><b>By inputting your name below<\/b> you hereby agree to permit the camp doctor or nurse to administer such routine medication as they deem advisable in the event of an emergency.  If camp doctors are not able to contact either parent, the directors are hereby given permission to act on parent\u2019s behalf in signing permission for medical care as advised by a medical doctor.<\/div><\/li><li id=\"field_5_39\" class=\"gfield gf_left_half field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label'  >Fullname<\/label><div class='ginput_container ginput_container_name'>\n                                    <input name='input_39' id='input_5_39' type='text' value='' class='medium'    aria-invalid=\"false\"   \/>\n                                <\/div><\/li><li id=\"field_5_40\" class=\"gfield gf field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label gfield_label_before_complex'  >Date<\/label><div id='input_5_40' class='ginput_container ginput_complex'><div class=\"clear-multi\"><div class='gfield_date_month ginput_container ginput_container_date' id='input_5_40_1_container'>\n                                            <input type='number'  name='input_40[]' id='input_5_40_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                            <label for='input_5_40_1' class='screen-reader-text'>Month<\/label>\n                                        <\/div><div class='gfield_date_day ginput_container ginput_container_date' id='input_5_40_2_container'>\n                                            <input type='number'  name='input_40[]' id='input_5_40_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                            <label for='input_5_40_2' class='screen-reader-text'>Day<\/label>\n                                        <\/div><div class='gfield_date_year ginput_container ginput_container_date' id='input_5_40_3_container'>\n                                            <input type='number'  name='input_40[]' id='input_5_40_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                            <label for='input_5_40_3' class='screen-reader-text'>Year<\/label>\n                                       <\/div>\n                                   <\/div><\/div><\/li><li id=\"field_5_45\" class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\" ><div class='ginput_container ginput_container_text'><input name='input_45' id='input_5_45' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='5' \/><\/div><\/li><li id=\"field_5_46\" class=\"gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible\" ><div class='ginput_container ginput_container_text'><input name='input_46' id='input_5_46' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Website Registration' \/><\/div><\/li><li id=\"field_5_50\" class=\"gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible\" ><label class='gfield_label' for='input_5_50' >Name<\/label><div class='ginput_container'><input name='input_50' id='input_5_50' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_5_50'>This field is for validation purposes and should be left unchanged.<\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_5' class='gform_button button' value='Submit'  onclick='if(window[\"gf_submitting_5\"]){return false;}  if( !jQuery(\"#gform_5\")[0].checkValidity || jQuery(\"#gform_5\")[0].checkValidity()){window[\"gf_submitting_5\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_5\"]){return false;} if( !jQuery(\"#gform_5\")[0].checkValidity || jQuery(\"#gform_5\")[0].checkValidity()){window[\"gf_submitting_5\"]=true;}  jQuery(\"#gform_5\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' value='WyJ7XCIzN1wiOltcIjI2ZWI4YzkzNDUwM2RlOGIwOGJlN2NiNzE2NWQxNGM4XCIsXCI5Yzk5OTk1YzYzNmJkMzkwZmNjNjViOTQ5ZmZjMjc5OVwiLFwiNzA4NGEyMWRiNWQ5YzYwNmY4Y2NkOWQ2NTQ2MTZlMzZcIl0sXCIzNC4xXCI6XCIwYTlmNDcxOTgzZmZjYWYxZGE1MmEyZDRhMjU0MjUyNlwifSIsImZkOWQyM2UwNzJjNmMwYjEyZTM3ZjY4ZjFkZjQwMzUyIl0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_5' id='gform_target_page_number_5' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_5' id='gform_source_page_number_5' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <\/form>\n                        <\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Registration form - Camp Pilgrim<\/title>\n<meta name=\"description\" content=\"Ready to start your language learning journey at Camp Pilgrim? 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