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	Bar Mitzvah Club - Register here - Chabad of Camden & Burlington Counties
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<style type="text/css">
/* =========================================================
   MODERN FORM STYLING - CHABADONE
   Target: Bourbon Tasting Event (ID: 7411646)
   Theme: Frosted Cream Card over Black/Gold Texture
========================================================= */

/* --- 0. CRUCIAL: Enforce Jotform Conditional Logic & Hidden Fields First --- */
/* High-specificity override to guarantee Jotform hidden classes and conditions always win */
form[id="7411646"] .hide,
form[id="7411646"] .hidden,
form[id="7411646"] .form-line-hidden,
form[id="7411646"] .form-field-hidden,
form[id="7411646"] .always-hidden,
form[id="7411646"] [data-type="control_hidden"],
form[id="7411646"] [style*="display: none"],
form[id="7411646"] [style*="display:none"],
form[id="7411646"] tr.hide,
form[id="7411646"] tr.form-line-hidden,
form[id="7411646"] td.hide,
form[id="7411646"] div.hide,
form[id="7411646"] div.form-line-hidden,
form[id="7411646"] tbody.hide,
form[id="7411646"] [id*="id_"].form-line-hidden,
form[id="7411646"] [id*="id_"].always-hidden,
form[id="7411646"] [id*="cid_"].hide,
form[id="7411646"] [id*="cid_"].form-line-hidden {
    display: none !important;
}

/* --- 1. Page Background & FORCE FULL-SCREEN CENTERING --- */
html:has(form[id="7411646"]),
html:has(form[id="7411646"]) body {
    background-color: #050403 !important;
    background-image: url('https://thechabadcenter.org/media/images/1376/dVbQ13761866.png') !important;
    background-size: cover !important;
    background-position: center top !important;
    background-attachment: fixed !important;
    margin: 0 !important;
    overflow-x: hidden !important;
}

/* THE MASTER UN-FLOAT: Strips ChabadOne's legacy left-aligned wrappers */
html:has(form[id="7411646"]) #content,
html:has(form[id="7411646"]) #BodyContainer,
html:has(form[id="7411646"]) .body_wrapper,
html:has(form[id="7411646"]) #co_content_container,
html:has(form[id="7411646"]) .master-content-wrapper,
html:has(form[id="7411646"]) #co_body_container,
html:has(form[id="7411646"]) #ContentBody,
html:has(form[id="7411646"]) .content-area-parent,
html:has(form[id="7411646"]) #cco_body,
html:has(form[id="7411646"]) article.content,
html:has(form[id="7411646"]) #formContainer {
    width: 100% !important;
    max-width: 100% !important;
    float: none !important;
    margin-left: auto !important;
    margin-right: auto !important;
    padding-left: 0 !important;
    padding-right: 0 !important;
    box-sizing: border-box !important;
}

/* Center the form block */
form[id="7411646"] {
    font-family: 'Montserrat', 'Open Sans', Arial, sans-serif !important;
    color: #333 !important;
    width: 100% !important;
    display: flex !important;
    flex-direction: column !important;
    align-items: center !important;
    justify-content: center !important;
    padding: 0 12px !important;
    box-sizing: border-box !important;
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/* THE FROSTED STATIONERY CARD - TIGHTER */
form[id="7411646"] .form-all {
    background: rgba(41, 18, 2, 0.85) !important;
    box-shadow: 0 15px 50px rgba(0, 0, 0, 0.55) !important;
    border-radius: 16px !important;
    padding: 28px 32px 34px !important;
    margin: 24px auto !important;
    width: 100% !important;
    max-width: 760px !important;
    border: 1px solid rgba(255, 255, 255, 0.6) !important;
    backdrop-filter: blur(5px);
    -webkit-backdrop-filter: blur(5px);
}

/* SAFE FORM-LINE: Excludes all hidden/conditional states from forcing display */
form[id="7411646"] .form-line:not(.hide):not(.hidden):not(.form-line-hidden):not(.form-field-hidden):not(.always-hidden):not([style*="none"]):not([data-type="control_hidden"]) {
    display: block !important;
    padding: 7px 0 !important;
    margin: 0 !important;
    width: 100% !important;
    box-sizing: border-box !important;
}

form[id="7411646"] .form-required {
    display: none !important;
}

/* --- RSVP IMAGE / TOP HTML AREA --- */
html:has(form[id="7411646"]) div:has(> img[alt="Bourbon Tasting"]) {
    margin: 0 0 10px 0 !important;
    padding: 0 !important;
    width: 100% !important;
}

html:has(form[id="7411646"]) div:has(> img[alt="Bourbon Tasting"]) > div:first-child {
    margin: 0 0 8px 0 !important;
}

html:has(form[id="7411646"]) div:has(> img[alt="Bourbon Tasting"]) > br {
    display: none !important;
}

html:has(form[id="7411646"]) img[alt="Bourbon Tasting"] {
    display: block !important;
    width: 100% !important;
    max-width: 100% !important;
    height: auto !important;
    border-radius: 12px !important;
    margin: 0 auto !important;
}

/* --- 2. Headings & Field Names --- */
form[id="7411646"] .form-header {
    color: #a67c33 !important;
    border-bottom: 1px solid #d9cbb8 !important;
    padding-bottom: 8px !important;
}

form[id="7411646"] .form-label,
form[id="7411646"] .form-label-left,
form[id="7411646"] .form-label-top {
    width: 100% !important;
    max-width: 100% !important;
    float: none !important;
    display: block !important;
    box-sizing: border-box !important;
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form[id="7411646"] [id^="label_"] > label,
form[id="7411646"] label[for^="input_"]:not(.form-sub-label),
form[id="7411646"] .form-label-left > label,
form[id="7411646"] .form-label-top > label {
    color: #a67c33 !important;
    font-weight: 700 !important;
    font-size: 18px !important;
    margin-bottom: 3px !important;
    display: block !important;
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form[id="7411646"] .label-message {
    display: block !important;
    width: 100% !important;
    color: #887a6b !important;
    font-size: 13px !important;
    font-weight: 400 !important;
    margin-top: 2px !important;
    margin-bottom: 6px !important;
    line-height: 1.32 !important;
}

form[id="7411646"] .form-sub-label {
    color: #887a6b !important;
    font-size: 12px !important;
    margin-top: 2px !important;
    font-weight: normal !important;
}

/* --- 3. Inputs --- */
form[id="7411646"] .form-input,
form[id="7411646"] .form-input-wide {
    clear: both !important;
    display: block !important;
    width: 100% !important;
    max-width: 100% !important;
}

form[id="7411646"] .form-textbox,
form[id="7411646"] .form-dropdown,
form[id="7411646"] .form-textarea {
    width: 100% !important;
    height: 44px !important;
    padding: 0 15px !important;
    border: 1px solid #cfc2b4 !important;
    border-radius: 8px !important;
    box-sizing: border-box !important;
    font-size: 16px !important;
    font-weight: 400 !important;
    color: #333 !important;
    background-color: #fff !important;
    transition: all 0.3s ease !important;
    box-shadow: none !important;
    outline: none !important;
}

form[id="7411646"] .form-textarea {
    height: auto !important;
    padding: 12px 15px !important;
}

form[id="7411646"] .form-textbox:focus,
form[id="7411646"] .form-dropdown:focus {
    border-color: #c99b53 !important;
    box-shadow: 0 0 0 2px rgba(201, 155, 83, 0.2) !important;
}

form[id="7411646"] #input_15 {
    width: 100px !important;
    text-align: center !important;
    font-weight: 600 !important;
}

/* --- 4. Side-by-Side Flex Layout (With Conditional Exclusions) --- */
form[id="7411646"] #cid_1:not(.hide):not(.form-line-hidden):not([style*="none"]),
form[id="7411646"] #cid_17:not(.hide):not(.form-line-hidden):not([style*="none"]),
form[id="7411646"] #cid_18:not(.hide):not(.form-line-hidden):not([style*="none"]),
form[id="7411646"] #cid_19:not(.hide):not(.form-line-hidden):not([style*="none"]),
form[id="7411646"] #cid_20:not(.hide):not(.form-line-hidden):not([style*="none"]),
form[id="7411646"] #cid_21:not(.hide):not(.form-line-hidden):not([style*="none"]),
form[id="7411646"] #cid_22:not(.hide):not(.form-line-hidden):not([style*="none"]) {
    display: flex !important;
    flex-direction: row !important;
    gap: 12px !important;
    width: 100% !important;
}

form[id="7411646"] .form-sub-label-container {
    display: flex !important;
    flex-direction: column !important;
    flex: 1 !important;
    margin: 0 !important;
}

form[id="7411646"] .form-sub-label-container input,
form[id="7411646"] .form-sub-label-container select {
    order: 1 !important;
}

form[id="7411646"] .form-sub-label-container label.form-sub-label {
    order: 2 !important;
}

/* Address table */
form[id="7411646"] .form-address-table {
    width: 100% !important;
    display: block !important;
}

form[id="7411646"] .form-address-table tbody {
    display: flex !important;
    flex-direction: column !important;
    gap: 6px !important;
    width: 100% !important;
}

form[id="7411646"] .form-address-table tr:not(.hide):not(.form-line-hidden):not([style*="none"]) {
    display: flex !important;
    flex-direction: row !important;
    gap: 12px !important;
    width: 100% !important;
}

form[id="7411646"] .form-address-table td {
    display: flex !important;
    flex-direction: column !important;
    flex: 1 !important;
    padding: 0 !important;
    min-width: 0 !important;
}

/* --- 5. Radio Buttons & Checkboxes (With Conditional Exclusions) --- */
form[id="7411646"] .form-single-column:not(.hide):not(.form-line-hidden):not([style*="none"]),
form[id="7411646"] .form-multiple-column:not(.hide):not(.form-line-hidden):not([style*="none"]) {
    display: flex !important;
    flex-direction: column !important;
    gap: 6px !important;
    width: 100% !important;
}

form[id="7411646"] .form-radio-item,
form[id="7411646"] .form-checkbox-item {
    display: flex !important;
    flex-direction: row !important;
    align-items: center !important;
    border: 1px solid #cfc2b4 !important;
    border-radius: 8px !important;
    padding: 0 !important;
    margin: 0 !important;
    background: #fff !important;
    min-height: 42px !important;
    box-sizing: border-box !important;
}

form[id="7411646"] .form-radio-item:has(input:checked),
form[id="7411646"] .form-checkbox-item:has(input:checked) {
    background-color: #fdf8f0 !important;
    border-color: #c99b53 !important;
}

form[id="7411646"] input.form-radio,
form[id="7411646"] input.form-checkbox {
    margin: 0 0 0 14px !important;
    width: 20px !important;
    height: 20px !important;
    accent-color: #c99b53 !important;
    cursor: pointer !important;
    flex-shrink: 0 !important;
}

form[id="7411646"] .form-radio-item label,
form[id="7411646"] .form-checkbox-item label {
    margin: 0 !important;
    padding: 10px 18px 10px 12px !important;
    color: #333 !important;
    font-size: 16px !important;
    font-weight: 500 !important;
    cursor: pointer !important;
    flex: 1 !important;
    display: flex !important;
    align-items: center !important;
}

/* =========================================================
   "OTHER" CHECKBOX
========================================================= */
form[id="7411646"] .form-checkbox-item:has(.form-checkbox-other) {
    position: relative !important;
    display: flex !important;
    align-items: center !important;
    padding: 0 !important;
}

form[id="7411646"] input.form-checkbox-other {
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    appearance: none !important;
    position: absolute !important;
    left: 0 !important;
    top: 0 !important;
    margin: 0 !important;
    width: 100% !important;
    height: 100% !important;
    cursor: pointer !important;
    z-index: 5 !important;
    outline: none !important;
    border: none !important;
    background: transparent !important;
}

form[id="7411646"] input.form-checkbox-other::before {
    content: "" !important;
    position: absolute !important;
    left: 14px !important;
    top: 50% !important;
    transform: translateY(-50%) !important;
    width: 20px !important;
    height: 20px !important;
    border: 1px solid #767676 !important;
    border-radius: 3px !important;
    background-color: #fff !important;
    box-sizing: border-box !important;
}

form[id="7411646"] input.form-checkbox-other:checked::before {
    background-color: #c99b53 !important;
    border-color: #c99b53 !important;
    background-image: url("data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 16 16'%3E%3Cpath fill='none' stroke='white' stroke-width='3.5' stroke-linecap='round' stroke-linejoin='round' d='M3.5 8.5l3 3L12.5 4'/%3E%3C/svg%3E") !important;
    background-size: 15px !important;
    background-position: center !important;
    background-repeat: no-repeat !important;
}

form[id="7411646"] .form-checkbox-item:has(.form-checkbox-other) span {
    display: flex !important;
    align-items: center !important;
    flex: none !important;
    padding: 0 !important;
    margin-left: 48px !important;
    position: relative !important;
    z-index: 10 !important;
}

form[id="7411646"] .form-checkbox-other-input {
    margin: 0 !important;
    padding: 6px 10px !important;
    border: 1px solid #ccc !important;
    border-radius: 4px !important;
    height: 32px !important;
    width: 115px !important;
    font-size: 14px !important;
    background: #fff !important;
    position: relative !important;
}

/* Typed amount color */
form[id="7411646"] .form-checkbox-other-input,
form[id="7411646"] input#input_13 {
    color: #a67c33 !important;
    font-weight: 700 !important;
}

/* Placeholder "Other" color */
form[id="7411646"] .form-checkbox-other-input::placeholder,
form[id="7411646"] input#input_13::placeholder {
    color: #a67c33 !important;
    opacity: 1 !important;
    font-weight: 700 !important;
}

form[id="7411646"] .form-checkbox-other-input::-webkit-input-placeholder,
form[id="7411646"] input#input_13::-webkit-input-placeholder {
    color: #a67c33 !important;
    opacity: 1 !important;
    font-weight: 700 !important;
}

form[id="7411646"] .form-checkbox-other-input::-moz-placeholder,
form[id="7411646"] input#input_13::-moz-placeholder {
    color: #a67c33 !important;
    opacity: 1 !important;
    font-weight: 700 !important;
}

form[id="7411646"] .form-checkbox-other-input:-ms-input-placeholder,
form[id="7411646"] input#input_13:-ms-input-placeholder {
    color: #a67c33 !important;
    opacity: 1 !important;
    font-weight: 700 !important;
}

/* --- 6. Total Box --- */
form[id="7411646"] #cid_7:not(.hide):not(.form-line-hidden):not([style*="none"]) {
    display: flex !important;
    flex-direction: row !important;
    justify-content: space-between !important;
    align-items: center !important;
    background-color: rgba(255,255,255,0.65) !important;
    border: 1px solid #cfc2b4 !important;
    border-radius: 8px !important;
    padding: 13px 18px !important;
    margin-top: 2px !important;
}

form[id="7411646"] #cid_7 label {
    margin: 0 !important;
    font-size: 18px !important;
    font-weight: 700 !important;
    color: #333 !important;
}

form[id="7411646"] #total_amount {
    font-size: 26px !important;
    font-weight: 800 !important;
    color: #a67c33 !important;
    padding: 0 !important;
}

/* --- 7. Payment / Credit Card Fields --- */
form[id="7411646"] .js-cc-number {
    padding-left: 15px !important;
    background-image: none !important;
}

form[id="7411646"] .credit_card:not(.hide):not(.form-line-hidden):not([style*="none"]) > td > table {
    display: flex !important;
    flex-direction: column !important;
    gap: 10px !important;
    width: 100% !important;
    border: 1px solid #cfc2b4 !important;
    padding: 14px !important;
    border-radius: 8px !important;
    background: rgba(255,255,255,0.5) !important;
    margin-top: 6px !important;
}

form[id="7411646"] .credit_card:not(.hide) > td > table > tbody {
    display: flex !important;
    flex-direction: column !important;
    gap: 8px !important;
    width: 100% !important;
}

form[id="7411646"] .credit_card:not(.hide) > td > table > tbody > tr:not(.hide):not([style*="none"]) {
    display: flex !important;
    flex-direction: row !important;
    width: 100% !important;
    gap: 10px !important;
}

form[id="7411646"] .credit_card td,
form[id="7411646"] .cc-field-wrapper {
    display: flex !important;
    flex-direction: column !important;
    flex: 1 !important;
    padding: 0 !important;
    min-width: 0 !important;
}

form[id="7411646"] .credit_card th {
    display: none !important;
}

form[id="7411646"] .other {
    padding: 8px 0 0 0 !important;
    font-size: 15px !important;
    color: #555 !important;
    line-height: 1.45 !important;
}

form[id="7411646"] .credit_card input.form-textbox {
    font-size: 16px !important;
    font-weight: 400 !important;
    color: #333 !important;
}

/* --- 8. Submit Button --- */
form[id="7411646"] .form-buttons-wrapper {
    display: flex !important;
    justify-content: center !important;
    width: 100% !important;
    margin: 18px 0 0 0 !important;
    padding: 0 !important;
    text-indent: 0 !important;
}

form[id="7411646"] .form-submit-button {
    background-color: #c99b53 !important;
    color: #120e0a !important;
    border: none !important;
    border-radius: 8px !important;
    padding: 14px 45px !important;
    font-size: 18px !important;
    font-weight: bold !important;
    cursor: pointer !important;
    width: 100% !important;
    max-width: 350px !important;
    transition: filter 0.3s ease, transform 0.1s ease !important;
    box-shadow: 0 4px 12px rgba(201, 155, 83, 0.3) !important;
}

form[id="7411646"] .form-submit-button:hover {
    filter: brightness(1.12) !important;
    transform: translateY(-1px) !important;
}

/* --- 9. Newsletter Checkbox --- */
form[id="7411646"] #cid_4 .form-checkbox-item {
    border: none !important;
    background: transparent !important;
    min-height: auto !important;
    padding: 5px 0 !important;
}

form[id="7411646"] #cid_4 input.form-checkbox {
    margin: 0 10px 0 0 !important;
    width: 18px !important;
    height: 18px !important;
}

form[id="7411646"] #cid_4 label {
    color: #555 !important;
    font-size: 14px !important;
    padding: 0 !important;
}

form[id="7411646"] .form-single-column:has(input.paymentMethod):not(.hide):not([style*="none"]),
form[id="7411646"] .form-multiple-column:has(input.paymentMethod):not(.hide):not([style*="none"]) {
    display: flex !important;
    flex-direction: row !important;
    gap: 12px !important;
    width: 100% !important;
}

form[id="7411646"] .form-radio-item:has(input.paymentMethod) {
    flex: 1 !important;
    margin: 0 !important;
}

/* --- 10. Mobile Fixes --- */
@media (max-width: 600px) {
    form[id="7411646"] {
        padding-left: 8px !important;
        padding-right: 8px !important;
    }

    form[id="7411646"] .form-all {
        padding: 16px 12px 22px !important;
        border-radius: 12px !important;
        margin: 10px auto !important;
    }

    form[id="7411646"] .form-line {
        padding: 6px 0 !important;
    }

    form[id="7411646"] [id^="label_"] > label,
    form[id="7411646"] label[for^="input_"]:not(.form-sub-label),
    form[id="7411646"] .form-label-left > label,
    form[id="7411646"] .form-label-top > label {
        font-size: 17px !important;
        margin-bottom: 2px !important;
    }

    form[id="7411646"] .label-message {
        margin-bottom: 5px !important;
        line-height: 1.3 !important;
    }

    html:has(form[id="7411646"]) div:has(> img[alt="Bourbon Tasting"]) {
        margin: 0 0 8px 0 !important;
        padding: 0 !important;
        width: 100% !important;
    }

    html:has(form[id="7411646"]) div:has(> img[alt="Bourbon Tasting"]) > div:first-child {
        font-size: 20px !important;
        letter-spacing: 1.5px !important;
        margin: 0 0 7px 0 !important;
    }

    html:has(form[id="7411646"]) img[alt="Bourbon Tasting"]{
        width: 100% !important;
        max-width: 100% !important;
        border-radius: 10px !important;
    }

    form[id="7411646"] #cid_1:not(.hide):not([style*="none"]),
    form[id="7411646"] #cid_17:not(.hide):not([style*="none"]),
    form[id="7411646"] #cid_18:not(.hide):not([style*="none"]),
    form[id="7411646"] #cid_19:not(.hide):not([style*="none"]),
    form[id="7411646"] #cid_20:not(.hide):not([style*="none"]),
    form[id="7411646"] #cid_21:not(.hide):not([style*="none"]),
    form[id="7411646"] #cid_22:not(.hide):not([style*="none"]) {
        gap: 8px !important;
    }

    form[id="7411646"] .form-radio-item,
    form[id="7411646"] .form-checkbox-item {
        min-height: 40px !important;
    }

    form[id="7411646"] .form-radio-item label,
    form[id="7411646"] .form-checkbox-item label {
        padding: 9px 14px 9px 10px !important;
        font-size: 15px !important;
    }

    form[id="7411646"] input.form-radio,
    form[id="7411646"] input.form-checkbox {
        margin-left: 12px !important;
    }

    form[id="7411646"] .form-checkbox-item:has(.form-checkbox-other) span {
        margin-left: 44px !important;
    }

    form[id="7411646"] input.form-checkbox-other::before {
        left: 12px !important;
    }

    /* Credit-card address: City + State on one line, Zip + Country on one line */
    form[id="7411646"] .form-address-table tbody {
        gap: 6px !important;
    }

    form[id="7411646"] .form-address-table tr:not(.hide):not([style*="none"]) {
        flex-direction: row !important;
        flex-wrap: nowrap !important;
        gap: 8px !important;
        width: 100% !important;
    }

    form[id="7411646"] .form-address-table td {
        flex: 1 1 0 !important;
        min-width: 0 !important;
        width: auto !important;
    }

    form[id="7411646"] .form-address-table .form-textbox,
    form[id="7411646"] .form-address-table .form-dropdown {
        min-width: 0 !important;
        padding-left: 9px !important;
        padding-right: 9px !important;
        font-size: 14px !important;
    }

    form[id="7411646"] .credit_card:not(.hide):not([style*="none"]) > td > table {
        padding: 12px !important;
        gap: 8px !important;
        margin-top: 5px !important;
    }

    form[id="7411646"] .credit_card:not(.hide) > td > table > tbody {
        gap: 8px !important;
    }

    form[id="7411646"] .credit_card:not(.hide) > td > table > tbody > tr:not(.hide):not([style*="none"]) {
        flex-wrap: wrap !important;
        gap: 8px !important;
    }

    form[id="7411646"] .credit_card td:has(.js-cc-number),
    form[id="7411646"] .credit_card td:has([id*="cc_ccv"]),
    form[id="7411646"] .credit_card td:has([name*="ccv"]),
    form[id="7411646"] .credit_card td:has([autocomplete="cc-csc"]) {
        flex: 0 0 100% !important;
        width: 100% !important;
    }

    form[id="7411646"] .form-single-column:has(input.paymentMethod):not(.hide):not([style*="none"]),
    form[id="7411646"] .form-multiple-column:has(input.paymentMethod):not(.hide):not([style*="none"]) {
        flex-direction: column !important;
        gap: 6px !important;
    }

    form[id="7411646"] #cid_7:not(.hide):not([style*="none"]) {
        padding: 12px 14px !important;
    }

    form[id="7411646"] #total_amount {
        font-size: 24px !important;
    }

    form[id="7411646"] .form-buttons-wrapper {
        margin-top: 16px !important;
    }
}

/* Mobile-only fix for the Donation "Other" checkbox */
@media (max-width: 600px) {
    form[id="7411646"] .form-checkbox-item:has(input.form-checkbox-other) {
        position: relative !important;
        overflow: hidden !important;
    }

    form[id="7411646"] input.form-checkbox-other,
    form[id="7411646"] input.form-checkbox.form-checkbox-other {
        position: absolute !important;
        left: 0 !important;
        top: 0 !important;
        margin: 0 !important;
        padding: 0 !important;
        width: 100% !important;
        height: 100% !important;
        border: 0 !important;
        outline: 0 !important;
        box-shadow: none !important;
        background: transparent !important;
    }

    form[id="7411646"] input.form-checkbox-other:focus,
    form[id="7411646"] input.form-checkbox-other:active,
    form[id="7411646"] input.form-checkbox-other:checked {
        outline: 0 !important;
        box-shadow: none !important;
        border: 0 !important;
    }

    form[id="7411646"] input.form-checkbox-other::before,
    form[id="7411646"] input.form-checkbox.form-checkbox-other::before {
        left: 12px !important;
        top: 50% !important;
        margin: 0 !important;
        transform: translateY(-50%) !important;
    }

    form[id="7411646"] .form-checkbox-item:has(input.form-checkbox-other) span {
        margin-left: 44px !important;
    }

    form[id="7411646"] .form-checkbox-item:has(input.form-checkbox-other) .form-checkbox-other-input {
        margin-left: 0 !important;
    }

    form[id="7411646"] .form-checkbox-item:has(input.form-checkbox-other:checked) {
        border-color: #cfc2b4 !important;
        box-shadow: none !important;
    }
}
</style>




<style type="text/css">
/* =========================================================
   MODERN FORM STYLING - CHABADONE
   Target: Bourbon Tasting Waiting List (ID: 7421598)
   Theme: Frosted Cream Card over Black/Gold Texture (Compact)
========================================================= */

/* --- 0. CRUCIAL: Enforce Jotform Conditional Logic & Hidden Fields First --- */
form[id="7421598"] .hide,
form[id="7421598"] .hidden,
form[id="7421598"] .form-line-hidden,
form[id="7421598"] .form-field-hidden,
form[id="7421598"] .always-hidden,
form[id="7421598"] [data-type="control_hidden"],
form[id="7421598"] [style*="display: none"],
form[id="7421598"] [style*="display:none"],
form[id="7421598"] tr.hide,
form[id="7421598"] tr.form-line-hidden,
form[id="7421598"] td.hide,
form[id="7421598"] div.hide,
form[id="7421598"] div.form-line-hidden,
form[id="7421598"] tbody.hide,
form[id="7421598"] [id*="id_"].form-line-hidden,
form[id="7421598"] [id*="id_"].always-hidden,
form[id="7421598"] [id*="cid_"].hide,
form[id="7421598"] [id*="cid_"].form-line-hidden {
    display: none !important;
}

/* --- 1. Page Background & FORCE FULL-SCREEN CENTERING --- */
html:has(form[id="7421598"]),
html:has(form[id="7421598"]) body {
    background-color: #050403 !important;
    background-image: url('https://thechabadcenter.org/media/images/1376/dVbQ13761866.png') !important;
    background-size: cover !important;
    background-position: center top !important;
    background-attachment: fixed !important;
    margin: 0 !important;
    overflow-x: hidden !important;
}

/* THE MASTER UN-FLOAT: Strips ChabadOne's legacy left-aligned wrappers */
html:has(form[id="7421598"]) #content,
html:has(form[id="7421598"]) #BodyContainer,
html:has(form[id="7421598"]) .body_wrapper,
html:has(form[id="7421598"]) #co_content_container,
html:has(form[id="7421598"]) .master-content-wrapper,
html:has(form[id="7421598"]) #co_body_container,
html:has(form[id="7421598"]) #ContentBody,
html:has(form[id="7421598"]) .content-area-parent,
html:has(form[id="7421598"]) #cco_body,
html:has(form[id="7421598"]) article.content,
html:has(form[id="7421598"]) #formContainer {
    width: 100% !important;
    max-width: 100% !important;
    float: none !important;
    margin-left: auto !important;
    margin-right: auto !important;
    padding-left: 0 !important;
    padding-right: 0 !important;
    box-sizing: border-box !important;
}

/* Center the form block */
form[id="7421598"] {
    font-family: 'Montserrat', 'Open Sans', Arial, sans-serif !important;
    color: #333 !important;
    width: 100% !important;
    display: flex !important;
    flex-direction: column !important;
    align-items: center !important;
    justify-content: center !important;
    padding: 0 12px !important;
    box-sizing: border-box !important;
}

/* THE FROSTED STATIONERY CARD - SLIMMER PADDING */
form[id="7421598"] .form-all {
    background: rgba(41, 18, 2, 0.85) !important;
    box-shadow: 0 15px 50px rgba(0, 0, 0, 0.55) !important;
    border-radius: 16px !important;
    padding: 18px 28px 22px !important;
    margin: 18px auto !important;
    width: 100% !important;
    max-width: 650px !important;
    border: 1px solid rgba(255, 255, 255, 0.6) !important;
    backdrop-filter: blur(5px);
    -webkit-backdrop-filter: blur(5px);
}

/* SAFE FORM-LINE: Tighter vertical row spacing (4px top/bottom) */
form[id="7421598"] .form-line:not(.hide):not(.hidden):not(.form-line-hidden):not(.form-field-hidden):not(.always-hidden):not([style*="none"]):not([data-type="control_hidden"]) {
    display: block !important;
    padding: 4px 0 !important;
    margin: 0 !important;
    width: 100% !important;
    box-sizing: border-box !important;
}

form[id="7421598"] .form-required {
    display: none !important;
}

/* --- 2. Top HTML Area & Image Styling --- */
form[id="7421598"] .bourbon-rsvp-top {
    width: 100% !important;
    margin: 0 0 6px 0 !important;
    padding: 0 !important;
    text-align: center !important;
}

/* Neutralize rogue paragraph tags or breaks inside the HTML block */
form[id="7421598"] .bourbon-rsvp-top p {
    margin: 0 !important;
    padding: 0 !important;
}

form[id="7421598"] .bourbon-rsvp-top br {
    display: none !important;
}

/* Image Styling */
html:has(form[id="7421598"]) img[alt="Bourbon Tasting"],
form[id="7421598"] .bourbon-event-image {
    display: block !important;
    width: 100% !important;
    max-width: 100% !important;
    height: auto !important;
    border-radius: 12px !important;
    margin: 0 auto !important;
    box-shadow: 0 10px 30px rgba(0, 0, 0, 0.45) !important;
    border: 1px solid rgba(255, 255, 255, 0.15) !important;
    user-select: none !important;
    -webkit-user-select: none !important;
}

/* Sold Out Header Text Enhancement */
form[id="7421598"] #text_12 p {
    margin: 0 !important;
    line-height: 1.2 !important;
}

form[id="7421598"] #text_12 span {
    text-shadow: 0 2px 4px rgba(0, 0, 0, 0.5) !important;
    letter-spacing: 0.5px !important;
}

/* --- 3. Labels & Inputs - COMPACT --- */
form[id="7421598"] .form-label,
form[id="7421598"] .form-label-left,
form[id="7421598"] .form-label-top {
    width: 100% !important;
    max-width: 100% !important;
    float: none !important;
    display: block !important;
    box-sizing: border-box !important;
}

/* Closer labels with slightly sleeker 16px font size */
form[id="7421598"] [id^="label_"] > label,
form[id="7421598"] label[for^="input_"]:not(.form-sub-label),
form[id="7421598"] .form-label-left > label,
form[id="7421598"] .form-label-top > label {
    color: #a67c33 !important;
    font-weight: 700 !important;
    font-size: 16px !important;
    margin-bottom: 2px !important;
    display: block !important;
}

form[id="7421598"] .label-message {
    display: none !important;
}

form[id="7421598"] .form-input,
form[id="7421598"] .form-input-wide {
    clear: both !important;
    display: block !important;
    width: 100% !important;
    max-width: 100% !important;
}

/* Thinner 38px height textboxes */
form[id="7421598"] .form-textbox {
    width: 100% !important;
    height: 38px !important;
    padding: 0 14px !important;
    border: 1px solid #cfc2b4 !important;
    border-radius: 6px !important;
    box-sizing: border-box !important;
    font-size: 15px !important;
    font-weight: 400 !important;
    color: #333 !important;
    background-color: #fff !important;
    transition: all 0.3s ease !important;
    box-shadow: none !important;
    outline: none !important;
}

form[id="7421598"] .form-textbox:focus {
    border-color: #c99b53 !important;
    box-shadow: 0 0 0 3px rgba(201, 155, 83, 0.25) !important;
}

/* --- 3b. Side-by-Side Fields Fix (Full Name, Phone, etc.) --- */
form[id="7421598"] [id^="cid_"]:has(.form-sub-label-container) {
    display: flex !important;
    flex-direction: row !important;
    flex-wrap: wrap !important;
    gap: 10px !important;
    width: 100% !important;
}

form[id="7421598"] .form-sub-label-container {
    display: flex !important;
    flex-direction: column !important;
    flex: 1 1 0 !important;
    min-width: 140px !important;
    margin: 0 !important;
}

form[id="7421598"] .form-sub-label-container input,
form[id="7421598"] .form-sub-label-container select {
    order: 1 !important;
    width: 100% !important;
}

/* Tighter sub-label margin */
form[id="7421598"] .form-sub-label-container label.form-sub-label {
    order: 2 !important;
    margin-top: 2px !important;
    font-size: 11px !important;
}

/* --- 4. Submit Button - COMPACT --- */
form[id="7421598"] .form-buttons-wrapper {
    display: flex !important;
    justify-content: center !important;
    width: 100% !important;
    margin: 8px 0 0 0 !important;
    padding: 0 !important;
    text-indent: 0 !important;
}

form[id="7421598"] .form-submit-button {
    background-color: #c99b53 !important;
    color: #120e0a !important;
    border: none !important;
    border-radius: 6px !important;
    padding: 10px 40px !important;
    font-size: 16px !important;
    font-weight: bold !important;
    cursor: pointer !important;
    width: 100% !important;
    max-width: 320px !important;
    transition: filter 0.3s ease, transform 0.1s ease !important;
    box-shadow: 0 4px 15px rgba(201, 155, 83, 0.35) !important;
}

form[id="7421598"] .form-submit-button:hover {
    filter: brightness(1.12) !important;
    transform: translateY(-1px) !important;
}

/* --- 5. Mobile Responsiveness --- */
@media (max-width: 600px) {
    form[id="7421598"] {
        padding-left: 6px !important;
        padding-right: 6px !important;
    }

    form[id="7421598"] .form-all {
        padding: 14px 14px 18px !important;
        border-radius: 12px !important;
        margin: 10px auto !important;
    }

    form[id="7421598"] .form-line:not(.hide):not(.form-line-hidden) {
        padding: 4px 0 !important;
    }

    form[id="7421598"] [id^="label_"] > label,
    form[id="7421598"] label[for^="input_"]:not(.form-sub-label) {
        font-size: 15px !important;
        margin-bottom: 2px !important;
    }

    form[id="7421598"] .form-textbox {
        height: 36px !important;
        font-size: 14px !important;
    }

    form[id="7421598"] [id^="cid_"]:has(.form-sub-label-container) {
        gap: 8px !important;
    }

    form[id="7421598"] .form-submit-button {
        font-size: 16px !important;
        padding: 11px 25px !important;
        max-width: 100% !important;
    }
}
</style>
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			<h1 class="article-header__title js-article-title js-page-title">BMC Registration Form - Boys</h1>
		
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<form class="userform-form" action="" method="post" name="form_7109143" id="7109143" accept-charset="utf-8"><input type="hidden" name="formID" value="7109143" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li id="cid_39" class="form-input-wide"> <div class="form-header-group"><h2 id="header_39" class="form-header">BMC Registration Form:</h2></div> </li><li class="form-line" id="id_47"><div id="cid_47" class="form-input-wide"> <div style="text-align:center;"><img alt="" class="form-image" border="0" src="https://w2.chabad.org/media/images/1342/FEXe13429271.png" height="619" width="442" /></div> </div></li><li class="form-line" id="id_44"><div id="cid_44" class="form-input-wide"> <div id="text_44" class="form-html"><p style="text-align: center;"><span style="font-size:16px;"><span style="font-family:Palatino,Palatino Linotype,Palatino LT STD,Book Antiqua,Georgia,serif;">SEVEN SUNDAY SESSIONS</span></span></p>

<p style="text-align: center;"><span style="font-size:16px;"><span style="font-family:Palatino,Palatino Linotype,Palatino LT STD,Book Antiqua,Georgia,serif;">Dec 7 | Jan 11 | Mar 1 | Mar 15 | Mar 29 | April 19 | May 3</span></span></p>
</div> </div></li><li id="cid_49" class="form-input-wide"> <div class="form-header-group"><h2 id="header_49" class="form-header">Bar Mitzvah Boy Info:</h2></div> </li><li class="form-line" id="id_1"><div class="form-label-left" id="label_1"><label for="input_1"> Full Name<span class="form-required">*</span> </label><label class="label-message" for="input_1"> </label></div><div id="cid_1" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q1_fullName[first]" id="first_1" autocomplete="given-name" />  <label class="form-sub-label" for="first_1" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q1_fullName[middle]" id="middle_1" autocomplete="additional-name" />  <label class="form-sub-label" for="middle_1" id="sublabel_middle">Hebrew Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q1_fullName[last]" id="last_1" autocomplete="family-name" />  <label class="form-sub-label" for="last_1" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> Age<span class="form-required">*</span> </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_10" name="q10_input10" size="20" value="" /> </div></li><li class="form-line" id="id_48"><div class="form-label-left" id="label_48"><label for="input_48"> Grade </label><label class="label-message" for="input_48"> </label></div><div id="cid_48" class="form-input"> <select class="form-dropdown" style="width:150px" id="input_48" name="q48_input48"><option value=""></option><option value="6th Grade">6th Grade</option><option value="7th Grade">7th Grade</option><option value="8th Grade">8th Grade</option></select> </div></li><li class="form-line" id="id_11"><div class="form-label-left" id="label_11"><label for="input_11"> School<span class="form-required">*</span> </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_11" name="q11_input11" size="20" value="" /> </div></li><li class="form-line" id="id_15"><div class="form-label-left" id="label_15"><label for="input_15"> Previous Jewish Education<span class="form-required">*</span> </label><label class="label-message" for="input_15"> </label></div><div id="cid_15" class="form-input"> <input type="text" class=" form-textbox validate[required]" data-type="input-textbox" id="input_15" name="q15_input15" size="20" value="" /> </div></li><li class="form-line" id="id_24"><div class="form-label-left" id="label_24"><label for="input_24"> Birth Date<span class="form-required">*</span> </label><label class="label-message" for="input_24"> This will help us accurately calculate her Jewish birthday</label></div><div id="cid_24" class="form-input"> <div class="datetime-fields"><div class="dir_ltr date-fields"><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="month_24" name="q24_input24[month]" type="tel" size="2" maxlength="2" value="11" />  <label class="form-sub-label" for="month_24" id="sublabel_month">Month</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="day_24" name="q24_input24[day]" type="tel" size="2" maxlength="2" value="12" />  <label class="form-sub-label" for="day_24" id="sublabel_day">Day</label></span><span class="form-sub-label-container"><input autocomplete="nope" class="form-textbox validate[required]" id="year_24" name="q24_input24[year]" type="tel" size="4" maxlength="4" value="2025" />  <label class="form-sub-label" for="year_24" id="sublabel_year">Year</label></span><span class="form-sub-label-container"><img class="showAutoCalendar" alt="Pick a Date" id="input_24_pick" src="https://w2.chabad.org/images/sitecontrol/formbuilder/calendar.png" align="absmiddle" />  <label class="form-sub-label" for="input_24_pick"><span> </span></label></span></div><span class="dir_ltr inline_block time-fields" style="white-space: nowrap;"><span class="form-sub-label-container"><span id="at_24" class="form-control-static at-label">at</span>  <label class="form-sub-label" for="at_24"><span> </span></label></span><span class="form-sub-label-container"><select autocomplete="nope" class="form-dropdown validate[required]" id="hour_24" name="q24_input24[hour]"><option></option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option selected="selected" value="12">12</option></select>  <label class="form-sub-label" for="hour_24" id="sublabel_hour">Hour</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="min_24" name="q24_input24[min]"><option></option><option value="00">00</option><option value="05">05</option><option selected="selected" value="10">10</option><option value="15">15</option><option value="20">20</option><option value="25">25</option><option value="30">30</option><option value="35">35</option><option value="40">40</option><option value="45">45</option><option value="50">50</option><option value="55">55</option></select>  <label class="form-sub-label" for="min_24" id="sublabel_minutes">Minutes</label></span><span class="form-sub-label-container"><select class="form-dropdown validate[required]" id="ampm_24" name="q24_input24[ampm]"><option value="AM">AM</option><option selected="selected" value="PM">PM</option></select>  <label class="form-sub-label" for="ampm_24"><span> </span></label></span></span></div> </div></li><li class="form-line" id="id_4"><div class="form-label-left" id="label_4"><label for="input_4"> His E-mail </label><label class="label-message" for="input_4"> If applicable </label></div><div id="cid_4" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_4" name="q4_email" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> His Cell Number </label><label class="label-message" for="input_5"> If applicable</label></div><div id="cid_5" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q5_phoneNumber[area]" id="input_5_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_5_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[Numeric]" type="tel" name="q5_phoneNumber[phone]" id="input_5_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_5_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_26"><div class="form-label-left" id="label_26"><label for="input_26"> Allergies </label><label class="label-message" for="input_26"> For food allergies please elaborate</label></div><div id="cid_26" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_26" name="q26_input26" size="20" value="" /> </div></li><li id="cid_42" class="form-input-wide"> <div class="form-header-group"><h2 id="header_42" class="form-header">Parent Information:</h2></div> </li><li class="form-line" id="id_16"><div class="form-label-left" id="label_16"><label for="input_16"> Father<span class="form-required">*</span> </label><label class="label-message" for="input_16"> </label></div><div id="cid_16" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q16_fullName16[first]" id="first_16" autocomplete="given-name" />  <label class="form-sub-label" for="first_16" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q16_fullName16[middle]" id="middle_16" autocomplete="additional-name" />  <label class="form-sub-label" for="middle_16" id="sublabel_middle">Hebrew Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q16_fullName16[last]" id="last_16" autocomplete="family-name" />  <label class="form-sub-label" for="last_16" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_17"><div class="form-label-left" id="label_17"><label for="input_17"> Contact Cell Number<span class="form-required">*</span> </label><label class="label-message" for="input_17"> </label></div><div id="cid_17" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q17_phoneNumber17[area]" id="input_17_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_17_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q17_phoneNumber17[phone]" id="input_17_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_17_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_21"><div class="form-label-left" id="label_21"><label for="input_21"> Contact E-mail </label><label class="label-message" for="input_21"> </label></div><div id="cid_21" class="form-input"> <input type="email" class=" form-textbox validate[Email]" id="input_21" name="q21_email21" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> Mother<span class="form-required">*</span> </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="10" name="q13_fullName13[first]" id="first_13" autocomplete="given-name" />  <label class="form-sub-label" for="first_13" id="sublabel_first">First Name</label></span><span class="form-sub-label-container"><input class="form-textbox" type="text" size="10" name="q13_fullName13[middle]" id="middle_13" autocomplete="additional-name" />  <label class="form-sub-label" for="middle_13" id="sublabel_middle">Hebrew Name</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required]" type="text" size="15" name="q13_fullName13[last]" id="last_13" autocomplete="family-name" />  <label class="form-sub-label" for="last_13" id="sublabel_last">Last Name</label></span> </div></li><li class="form-line" id="id_18"><div class="form-label-left" id="label_18"><label for="input_18"> Contact Cell Number<span class="form-required">*</span> </label><label class="label-message" for="input_18"> </label></div><div id="cid_18" class="form-input"> <div class="dir_ltr"><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q18_phoneNumber18[area]" id="input_18_area" autocomplete="tel-area-code" maxlength="5" size="3" />  <label class="form-sub-label" for="input_18_area" id="sublabel_area">Area Code</label></span><span class="form-sub-label-container"><input class="form-textbox validate[required, Numeric]" type="tel" name="q18_phoneNumber18[phone]" id="input_18_phone" autocomplete="tel-local" size="8" />  <label class="form-sub-label" for="input_18_phone" id="sublabel_phone">Phone Number</label></span></div> </div></li><li class="form-line" id="id_19"><div class="form-label-left" id="label_19"><label for="input_19"> Contact E-mail<span class="form-required">*</span> </label><label class="label-message" for="input_19"> </label></div><div id="cid_19" class="form-input"> <input type="email" class=" form-textbox validate[required, Email]" id="input_19" name="q19_email19" size="30" value="" autocomplete="email" /> </div></li><li class="form-line" id="id_20"><div class="form-label-left form-label-hidden" id="label_20"></div><div id="cid_20" class="form-input"> <div class="form-single-column form-checkbox-item"><input name="optin" value="true" type="checkbox" checked="checked" class="form-checkbox" id="input_20" /><label id="label_input_20" for="input_20">I would like to receive news and updates by email</label></div> </div></li><li class="form-line" id="id_29"><div class="form-label-left" id="label_29"><label for="input_29"> Are the birth parents of your son Jewish?<span class="form-required">*</span> </label><label class="label-message" for="input_29"> </label></div><div id="cid_29" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_29_0" name="q29_input29" value="Father" /><label id="label_input_29_0" for="input_29_0"><span>Father</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_29_1" name="q29_input29" value="Mother" /><label id="label_input_29_1" for="input_29_1"><span>Mother</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio validate[required]" id="input_29_2" name="q29_input29" value="Both" /><label id="label_input_29_2" for="input_29_2"><span>Both</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_25"><div class="form-label-left" id="label_25"><label for="input_25"> Previous Family Conversion/Adoption<span class="form-required">*</span> </label><label class="label-message" for="input_25"> If yes, please explain</label></div><div id="cid_25" class="form-input"> <textarea id="input_25" class="form-textarea validate[required]" name="q25_input25" cols="50" rows="2"></textarea> </div></li><li class="form-line" id="id_32"><div class="form-label-left" id="label_32"><label for="input_32"> Total Fee<span class="form-required">*</span> </label><label class="label-message" for="input_32"> </label></div><div id="cid_32" class="form-input"> <div class="form-multiple-column" data-columns="3"><span class="form-radio-item"><input type="radio" class="form-radio validate[required]" id="input_32_0" name="q32_input32" value="200" /><label for="input_32_0"><span>$200</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_50"><div class="form-label-left" id="label_50"><label for="input_50"> I would like help sponsor a session </label><label class="label-message" for="input_50"> </label></div><div id="cid_50" class="form-input"> <div class="form-multiple-column" data-columns="3"><span class="form-radio-item"><input type="radio" class="form-radio" id="input_50_0" name="q50_input50" value="72" /><label for="input_50_0"><span>$72</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_50_1" name="q50_input50" value="180" /><label for="input_50_1"><span>$180</span></label></span><span class="clearfix"></span><span class="form-radio-item"><input type="radio" class="form-radio" id="input_50_2" name="q50_input50" value="360" /><label for="input_50_2"><span>$360</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio-other form-radio" name="q50_input50" id="other_50" value="" /><span><input type="number" min="1" class="form-radio-other-input form-textbox" onkeypress="validateNumber(event)" name="q50_input50[other]" data-otherhint="Other" size="15" id="input_50" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_37"><div class="form-label-left" id="label_37"><label for="input_37"> Total </label></div><div id="cid_37" class="form-input"> <div id="total_amount">$0.00 </div> </div></li><li class="form-line" id="id_30"><div class="form-label-left" id="label_30"><label for="input_30"> Payment<span class="form-required">*</span> </label><label class="label-message" for="input_30"> </label></div><div id="cid_30" class="form-input"> <table summary="" class="form-address-table" border="0" cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2" class="form-payment-methods form-multiple-column"><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_30_creditCard" name="q30_payment[payment_method]" value="creditCard" onclick="BuildSource.creditCard(this)" /><label for="input_30_creditCard">Credit Card</label> </span><span class="form-radio-item"><input class="paymentMethod form-radio validate[required, paymentMethod] form-radio" type="radio" id="input_30_other" name="q30_payment[payment_method]" value="other" onclick="BuildSource.other(this)" /><label for="input_30_other">Cash/Check</label> </span></td></tr><tr class="credit_card hide"><th colspan="2">Credit Card</th></tr><tr class="credit_card hide"><td colspan="2" style="padding:0"><table cellpadding="0" cellspacing="0"><tbody><tr><td colspan="2"><span class="form-sub-label-container">  <label class="form-sub-label">We accept Visa, MasterCard, American Express, Discover</label></span><div class="cc-icons"><div class="cc-icon visa-icon"></div><div class="cc-icon mastercard-icon"></div><div class="cc-icon amex-icon"></div><div class="cc-icon discover-icon"></div></div><input type="hidden" name="q30_payment[cc_type]" id="input_30_cc_type" value="" /></td></tr><tr><td><div class="cc-field-wrapper"><span class="form-sub-label-container"><input class="form-textbox form-creditcard js-cc-number validate[required, visible, creditcard]" type="text" name="q30_payment[cc_number]" id="input_30_cc_number" autocomplete="cc-number" size="20" />  <label class="form-sub-label" for="input_30_cc_number" id="sublabel_cc_number">Credit Card Number</label></span></div></td><td class="cc_ccv "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q30_payment[cc_ccv]" id="input_30_cc_ccv" autocomplete="cc-csc" size="6" />  <label class="form-sub-label" for="input_30_cc_ccv" id="sublabel_cc_ccv">Security Code</label></span></td></tr><tr><td colspan="2" class="cc_name_on_card "><span class="form-sub-label-container"><input class="form-textbox validate[required, visible]" type="text" name="q30_payment[cc_nameOnCard]" id="input_30_cc_nameOnCard" autocomplete="cc-name" size="33" />  <label class="form-sub-label" for="input_30_cc_nameOnCard" id="sublabel_cc_nameOnCard">Name on Card</label></span></td></tr><tr class="credit_card hide"><td colspan=""><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q30_payment[cc_exp_month]" id="input_30_cc_exp_month" autocomplete="cc-exp-month"><option></option><option value="1">1 - January</option><option value="2">2 - February</option><option value="3">3 - March</option><option value="4">4 - April</option><option value="5">5 - May</option><option value="6">6 - June</option><option value="7">7 - July</option><option value="8">8 - August</option><option value="9">9 - September</option><option value="10">10 - October</option><option value="11">11 - November</option><option value="12">12 - December</option></select>  <label class="form-sub-label" for="input_30_cc_exp_month" id="sublabel_cc_exp_month">Expiration Month</label></span></td><td><span class="form-sub-label-container"><select class="form-textbox validate[required, visible]" name="q30_payment[cc_exp_year]" id="input_30_cc_exp_year" autocomplete="cc-exp-year"><option></option><option value="2025">2025</option><option value="2026">2026</option><option value="2027">2027</option><option value="2028">2028</option><option value="2029">2029</option><option value="2030">2030</option><option value="2031">2031</option><option value="2032">2032</option><option value="2033">2033</option><option value="2034">2034</option></select>  <label class="form-sub-label" for="input_30_cc_exp_year" id="sublabel_cc_exp_year">Expiration Year</label></span></td></tr></tbody></table></td></tr><tr class="other hide"><td colspan="2">Mail to<br />Chabad in Cherry Hill<br />1925 Kresson Road<br />Cherry Hill, NJ 08003</td></tr><tr class="billing_address hide"><th colspan="2">Billing Address</th></tr><tr class="billing_address hide"><td colspan="2"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-line" type="text" name="q30_payment[addr_line1]" id="input_30_addr_line1" autocomplete="billing address-line1" />  <label class="form-sub-label" for="input_30_addr_line1" id="sublabel_30_addr_line1">Street Address</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-city" type="text" name="q30_payment[city]" id="input_30_city" autocomplete="billing address-level2" />  <label class="form-sub-label" for="input_30_city" id="sublabel_30_city">City</label></span></td><td><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-state" type="text" name="q30_payment[state]" id="input_30_state" autocomplete="billing address-level1" />  <label class="form-sub-label" for="input_30_state" id="sublabel_30_state">State / Province</label></span></td></tr><tr class="billing_address hide"><td width="50%"><span class="form-sub-label-container"><input class="form-textbox validate[required] form-address-postal" type="text" name="q30_payment[postal]" id="input_30_postal" size="10" autocomplete="billing postal-code" />  <label class="form-sub-label" for="input_30_postal" id="sublabel_30_postal">Postal / Zip Code</label></span></td><td><span class="form-sub-label-container"><select class="form-dropdown validate[required] form-address-country" name="q30_payment[country]" id="input_30_country" autocomplete="billing country-name"><option value="" selected="selected">Please Select</option><option value="United States">United States</option><option value="Afghanistan">Afghanistan</option><option value="Albania">Albania</option><option value="Algeria">Algeria</option><option value="American Samoa">American Samoa</option><option value="Andorra">Andorra</option><option value="Angola">Angola</option><option value="Anguilla">Anguilla</option><option value="Antigua and Barbuda">Antigua and Barbuda</option><option value="Argentina">Argentina</option><option value="Armenia">Armenia</option><option value="Aruba">Aruba</option><option value="Australia">Australia</option><option value="Austria">Austria</option><option value="Azerbaijan">Azerbaijan</option><option value="The Bahamas">The Bahamas</option><option value="Bahrain">Bahrain</option><option value="Bangladesh">Bangladesh</option><option value="Barbados">Barbados</option><option value="Belarus">Belarus</option><option value="Belgium">Belgium</option><option value="Belize">Belize</option><option value="Benin">Benin</option><option value="Bermuda">Bermuda</option><option value="Bhutan">Bhutan</option><option value="Bolivia">Bolivia</option><option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option><option value="Botswana">Botswana</option><option value="Brazil">Brazil</option><option value="Brunei">Brunei</option><option value="Bulgaria">Bulgaria</option><option value="Burkina Faso">Burkina Faso</option><option value="Burundi">Burundi</option><option value="Cambodia">Cambodia</option><option value="Cameroon">Cameroon</option><option value="Canada">Canada</option><option value="Cape Verde">Cape Verde</option><option value="Cayman Islands">Cayman Islands</option><option value="Central African Republic">Central African Republic</option><option value="Chad">Chad</option><option value="Chile">Chile</option><option value="People's Republic of China">People's Republic of China</option><option value="Republic of China">Republic of China</option><option value="Christmas Island">Christmas Island</option><option value="Cocos (Keeling) Islands">Cocos (Keeling) Islands</option><option 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