Terry's Classroom, Phase 3

This is PHASE 3 in the progession of classroom templates.

^*Fields marked with an asterisk are required

BRIEF SUMMARY
If a user is logged into Blesta, the Status field will auto-set to 'Yes', all contact fields will auto-populate with data from the logged in user, and the login form will NOT be visible.

If a user is NOT logged in, the Status field will auto-set to 'No', all contact fields will be shown ready for user to change status or fill out fields, and the login form will NOT be visible.

Selection of either 'yes' or 'no' will toggle hiding the contact fields and showing login form or showing the contact fields and hiding the login form.

NOTE: The option to change status is disabled if a user is logged in. This is because this form template always uses contact data from logged in user and does not permit status change.

Registration

Messages for the User

Look here for messages.

Status and guidance messages will appear here as needed during the registration process.

Are you a Delano Kindred member?^*

No, I am not a member.
Yes, I am a member.

Contact Information

Email Address^*

Please enter the email address where you would like to be notified of this form submission. We will also send event updates to this address so please be sure it is a working email address.

First Name^*

Different First Name for name tag?

If you would prefer a different First Name on your name tag other than your registered First Name, please enter it here.

Last Name^*

Address^*

Apt/Suite/Unit

City^*

State^*

Zip Code^*

Country^*

Telephone Number

Enter your preferred phone number where we can reach you should we have any questions or need further information from you when processing your submission.

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