/*jslint nomen:false, debug:true, evil:true, vars:false, browser:true, forin:true, undef:false, white:false */ /** * Includes a Form with javascript * @param {Object} formId * @param {Object} initialHeight * @param {Object} iframeCode */ function FrameBuilder (formId, appendTo, initialHeight, iframeCode){ this.formId = formId; this.initialHeight = initialHeight; this.iframeCode = iframeCode; this.frame = null; this.timeInterval= 200; this.appendTo = appendTo || false; // initialize function for object this.init = function(){ this.createFrame(); this.addFrameContent(this.iframeCode); }; // Create the frame this.createFrame = function(){ var htmlCode = "<"+"iframe src=\"\" allowtransparency=\"true\" frameborder=\"0\" name=\""+this.formId+"\" id=\""+this.formId+"\" style=\"width:100%; height:"+this.initialHeight+"px; border:none;\" scrolling=\"no\">"; if(this.appendTo === false){ document.write(htmlCode); }else{ var tmp = document.createElement('div'); tmp.innerHTML = htmlCode; var a = this.appendTo; document.getElementById(a).appendChild(tmp.firstChild); } // also get the frame for future use. this.frame = document.getElementById(this.formId); // set the time on the on load event of the frame this.addEvent(this.frame, 'load', this.bindMethod(this.setTimer, this)); }; // add event function for different browsers this.addEvent = function( obj, type, fn ) { if ( obj.attachEvent ) { obj["e"+type+fn] = fn; obj[type+fn] = function() { obj["e"+type+fn]( window.event ); }; obj.attachEvent( "on"+type, obj[type+fn] ); } else{ obj.addEventListener( type, fn, false ); } }; this.addFrameContent = function (string){ string = string.replace(new RegExp('src\\=\\"[^"]*captcha.php\"><\/scr'+'ipt>', 'gim'), 'src="http://api.recaptcha.net/js/recaptcha_ajax.js"><'+'div id="recaptcha_div"><'+'/div>'+ '<'+'style>#recaptcha_logo{ display:none;} #recaptcha_tagline{display:none;} #recaptcha_table{border:none !important;} .recaptchatable .recaptcha_image_cell, #recaptcha_table{ background-color:transparent !important; } <'+'/style>'+ '<'+'script defer="defer"> window.onload = function(){ Recaptcha.create("6Ld9UAgAAAAAAMon8zjt30tEZiGQZ4IIuWXLt1ky", "recaptcha_div", {theme: "clean",tabindex: 0,callback: function (){'+ 'if (document.getElementById("uword")) { document.getElementById("uword").parentNode.removeChild(document.getElementById("uword")); } if (window["validate"] !== undefined) { if (document.getElementById("recaptcha_response_field")){ document.getElementById("recaptcha_response_field").onblur = function(){ validate(document.getElementById("recaptcha_response_field"), "Required"); } } } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_challenge_field")[0].setAttribute("name", "anum"); } if (document.getElementById("recaptcha_response_field")){ document.getElementsByName("recaptcha_response_field")[0].setAttribute("name", "qCap"); }}})'+ ' }<'+'/script>'); string = string.replace(/(type="text\/javascript">)\s+(validate\(\"[^"]*"\);)/, '$1 jTime = setInterval(function(){if("validate" in window){$2clearTimeout(jTime);}}, 1000);'); var frameDocument = (this.frame.contentWindow) ? this.frame.contentWindow : (this.frame.contentDocument.document) ? this.frame.contentDocument.document : this.frame.contentDocument; frameDocument.document.open(); frameDocument.document.write(string); setTimeout( function(){ frameDocument.document.close(); try{ if('JotFormFrameLoaded' in window){ JotFormFrameLoaded(); } }catch(e){} },200); }; this.setTimer = function(){ var self = this; this.interval = setTimeout(function(){self.changeHeight();},this.timeInterval); }; this.changeHeight = function (){ var actualHeight = this.getBodyHeight(); var currentHeight = this.getViewPortHeight(); if(actualHeight === undefined){ this.frame.style.height = "100%"; if(!this.frame.style.minHeight){ this.frame.style.minHeight = "300px"; } }else if (Math.abs(actualHeight - currentHeight) > 18){ this.frame.style.height = (actualHeight)+"px"; } this.setTimer(); }; this.bindMethod = function(method, scope) { return function() { method.apply(scope,arguments); }; }; this.getBodyHeight = function (){ var height; var scrollHeight; var offsetHeight; try{ // Prevent IE from throw errors if (this.frame.contentWindow.document.height){ height = this.frame.contentWindow.document.height; //Emre: to prevent "iframe height" problem (61059) if (this.frame.contentWindow.document.body.scrollHeight){ height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight; } if (this.frame.contentWindow.document.body.offsetHeight){ height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight; } } else if (this.frame.contentWindow.document.body){ if (this.frame.contentWindow.document.body.scrollHeight){ height = scrollHeight = this.frame.contentWindow.document.body.scrollHeight; } if (this.frame.contentWindow.document.body.offsetHeight){ height = offsetHeight = this.frame.contentWindow.document.body.offsetHeight; } if (scrollHeight && offsetHeight){ height = Math.max(scrollHeight, offsetHeight); } } }catch(e){ } return height; }; this.getViewPortHeight = function(){ var height = 0; try{ // Prevent IE from throw errors if (this.frame.contentWindow.window.innerHeight) { height = this.frame.contentWindow.window.innerHeight - 18; } else if ((this.frame.contentWindow.document.documentElement) && (this.frame.contentWindow.document.documentElement.clientHeight)) { height = this.frame.contentWindow.document.documentElement.clientHeight; } else if ((this.frame.contentWindow.document.body) && (this.frame.contentWindow.document.body.clientHeight)) { height = this.frame.contentWindow.document.body.clientHeight; } }catch(e){ } return height; }; this.init(); } FrameBuilder.get = []; var i2194115996 = new FrameBuilder("2194115996", false, "", "\n\n\n\n\nForm<\/title>\n<link href=\"http:\/\/max.jotfor.ms\/min\/g=formCss?3.0.2435\" rel=\"stylesheet\" type=\"text\/css\" \/>\n<style type=\"text\/css\">\n .form-label{\n width:150px !important;\n }\n .form-label-left{\n width:150px !important;\n }\n .form-line{\n padding:10px;\n }\n .form-label-right{\n width:150px !important;\n }\n body, html{\n margin:0;\n padding:0;\n background:#E8E8E8 ;\n }\n\n .form-all{\n margin:0px auto;\n padding-top:0px;\n width:650px;\n background:#E8E8E8 ;\n color:Black !important;\n font-family:Verdana;\n font-size:12px;\n }\n<\/style>\n\n<script src=\"http:\/\/max.jotfor.ms\/min\/g=jotform?3.0.2435\" type=\"text\/javascript\"><\/script>\n<script type=\"text\/javascript\">\n var jsTime = setInterval(function(){try{\n JotForm.jsForm = true;\n\n JotForm.init(function(){\n JotForm.description('input_42', 'What do you think of GZAGA website, thus far!');\n JotForm.description('input_1', 'Please insert First Name in proper column');\n $('input_29').hint('ex: Hector \u201cCha-ka Khan\u201d Curiel');\n JotForm.description('input_29', 'GZAGA nicknames and comments are made in jest and if you feel offended in any way contact us and we will promptly remove them\u2026<br \/><br \/>ex: Hector \u201cCha-ka Khan\u201d Curiel');\n $('input_3').hint('ex: usgzaga@gmail.com');\n $('input_40').hint('ex: Director of Alumni Affairs');\n JotForm.description('input_26', 'A handicap is a numerical measure of an amateur golfer\\'s playing ability based on the tees played for a given course. <br \/><br \/>It is used to calculate a net score from the number of strokes actually played, thus allowing players of different proficiency to play against each other on somewhat equal terms. <br \/><br \/>The higher the handicap of a player, indicates your are a novice, relative to those with lower handicaps. <br \/><br \/>Handicaps are administered by GZAGA');\n JotForm.description('input_31', 'To ensure a proper fit: Place a tape measure above your ears and take it around the widest part of your head.<br \/><br \/>Place a tape measure above your ears and take it around the widest part of your head...but don\\'t pull the tape tight.<br \/><br \/>It\\'s important to note that different hats will fit differently...');\n JotForm.description('input_32', 'To ensure a proper fit: Measure your hand with a tape measure around the knuckles of your hand.<br \/><br \/>Measure your hand with a tape measure around the knuckles of your hand <br \/><br \/>Measure your dominant hand - the right if you are right-handed, and the left if you are left-handed.<br \/><br \/>Note: some manufacturers indicate glove sizes by inches and others by Small, Medium, Large, etc.<br \/><br \/>**Usually a golfer will wear one glove, on the lead hand (the lead hand is the top hand of your grip - for right-handed players, the left hand; for left-handed players, the right hand). Some golfers do wear gloves on both hands, but one glove is the norm.');\n JotForm.description('input_33', 'How to Fit Your Golf Glove<br \/><br \/>To improve your feel for the game, spend more time in the Pro Shop. <br \/><br \/>If you\\'re in the market for a new glove, approach your purchase carefully. Work the fingers in first. Gently depress the leather around each finger until you\\'ve achieved a snug fit. (Only then is your thumb allowed entry.) <br \/><br \/>Your glove should fit tightly, taut across the palm as well as the back of your hand. To adjust, never pull on the cuff (the part of the glove around your wrist.) Just smooth the glove out with your other hand. <br \/><br \/>If the glove fits like a \\\"second skin,\\\" it\\'s most assuredly a perfect golf glove for you!<br \/><br \/>Wearing a golf glove is not a requirement, but it is recommended.<br \/><br \/>The reason is that the human hand simply isn\\'t as tacky as the material used in golf gloves. Especially when sweating or when grips are wet. A golf glove will provide a more secure grip.');\n JotForm.description('input_34', 'Cadet-sized gloves are another option for men. <br \/><br \/>Cadet gloves have shorter fingers and a wider palm than regular gloves. Cadets are offered in small, medium, medium-large, large and extra-large. <br \/><br \/>Fewer sizes are available for left-handed golfers, depending on the manufacturer.<br \/><br \/>');\n JotForm.description('input_43', 'We are having 2 (two) tournaments in one!<br \/>{Single Player - Stroke Play (aka Medal Play) and Gamma Best Ball Scramble (team of 4)}<br \/><br \/>Those that are brave enough and ready for the challenge, please make a note on the registration that you are planning on going for the highly coveted \\\"El Campeon\\\" trophy! (Single Player - Medal Play) {Single Player - Stroke Play (aka Medal Play)}<br \/><br \/>For those that are coming to network, play some golf and have a great time on the course, you will be placed with 3 other golfers, competing together as a team vs. 10 other teams for the \\\"Gamma Best Ball Scramble\\\" trophy. (Gamma Best Ball Scramble Team Challenge)<br \/><br \/>http:\/\/en.wikipedia.org\/wiki\/Glossary_of_golf<br \/><br \/>YES, you can send special request to be grouped with other gamma golfers, but as in a case already this year, this golfer has 7 other bros who want to play golf with him and there can only be 3! So get your request in ASAP, as I will try my best to accommodate!<br \/><br \/>Special Request Section at the bottom of this registration!');\n $('input_47').hint('Joe C. Corral ; Father');\n JotForm.initCaptcha('input_17');\n JotForm.autoCompletes['input_41'] = 'Item 1|Item 2|Item 3';\n $('input_41').hint('Please Click on Submit Form !!!! Button');\n JotForm.description('input_41', 'Very important to click on Submit Form !!!!');\n });\n\n clearInterval(jsTime);\n }catch(e){}}, 1000);\n<\/script>\n<\/head>\n<body>\n<form class=\"jotform-form\" action=\"http:\/\/submit.jotform.com\/submit.php\" method=\"post\" enctype=\"multipart\/form-data\" name=\"form_2194115996\" id=\"2194115996\" accept-charset=\"utf-8\">\n <input type=\"hidden\" name=\"formID\" value=\"2194115996\" \/>\n <div class=\"form-all\">\n <ul class=\"form-section\">\n <li id=\"cid_28\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h1 id=\"header_28\" class=\"form-header\">\n Registration Form : GZAGA\n <\/h1>\n <div id=\"subHeader_28\" class=\"form-subHeader\">\n Gamma Zeta Alpha Golf Association was created to promote the sport of Golf amongst our Brotherhood, to oversee our tournaments, and to award annual scholarships.\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_42\">\n <label class=\"form-label-left\" id=\"label_42\" for=\"input_42\"> GZAGA Website <\/label>\n <div id=\"cid_42\" class=\"form-input\">\n <table summary=\"\" cellpadding=\"4\" cellspacing=\"0\" class=\"form-scale-table\">\n <tr>\n <th>\n  \n <\/th>\n <th align=\"center\">\n <label for=\"input_42_1\"> 1 <\/label>\n <\/th>\n <th align=\"center\">\n <label for=\"input_42_2\"> 2 <\/label>\n <\/th>\n <th align=\"center\">\n <label for=\"input_42_3\"> 3 <\/label>\n <\/th>\n <th align=\"center\">\n <label for=\"input_42_4\"> 4 <\/label>\n <\/th>\n <th align=\"center\">\n <label for=\"input_42_5\"> 5 <\/label>\n <\/th>\n <th>\n  \n <\/th>\n <\/tr>\n <tr>\n <td>\n <label for=\"input_42_1\"> Satisfied <\/label>\n <\/td>\n <td align=\"center\">\n <input class=\"form-radio\" type=\"radio\" name=\"q42_gzagaWebsite\" value=\"1\" title=\"1\" id=\"input_42_1\" \/>\n <\/td>\n <td align=\"center\">\n <input class=\"form-radio\" type=\"radio\" name=\"q42_gzagaWebsite\" value=\"2\" title=\"2\" id=\"input_42_2\" \/>\n <\/td>\n <td align=\"center\">\n <input class=\"form-radio\" type=\"radio\" name=\"q42_gzagaWebsite\" value=\"3\" title=\"3\" id=\"input_42_3\" \/>\n <\/td>\n <td align=\"center\">\n <input class=\"form-radio\" type=\"radio\" name=\"q42_gzagaWebsite\" value=\"4\" title=\"4\" id=\"input_42_4\" \/>\n <\/td>\n <td align=\"center\">\n <input class=\"form-radio\" type=\"radio\" name=\"q42_gzagaWebsite\" value=\"5\" title=\"5\" id=\"input_42_5\" \/>\n <\/td>\n <td>\n <label for=\"input_42_5\"> Very satisfied <\/label>\n <\/td>\n <\/tr>\n <\/table>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_23\">\n <label class=\"form-label-left\" id=\"label_23\" for=\"input_23\">\n Title<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_23\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:225px\" id=\"input_23\" name=\"q23_title\">\n <option> <\/option>\n <option value=\" ** Professor\"> ** Professor <\/option>\n <option value=\" Assistant Professor\"> Assistant Professor <\/option>\n <option value=\" Associate Professor\"> Associate Professor <\/option>\n <option value=\" Professor Emeritus\"> Professor Emeritus <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\" ** Dean\"> ** Dean <\/option>\n <option value=\" Dean Emeritus\"> Dean Emeritus <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\" ** Doctor\"> ** Doctor <\/option>\n <option value=\" Ph.D. \/ D.Phil. - Doctor of Philosophy\"> Ph.D. \/ D.Phil. - Doctor of Philosophy <\/option>\n <option value=\" J.D. - Juris Doctor\"> J.D. - Juris Doctor <\/option>\n <option value=\" LL.D - Doctor of Laws\"> LL.D - Doctor of Laws <\/option>\n <option value=\" D.D. - Doctor of Divinity\"> D.D. - Doctor of Divinity <\/option>\n <option value=\" D.Sc. - Doctor of Science\"> D.Sc. - Doctor of Science <\/option>\n <option value=\" DBA - Doctor of Business Administration\"> DBA - Doctor of Business Administration <\/option>\n <option value=\" DPA - Doctor of Public Administration\"> DPA - Doctor of Public Administration <\/option>\n <option value=\" D.Min. - Doctor of Ministry\"> D.Min. - Doctor of Ministry <\/option>\n <option value=\" D.Mus. - Doctor of Music\"> D.Mus. - Doctor of Music <\/option>\n <option value=\" DMA - Doctor of Musical Arts\"> DMA - Doctor of Musical Arts <\/option>\n <option value=\" DFA - Doctor of Fine Arts\"> DFA - Doctor of Fine Arts <\/option>\n <option value=\" DA - Doctor of Arts\"> DA - Doctor of Arts <\/option>\n <option value=\" D.Prof - Doctor of Professional Studies \"> D.Prof - Doctor of Professional Studies <\/option>\n <option value=\" Ed.D.\"> Ed.D. <\/option>\n <option value=\" PsyD\"> PsyD <\/option>\n <option value=\" Pharm.D.\"> Pharm.D. <\/option>\n <option value=\" Th.D.\"> Th.D. <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\" ** Doctorates in the field of medicine:\"> ** Doctorates in the field of medicine: <\/option>\n <option value=\" MD\"> MD <\/option>\n <option value=\" DC\"> DC <\/option>\n <option value=\" D.O.\"> D.O. <\/option>\n <option value=\" DDS\"> DDS <\/option>\n <option value=\" DMD\"> DMD <\/option>\n <option value=\" O.D.\"> O.D. <\/option>\n <option value=\" DPM\"> DPM <\/option>\n <option value=\" DVM\"> DVM <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\" ** Masters\"> ** Masters <\/option>\n <option value=\" MArch - Master of Architecture\"> MArch - Master of Architecture <\/option>\n <option value=\" MA - Master of Arts\"> MA - Master of Arts <\/option>\n <option value=\" MBA - Master of Business Administration\"> MBA - Master of Business Administration <\/option>\n <option value=\" MPA - Master of Public Administration\"> MPA - Master of Public Administration <\/option>\n <option value=\" MBiochem - Master of Biochemistry\"> MBiochem - Master of Biochemistry <\/option>\n <option value=\" MChem - Master in Chemistry\"> MChem - Master in Chemistry <\/option>\n <option value=\" MDiv - Master of Divinity\"> MDiv - Master of Divinity <\/option>\n <option value=\" MEng - Master of Engineering\"> MEng - Master of Engineering <\/option>\n <option value=\" MFA - Master of Fine Arts\"> MFA - Master of Fine Arts <\/option>\n <option value=\" MHA -Master of Healthcare Administration\"> MHA -Master of Healthcare Administration <\/option>\n <option value=\" LL.M - Master of Law\"> LL.M - Master of Law <\/option>\n <option value=\" MLA\"> MLA <\/option>\n <option value=\" MPhil - Master of Philosophy\"> MPhil - Master of Philosophy <\/option>\n <option value=\" MRes - Master of Research\"> MRes - Master of Research <\/option>\n <option value=\" MSc - Master of Science\"> MSc - Master of Science <\/option>\n <option value=\" Magister - Magister\"> Magister - Magister <\/option>\n <option value=\" ThM - Master of Theology\"> ThM - Master of Theology <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\" ** Bachelor\"> ** Bachelor <\/option>\n <option value=\" BArch - Bachelor of Architecture\"> BArch - Bachelor of Architecture <\/option>\n <option value=\" BSc - Bachelor of Science\"> BSc - Bachelor of Science <\/option>\n <option value=\" BA - Bachelor of Arts\"> BA - Bachelor of Arts <\/option>\n <option value=\" BEng - Bachelor of Engineering\"> BEng - Bachelor of Engineering <\/option>\n <option value=\" LLB - Bachelor of Law\"> LLB - Bachelor of Law <\/option>\n <option value=\" Bachelor of Fine Arts\"> Bachelor of Fine Arts <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\" ** Other\"> ** Other <\/option>\n <option value=\" Lecturer\"> Lecturer <\/option>\n <option value=\" Research Fellow\"> Research Fellow <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_37\">\n <label class=\"form-label-left\" id=\"label_37\" for=\"input_37\"> Professional <\/label>\n <div id=\"cid_37\" class=\"form-input\">\n <select class=\"form-dropdown\" style=\"width:315px\" id=\"input_37\" name=\"q37_professional\">\n <option> <\/option>\n <option value=\"Accountant\"> Accountant <\/option>\n <option value=\"Accountant * CA\"> Accountant * CA <\/option>\n <option value=\"Accountant * CFA\"> Accountant * CFA <\/option>\n <option value=\"Accountant * CFE\"> Accountant * CFE <\/option>\n <option value=\"Accountant * CFP\"> Accountant * CFP <\/option>\n <option value=\"Accountant * CGA\"> Accountant * CGA <\/option>\n <option value=\"Accountant * CIA\"> Accountant * CIA <\/option>\n <option value=\"Accountant * CMA\"> Accountant * CMA <\/option>\n <option value=\"Accountant * CPA\"> Accountant * CPA <\/option>\n <option value=\"Accountant * MAcy\"> Accountant * MAcy <\/option>\n <option value=\"Accountant * MBA\"> Accountant * MBA <\/option>\n <option value=\"Accountant * CFM\"> Accountant * CFM <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Actuary\"> Actuary <\/option>\n <option value=\"Advertising Manager\"> Advertising Manager <\/option>\n <option value=\"Advertising Sales agent\"> Advertising Sales agent <\/option>\n <option value=\"Advocate\"> Advocate <\/option>\n <option value=\"Alderman\"> Alderman <\/option>\n <option value=\"Ambassador designated individual representative\"> Ambassador designated individual representative <\/option>\n <option value=\"Bailiff\"> Bailiff <\/option>\n <option value=\"Barrister\"> Barrister <\/option>\n <option value=\"Biological Scientist\"> Biological Scientist <\/option>\n <option value=\"Biotechnology Research scientist\"> Biotechnology Research scientist <\/option>\n <option value=\"Chartered Surveyor(MRICS)\"> Chartered Surveyor(MRICS) <\/option>\n <option value=\"Chiropractor\"> Chiropractor <\/option>\n <option value=\"Coach\"> Coach <\/option>\n <option value=\"College professor\"> College professor <\/option>\n <option value=\"Computer\/IT analyst\"> Computer\/IT analyst <\/option>\n <option value=\"Counselor \"> Counselor <\/option>\n <option value=\"Counselor (Youth)\"> Counselor (Youth) <\/option>\n <option value=\"Counselor (School)\"> Counselor (School) <\/option>\n <option value=\"City Council Member\"> City Council Member <\/option>\n <option value=\"Curriculum Developer\"> Curriculum Developer <\/option>\n <option value=\"Delegate\"> Delegate <\/option>\n <option value=\"Dentist\"> Dentist <\/option>\n <option value=\"Dietitian\/Nutritionist\"> Dietitian\/Nutritionist <\/option>\n <option value=\"Editor\"> Editor <\/option>\n <option value=\"Engineer\"> Engineer <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Engineering titles:\"> Engineering titles: <\/option>\n <option value=\"Engineering titles: * Chartered Engineer(CEng)\"> Engineering titles: * Chartered Engineer(CEng) <\/option>\n <option value=\"Engineering titles: * Eur Ing, European Engineer\"> Engineering titles: * Eur Ing, European Engineer <\/option>\n <option value=\"Engineering titles: * GE, Geotechnical Engineer\"> Engineering titles: * GE, Geotechnical Engineer <\/option>\n <option value=\"Engineering titles: * Incorporated Engineer(IEng)\"> Engineering titles: * Incorporated Engineer(IEng) <\/option>\n <option value=\"Engineering titles: * P.Eng, Professional Engineer\"> Engineering titles: * P.Eng, Professional Engineer <\/option>\n <option value=\"Engineering titles: * PE, Professional Engineer\"> Engineering titles: * PE, Professional Engineer <\/option>\n <option value=\"Engineering titles: * SE, Structural Engineer\"> Engineering titles: * SE, Structural Engineer <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Environmental Scientist\"> Environmental Scientist <\/option>\n <option value=\"Financial Advisor\"> Financial Advisor <\/option>\n <option value=\"Financial Analyst\"> Financial Analyst <\/option>\n <option value=\"Health Services manager\"> Health Services manager <\/option>\n <option value=\"Human Resources manager\"> Human Resources manager <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"IT Professionals:\"> IT Professionals: <\/option>\n <option value=\"IT Professionals: * Chartered IT Professional(CITP)\"> IT Professionals: * Chartered IT Professional(CITP) <\/option>\n <option value=\"IT Professionals: * Member of the British Computing Society \"> IT Professionals: * Member of the British Computing Society <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Judge\"> Judge <\/option>\n <option value=\"Lab technologist\"> Lab technologist <\/option>\n <option value=\"Landscape Architect\"> Landscape Architect <\/option>\n <option value=\"Lawyer\"> Lawyer <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Logistician * CMILT\"> Logistician * CMILT <\/option>\n <option value=\"Logistician * CTP\"> Logistician * CTP <\/option>\n <option value=\"Logistician * FCILT\"> Logistician * FCILT <\/option>\n <option value=\"Logistician * CPL\"> Logistician * CPL <\/option>\n <option value=\"Logistician * PLog\"> Logistician * PLog <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Management Analyst\"> Management Analyst <\/option>\n <option value=\"Market Research Analyst\"> Market Research Analyst <\/option>\n <option value=\"Medical Scientist\"> Medical Scientist <\/option>\n <option value=\"Meeting and convention planner\"> Meeting and convention planner <\/option>\n <option value=\"Member of Congress MC\"> Member of Congress MC <\/option>\n <option value=\"Member of Parliament MP\"> Member of Parliament MP <\/option>\n <option value=\"Member of Provincial Parliament\"> Member of Provincial Parliament <\/option>\n <option value=\"Member of the House of Assembly\"> Member of the House of Assembly <\/option>\n <option value=\"Member of the House of Representatives\"> Member of the House of Representatives <\/option>\n <option value=\"Member of the Legislative Assembly\"> Member of the Legislative Assembly <\/option>\n <option value=\"Member of the Legislative Council\"> Member of the Legislative Council <\/option>\n <option value=\"Member of the National Assembly\"> Member of the National Assembly <\/option>\n <option value=\"Mental health counselor\"> Mental health counselor <\/option>\n <option value=\"MSN\"> MSN <\/option>\n <option value=\"MSW\"> MSW <\/option>\n <option value=\"Notary\"> Notary <\/option>\n <option value=\"Occupational therapist\"> Occupational therapist <\/option>\n <option value=\"Optometrist\"> Optometrist <\/option>\n <option value=\"PA, RPA, PA-C or RPA-C\"> PA, RPA, PA-C or RPA-C <\/option>\n <option value=\"Paralegal\"> Paralegal <\/option>\n <option value=\"Pharmacist\"> Pharmacist <\/option>\n <option value=\"Physical scientist\"> Physical scientist <\/option>\n <option value=\"Physical therapist\"> Physical therapist <\/option>\n <option value=\"Physician assistant\"> Physician assistant <\/option>\n <option value=\"Physician\/Surgeon\"> Physician\/Surgeon <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Pilot - Professional Titles\/Ranks:\"> Pilot - Professional Titles\/Ranks: <\/option>\n <option value=\"Pilot - Professional Titles\/Ranks: * Captain (Capt.)\"> Pilot - Professional Titles\/Ranks: * Captain (Capt.) <\/option>\n <option value=\"Pilot - Professional Titles\/Ranks: * First Officer (F\/O.)\"> Pilot - Professional Titles\/Ranks: * First Officer (F\/O.) <\/option>\n <option value=\"Pilot - Professional Titles\/Ranks: * Flight Engineer (F\/E.)\"> Pilot - Professional Titles\/Ranks: * Flight Engineer (F\/E.) <\/option>\n <option value=\"Pilot - Professional Titles\/Ranks: * Second Officer (S\/O.)\"> Pilot - Professional Titles\/Ranks: * Second Officer (S\/O.) <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"Pilot Qualifications:\"> Pilot Qualifications: <\/option>\n <option value=\"Pilot Qualifications: * Airline Transport Pilot License \"> Pilot Qualifications: * Airline Transport Pilot License <\/option>\n <option value=\"Pilot Qualifications: * Commercial Pilot License (CPL)\"> Pilot Qualifications: * Commercial Pilot License (CPL) <\/option>\n <option value=\"Pilot Qualifications: * Private Pilot License (PPL)\"> Pilot Qualifications: * Private Pilot License (PPL) <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"PMP\"> PMP <\/option>\n <option value=\"Police Officer\"> Police Officer <\/option>\n <option value=\"Property manager\"> Property manager <\/option>\n <option value=\"Psychologist\"> Psychologist <\/option>\n <option value=\"Public relations specialist\"> Public relations specialist <\/option>\n <option value=\"Reader\"> Reader <\/option>\n <option value=\"Real estate appraiser\"> Real estate appraiser <\/option>\n <option value=\"Registered nurse\"> Registered nurse <\/option>\n <option value=\"Registered Pharmacist R.Ph\"> Registered Pharmacist R.Ph <\/option>\n <option value=\"Representative\"> Representative <\/option>\n <option value=\"RN\"> RN <\/option>\n <option value=\"Sales engineer\"> Sales engineer <\/option>\n <option value=\"Sales manager\"> Sales manager <\/option>\n <option value=\"School Administrator\"> School Administrator <\/option>\n <option value=\"Senator\"> Senator <\/option>\n <option value=\"Social service manager\"> Social service manager <\/option>\n <option value=\"Software engineer\"> Software engineer <\/option>\n <option value=\"Speaker\"> Speaker <\/option>\n <option value=\"Speech-language pathologist\"> Speech-language pathologist <\/option>\n <option value=\"Technical writer\"> Technical writer <\/option>\n <option value=\"Urban planner\"> Urban planner <\/option>\n <option value=\"Veterinarian\"> Veterinarian <\/option>\n <option value=\"Writer\"> Writer <\/option>\n <option value=\"* Other\"> * Other <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_1\">\n <label class=\"form-label-left\" id=\"label_1\" for=\"input_1\">\n Full Name<span class=\"form-required\">*<\/span>\n <\/label>\n <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\" \/>\n <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\" \/>\n <label class=\"form-sub-label\" for=\"middle_1\" id=\"sublabel_middle\"> Middle Initial <\/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\" \/>\n <label class=\"form-sub-label\" for=\"last_1\" id=\"sublabel_last\"> Last Name <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_29\">\n <label class=\"form-label-left\" id=\"label_29\" for=\"input_29\"> Nickname <\/label>\n <div id=\"cid_29\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_29\" name=\"q29_nickname29\" size=\"35\" maxlength=\"75\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_3\">\n <label class=\"form-label-left\" id=\"label_3\" for=\"input_3\">\n E-mail<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_3\" class=\"form-input\">\n <input type=\"email\" class=\"form-textbox validate[required, Email]\" id=\"input_3\" name=\"q3_email3\" size=\"30\" maxlength=\"40\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_8\">\n <label class=\"form-label-left\" id=\"label_8\" for=\"input_8\">\n \u0393Z\u0391 Chapter<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_8\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:300px\" id=\"input_8\" name=\"q8_zChapter\">\n <option> <\/option>\n <option value=\"Alpha Chapter: Chico State Est. 1987\"> Alpha Chapter: Chico State Est. 1987 <\/option>\n <option value=\"Beta Chapter: San Jose State Est. 1989\"> Beta Chapter: San Jose State Est. 1989 <\/option>\n <option value=\"Gamma Chapter: UC at Berkeley Est. 1992\"> Gamma Chapter: UC at Berkeley Est. 1992 <\/option>\n <option value=\"Delta Chapter: CSU, Northridge Est. 1993\"> Delta Chapter: CSU, Northridge Est. 1993 <\/option>\n <option value=\"Epsilon Chapter: Fresno State Est. 1997\"> Epsilon Chapter: Fresno State Est. 1997 <\/option>\n <option value=\"Zeta Chapter: San Diego State Est. 1997\"> Zeta Chapter: San Diego State Est. 1997 <\/option>\n <option value=\"Eta Chapter: UC at Los Angeles Est. 2000\"> Eta Chapter: UC at Los Angeles Est. 2000 <\/option>\n <option value=\"Theta Chapter: UC at Davis Est. 2000\"> Theta Chapter: UC at Davis Est. 2000 <\/option>\n <option value=\"Iota Chapter: Stanford University Est. 2000\"> Iota Chapter: Stanford University Est. 2000 <\/option>\n <option value=\"Kappa Chapter: UC at Santa Barbara Est. 2000\"> Kappa Chapter: UC at Santa Barbara Est. 2000 <\/option>\n <option value=\"Lambda Chapter: CSU, Monterey Bay Est. 2002\"> Lambda Chapter: CSU, Monterey Bay Est. 2002 <\/option>\n <option value=\"Mu Chapter: CSU, Sacramento Est. 2003\"> Mu Chapter: CSU, Sacramento Est. 2003 <\/option>\n <option value=\"Nu Chapter: UC at San Diego Est. 2004\"> Nu Chapter: UC at San Diego Est. 2004 <\/option>\n <option value=\"Xi Chapter: CSU, Los Angeles Est. 2005\"> Xi Chapter: CSU, Los Angeles Est. 2005 <\/option>\n <option value=\"Omicron Chapter: Cal Poly, San Luis Obispo Est. 2005\"> Omicron Chapter: Cal Poly, San Luis Obispo Est. 2005 <\/option>\n <option value=\"Pi Chapter: Arizona State University Est. 2008\"> Pi Chapter: Arizona State University Est. 2008 <\/option>\n <option value=\"Rho Chapter: University of Southern California Est. 2010\"> Rho Chapter: University of Southern California Est. 2010 <\/option>\n <option value=\"Sigma Chapter: Cal Poly, Pomona Est. 2010\"> Sigma Chapter: Cal Poly, Pomona Est. 2010 <\/option>\n <option value=\"Tau Chapter: CSU, East Bay Est. 2011\"> Tau Chapter: CSU, East Bay Est. 2011 <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_10\">\n <label class=\"form-label-left\" id=\"label_10\" for=\"input_10\">\n \u0393Z\u0391 Class<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_10\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:125px\" id=\"input_10\" name=\"q10_zClass\">\n <option> <\/option>\n <option value=\"Founding Father\"> Founding Father <\/option>\n <option value=\"Alpha Class\"> Alpha Class <\/option>\n <option value=\"Beta Class\"> Beta Class <\/option>\n <option value=\"Gamma Class\"> Gamma Class <\/option>\n <option value=\"Delta Class\"> Delta Class <\/option>\n <option value=\"Epsilon Class\"> Epsilon Class <\/option>\n <option value=\"Zeta Class\"> Zeta Class <\/option>\n <option value=\"Eta Class\"> Eta Class <\/option>\n <option value=\"Theta Class\"> Theta Class <\/option>\n <option value=\"Iota Class\"> Iota Class <\/option>\n <option value=\"Kappa Class\"> Kappa Class <\/option>\n <option value=\"Lambda Class\"> Lambda Class <\/option>\n <option value=\"Mu Class\"> Mu Class <\/option>\n <option value=\"Nu Class\"> Nu Class <\/option>\n <option value=\"Xi Class\"> Xi Class <\/option>\n <option value=\"Omicron Class\"> Omicron Class <\/option>\n <option value=\"Pi Class\"> Pi Class <\/option>\n <option value=\"Rho Class\"> Rho Class <\/option>\n <option value=\"Sigma Class\"> Sigma Class <\/option>\n <option value=\"Tau Class\"> Tau Class <\/option>\n <option value=\"Upsilon Class\"> Upsilon Class <\/option>\n <option value=\"Phi Class\"> Phi Class <\/option>\n <option value=\"Chi Class\"> Chi Class <\/option>\n <option value=\"Psi Class\"> Psi Class <\/option>\n <option value=\"Omega Class\"> Omega Class <\/option>\n <option value=\"Alpha Alpha Class\"> Alpha Alpha Class <\/option>\n <option value=\"Alpha Beta Class\"> Alpha Beta Class <\/option>\n <option value=\"Alpha Gamma Class\"> Alpha Gamma Class <\/option>\n <option value=\"Alpha Delta Class\"> Alpha Delta Class <\/option>\n <option value=\"Alpha Epsilon Class\"> Alpha Epsilon Class <\/option>\n <option value=\"Alpha Zeta Class\"> Alpha Zeta Class <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_14\">\n <label class=\"form-label-left\" id=\"label_14\" for=\"input_14\">\n Gamma Since<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_14\" class=\"form-input\"><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required]\" name=\"q14_gammaSince14[month]\" id=\"input_14_month\">\n <option> <\/option>\n <option value=\"January\"> January <\/option>\n <option value=\"February\"> February <\/option>\n <option value=\"March\"> March <\/option>\n <option value=\"April\"> April <\/option>\n <option value=\"May\"> May <\/option>\n <option value=\"June\"> June <\/option>\n <option value=\"July\"> July <\/option>\n <option value=\"August\"> August <\/option>\n <option value=\"September\"> September <\/option>\n <option value=\"October\"> October <\/option>\n <option value=\"November\"> November <\/option>\n <option value=\"December\"> December <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_14_month\" id=\"sublabel_month\"> Month <\/label><\/span><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required]\" name=\"q14_gammaSince14[day]\" id=\"input_14_day\">\n <option> <\/option>\n <option value=\"1\"> 1 <\/option>\n <option value=\"2\"> 2 <\/option>\n <option value=\"3\"> 3 <\/option>\n <option value=\"4\"> 4 <\/option>\n <option value=\"5\"> 5 <\/option>\n <option value=\"6\"> 6 <\/option>\n <option value=\"7\"> 7 <\/option>\n <option value=\"8\"> 8 <\/option>\n <option value=\"9\"> 9 <\/option>\n <option value=\"10\"> 10 <\/option>\n <option value=\"11\"> 11 <\/option>\n <option value=\"12\"> 12 <\/option>\n <option value=\"13\"> 13 <\/option>\n <option value=\"14\"> 14 <\/option>\n <option value=\"15\"> 15 <\/option>\n <option value=\"16\"> 16 <\/option>\n <option value=\"17\"> 17 <\/option>\n <option value=\"18\"> 18 <\/option>\n <option value=\"19\"> 19 <\/option>\n <option value=\"20\"> 20 <\/option>\n <option value=\"21\"> 21 <\/option>\n <option value=\"22\"> 22 <\/option>\n <option value=\"23\"> 23 <\/option>\n <option value=\"24\"> 24 <\/option>\n <option value=\"25\"> 25 <\/option>\n <option value=\"26\"> 26 <\/option>\n <option value=\"27\"> 27 <\/option>\n <option value=\"28\"> 28 <\/option>\n <option value=\"29\"> 29 <\/option>\n <option value=\"30\"> 30 <\/option>\n <option value=\"31\"> 31 <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_14_day\" id=\"sublabel_day\"> Day <\/label><\/span><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required]\" name=\"q14_gammaSince14[year]\" id=\"input_14_year\">\n <option> <\/option>\n <option value=\"2016\"> 2016 <\/option>\n <option value=\"2015\"> 2015 <\/option>\n <option value=\"2014\"> 2014 <\/option>\n <option value=\"2013\"> 2013 <\/option>\n <option value=\"2012\"> 2012 <\/option>\n <option value=\"2011\"> 2011 <\/option>\n <option value=\"2010\"> 2010 <\/option>\n <option value=\"2009\"> 2009 <\/option>\n <option value=\"2008\"> 2008 <\/option>\n <option value=\"2007\"> 2007 <\/option>\n <option value=\"2006\"> 2006 <\/option>\n <option value=\"2005\"> 2005 <\/option>\n <option value=\"2004\"> 2004 <\/option>\n <option value=\"2003\"> 2003 <\/option>\n <option value=\"2002\"> 2002 <\/option>\n <option value=\"2001\"> 2001 <\/option>\n <option value=\"2000\"> 2000 <\/option>\n <option value=\"1999\"> 1999 <\/option>\n <option value=\"1998\"> 1998 <\/option>\n <option value=\"1997\"> 1997 <\/option>\n <option value=\"1996\"> 1996 <\/option>\n <option value=\"1995\"> 1995 <\/option>\n <option value=\"1994\"> 1994 <\/option>\n <option value=\"1993\"> 1993 <\/option>\n <option value=\"1992\"> 1992 <\/option>\n <option value=\"1991\"> 1991 <\/option>\n <option value=\"1990\"> 1990 <\/option>\n <option value=\"1989\"> 1989 <\/option>\n <option value=\"1988\"> 1988 <\/option>\n <option value=\"1987\"> 1987 <\/option>\n <option value=\"1986\"> 1986 <\/option>\n <option value=\"1985\"> 1985 <\/option>\n <option value=\"1984\"> 1984 <\/option>\n <option value=\"1983\"> 1983 <\/option>\n <option value=\"1982\"> 1982 <\/option>\n <option value=\"1981\"> 1981 <\/option>\n <option value=\"1980\"> 1980 <\/option>\n <option value=\"1979\"> 1979 <\/option>\n <option value=\"1978\"> 1978 <\/option>\n <option value=\"1977\"> 1977 <\/option>\n <option value=\"1976\"> 1976 <\/option>\n <option value=\"1975\"> 1975 <\/option>\n <option value=\"1974\"> 1974 <\/option>\n <option value=\"1973\"> 1973 <\/option>\n <option value=\"1972\"> 1972 <\/option>\n <option value=\"1971\"> 1971 <\/option>\n <option value=\"1970\"> 1970 <\/option>\n <option value=\"1969\"> 1969 <\/option>\n <option value=\"1968\"> 1968 <\/option>\n <option value=\"1967\"> 1967 <\/option>\n <option value=\"1966\"> 1966 <\/option>\n <option value=\"1965\"> 1965 <\/option>\n <option value=\"1964\"> 1964 <\/option>\n <option value=\"1963\"> 1963 <\/option>\n <option value=\"1962\"> 1962 <\/option>\n <option value=\"1961\"> 1961 <\/option>\n <option value=\"1960\"> 1960 <\/option>\n <option value=\"1959\"> 1959 <\/option>\n <option value=\"1958\"> 1958 <\/option>\n <option value=\"1957\"> 1957 <\/option>\n <option value=\"1956\"> 1956 <\/option>\n <option value=\"1955\"> 1955 <\/option>\n <option value=\"1954\"> 1954 <\/option>\n <option value=\"1953\"> 1953 <\/option>\n <option value=\"1952\"> 1952 <\/option>\n <option value=\"1951\"> 1951 <\/option>\n <option value=\"1950\"> 1950 <\/option>\n <option value=\"1949\"> 1949 <\/option>\n <option value=\"1948\"> 1948 <\/option>\n <option value=\"1947\"> 1947 <\/option>\n <option value=\"1946\"> 1946 <\/option>\n <option value=\"1945\"> 1945 <\/option>\n <option value=\"1944\"> 1944 <\/option>\n <option value=\"1943\"> 1943 <\/option>\n <option value=\"1942\"> 1942 <\/option>\n <option value=\"1941\"> 1941 <\/option>\n <option value=\"1940\"> 1940 <\/option>\n <option value=\"1939\"> 1939 <\/option>\n <option value=\"1938\"> 1938 <\/option>\n <option value=\"1937\"> 1937 <\/option>\n <option value=\"1936\"> 1936 <\/option>\n <option value=\"1935\"> 1935 <\/option>\n <option value=\"1934\"> 1934 <\/option>\n <option value=\"1933\"> 1933 <\/option>\n <option value=\"1932\"> 1932 <\/option>\n <option value=\"1931\"> 1931 <\/option>\n <option value=\"1930\"> 1930 <\/option>\n <option value=\"1929\"> 1929 <\/option>\n <option value=\"1928\"> 1928 <\/option>\n <option value=\"1927\"> 1927 <\/option>\n <option value=\"1926\"> 1926 <\/option>\n <option value=\"1925\"> 1925 <\/option>\n <option value=\"1924\"> 1924 <\/option>\n <option value=\"1923\"> 1923 <\/option>\n <option value=\"1922\"> 1922 <\/option>\n <option value=\"1921\"> 1921 <\/option>\n <option value=\"1920\"> 1920 <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_14_year\" id=\"sublabel_year\"> Year <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_40\">\n <label class=\"form-label-left\" id=\"label_40\" for=\"input_40\"> Current \u0393Z\u0391 Position <\/label>\n <div id=\"cid_40\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_40\" name=\"q40_currentz\" size=\"30\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_26\">\n <label class=\"form-label-left\" id=\"label_26\" for=\"input_26\">\n Golf Level<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_26\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:250px\" id=\"input_26\" name=\"q26_golfLevel26\">\n <option> <\/option>\n <option value=\"First Time Golfer\"> First Time Golfer <\/option>\n <option value=\"Novice: Level 1, handicaps above 30; \"> Novice: Level 1, handicaps above 30; <\/option>\n <option value=\"Beginner: Level 2. handicaps from 30 to 20; \"> Beginner: Level 2. handicaps from 30 to 20; <\/option>\n <option value=\"Intermediate: Level 3, handicaps 19 to 12; \"> Intermediate: Level 3, handicaps 19 to 12; <\/option>\n <option value=\"Advanced: Level 4, handicaps 11 to 5; \"> Advanced: Level 4, handicaps 11 to 5; <\/option>\n <option value=\"Specialist: Level 5, handicaps of 4 and below.\"> Specialist: Level 5, handicaps of 4 and below. <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_30\">\n <label class=\"form-label-left\" id=\"label_30\" for=\"input_30\">\n Polo Shirt Size<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_30\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_30\" name=\"q30_poloShirt30\">\n <option> <\/option>\n <option value=\"Small\"> Small <\/option>\n <option value=\"Medium\"> Medium <\/option>\n <option value=\"Large\"> Large <\/option>\n <option value=\"X Large\"> X Large <\/option>\n <option value=\"XX Large\"> XX Large <\/option>\n <option value=\"XXX Large\"> XXX Large <\/option>\n <option value=\"XXXX Large\"> XXXX Large <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_31\">\n <label class=\"form-label-left\" id=\"label_31\" for=\"input_31\">\n Hat Size<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_31\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_31\" name=\"q31_hatSize31\">\n <option> <\/option>\n <option value=\"6 1\/2 \tSmall\"> 6 1\/2 Small <\/option>\n <option value=\"6 5\/8 \tSmall\"> 6 5\/8 Small <\/option>\n <option value=\"6 3\/4 \tSmall\"> 6 3\/4 Small <\/option>\n <option value=\"6 7\/8 \tSmall\"> 6 7\/8 Small <\/option>\n <option value=\"7 0\/0\tMedium\"> 7 0\/0 Medium <\/option>\n <option value=\"7 1\/8 \tMedium\"> 7 1\/8 Medium <\/option>\n <option value=\"7 1\/4 \tLarge\"> 7 1\/4 Large <\/option>\n <option value=\"7 3\/8 \tLarge\"> 7 3\/8 Large <\/option>\n <option value=\"7 1\/2 \tExtra Large\"> 7 1\/2 Extra Large <\/option>\n <option value=\"7 5\/8 \tExtra Large\"> 7 5\/8 Extra Large <\/option>\n <option value=\"7 3\/4 \tExtra Large\"> 7 3\/4 Extra Large <\/option>\n <option value=\"7 7\/8 \tExtra Large\"> 7 7\/8 Extra Large <\/option>\n <option value=\"8 0\/0\tExtra Large\"> 8 0\/0 Extra Large <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_32\">\n <label class=\"form-label-left\" id=\"label_32\" for=\"input_32\">\n Golf Glove Size<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_32\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:225px\" id=\"input_32\" name=\"q32_golfGlove32\">\n <option> <\/option>\n <option value=\"**Men's regular gloves... \"> **Men's regular gloves... <\/option>\n <option value=\"Men's Regular glove Small, \"> Men's Regular glove Small, <\/option>\n <option value=\"Men's Regular glove Medium, \"> Men's Regular glove Medium, <\/option>\n <option value=\"Men's Regular glove Medium-Large, \"> Men's Regular glove Medium-Large, <\/option>\n <option value=\"Men's Regular glove Large, \"> Men's Regular glove Large, <\/option>\n <option value=\"Men's Regular glove Extra-Large \"> Men's Regular glove Extra-Large <\/option>\n <option value=\"Men's Regular glove Double-Extra-Large,\"> Men's Regular glove Double-Extra-Large, <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <option value=\"**Men's Cadet gloves...\"> **Men's Cadet gloves... <\/option>\n <option value=\"Men's Cadet glove Small, \"> Men's Cadet glove Small, <\/option>\n <option value=\"Men's Cadet glove Medium, \"> Men's Cadet glove Medium, <\/option>\n <option value=\"Men's Cadet glove Medium-Large, \"> Men's Cadet glove Medium-Large, <\/option>\n <option value=\"Men's Cadet glove Large, \"> Men's Cadet glove Large, <\/option>\n <option value=\"Men's Cadet glove Extra-Large, \"> Men's Cadet glove Extra-Large, <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_33\">\n <label class=\"form-label-left\" id=\"label_33\" for=\"input_33\">\n Golf Glove Fit<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_33\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:250px\" id=\"input_33\" name=\"q33_golfGlove33\">\n <option> <\/option>\n <option value=\"Right-handed Golfer, glove goes on left hand\"> Right-handed Golfer, glove goes on left hand <\/option>\n <option value=\"Left-handed Golfer, glove goes on right hand\"> Left-handed Golfer, glove goes on right hand <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_34\">\n <label class=\"form-label-left\" id=\"label_34\" for=\"input_34\">\n Golf Glove Style<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_34\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_34\" name=\"q34_golfGlove\">\n <option> <\/option>\n <option value=\"Cadet\"> Cadet <\/option>\n <option value=\"Regular\"> Regular <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_35\">\n <label class=\"form-label-left\" id=\"label_35\" for=\"input_35\">\n Golf Shoe Size<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_35\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_35\" name=\"q35_golfShoe\">\n <option> <\/option>\n <option value=\"6\"> 6 <\/option>\n <option value=\"6.5\"> 6.5 <\/option>\n <option value=\"7\"> 7 <\/option>\n <option value=\"7.5\"> 7.5 <\/option>\n <option value=\"8\"> 8 <\/option>\n <option value=\"8.5\"> 8.5 <\/option>\n <option value=\"9\"> 9 <\/option>\n <option value=\"9.5\"> 9.5 <\/option>\n <option value=\"10\"> 10 <\/option>\n <option value=\"10.5\"> 10.5 <\/option>\n <option value=\"11\"> 11 <\/option>\n <option value=\"11.5\"> 11.5 <\/option>\n <option value=\"12\"> 12 <\/option>\n <option value=\"12.5\"> 12.5 <\/option>\n <option value=\"13\"> 13 <\/option>\n <option value=\"13.5\"> 13.5 <\/option>\n <option value=\"14\"> 14 <\/option>\n <option value=\"14.5\"> 14.5 <\/option>\n <option value=\"15\"> 15 <\/option>\n <option value=\"16\"> 16 <\/option>\n <option selected=\"selected\" value=\"\"> <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_43\">\n <label class=\"form-label-left\" id=\"label_43\" for=\"input_43\">\n Tournament Play?<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_43\" class=\"form-input\">\n <select class=\"form-dropdown validate[required]\" style=\"width:150px\" id=\"input_43\" name=\"q43_tournamentPlay43\">\n <option> <\/option>\n <option value=\"Single Player - Medal Play\"> Single Player - Medal Play <\/option>\n <option value=\"Gamma Best Ball Scramble\"> Gamma Best Ball Scramble <\/option>\n <\/select>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_4\">\n <label class=\"form-label-left\" id=\"label_4\" for=\"input_4\">\n Phone Number<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_4\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q4_phoneNumber4[area]\" id=\"input_4_area\" size=\"3\">\n -\n <label class=\"form-sub-label\" for=\"input_4_area\" id=\"sublabel_area\"> Area Code <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q4_phoneNumber4[phone]\" id=\"input_4_phone\" size=\"8\">\n <label class=\"form-sub-label\" for=\"input_4_phone\" id=\"sublabel_phone\"> 777-7777 <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_46\">\n <label class=\"form-label-left\" id=\"label_46\" for=\"input_46\">\n Emergency Contact<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_46\" class=\"form-input\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q46_emergencyContact46[area]\" id=\"input_46_area\" size=\"3\">\n -\n <label class=\"form-sub-label\" for=\"input_46_area\" id=\"sublabel_area\"> Area Code <\/label><\/span><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required]\" type=\"tel\" name=\"q46_emergencyContact46[phone]\" id=\"input_46_phone\" size=\"8\">\n <label class=\"form-sub-label\" for=\"input_46_phone\" id=\"sublabel_phone\"> 777-7777 <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_47\">\n <label class=\"form-label-left\" id=\"label_47\" for=\"input_47\">\n Emergency Contact Relationship<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_47\" class=\"form-input\"><span class=\"form-sub-label-container\"><input type=\"text\" class=\"form-textbox validate[required]\" id=\"input_47\" name=\"q47_emergencyContact47\" size=\"50\" maxlength=\"50\" \/>\n <label class=\"form-sub-label\" for=\"input_47\"> Name and Relationship <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_27\">\n <label class=\"form-label-left\" id=\"label_27\" for=\"input_27\">\n Address<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_27\" class=\"form-input\">\n <table summary=\"\" class=\"form-address-table\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\">\n <tr>\n <td colspan=\"2\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-line\" type=\"text\" name=\"q27_address27[addr_line1]\" id=\"input_27_addr_line1\" \/>\n <label class=\"form-sub-label\" for=\"input_27_addr_line1\" id=\"sublabel_addr_line1\"> Street Address <\/label><\/span>\n <\/td>\n <\/tr>\n <tr>\n <td colspan=\"2\"><span class=\"form-sub-label-container\"><input class=\"form-textbox form-address-line\" type=\"text\" name=\"q27_address27[addr_line2]\" id=\"input_27_addr_line2\" size=\"46\" \/>\n <label class=\"form-sub-label\" for=\"input_27_addr_line2\" id=\"sublabel_addr_line2\"> Street Address Line 2 <\/label><\/span>\n <\/td>\n <\/tr>\n <tr>\n <td width=\"50%\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-city\" type=\"text\" name=\"q27_address27[city]\" id=\"input_27_city\" size=\"21\" \/>\n <label class=\"form-sub-label\" for=\"input_27_city\" id=\"sublabel_city\"> City <\/label><\/span>\n <\/td>\n <td><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-state\" type=\"text\" name=\"q27_address27[state]\" id=\"input_27_state\" size=\"22\" \/>\n <label class=\"form-sub-label\" for=\"input_27_state\" id=\"sublabel_state\"> State \/ Province <\/label><\/span>\n <\/td>\n <\/tr>\n <tr>\n <td width=\"50%\"><span class=\"form-sub-label-container\"><input class=\"form-textbox validate[required] form-address-postal\" type=\"text\" name=\"q27_address27[postal]\" id=\"input_27_postal\" size=\"10\" \/>\n <label class=\"form-sub-label\" for=\"input_27_postal\" id=\"sublabel_postal\"> Postal \/ Zip Code <\/label><\/span>\n <\/td>\n <td><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required] form-address-country\" name=\"q27_address27[country]\" id=\"input_27_country\">\n <option selected> Please Select <\/option>\n <option value=\"United States\"> United States <\/option>\n <option value=\"Abkhazia\"> Abkhazia <\/option>\n <option value=\"Afghanistan\"> Afghanistan <\/option>\n <option value=\"Albania\"> Albania <\/option>\n <option value=\"Algeria\"> Algeria <\/option>\n <option value=\"American Samoa\"> American Samoa <\/option>\n <option value=\"Andorra\"> Andorra <\/option>\n <option value=\"Angola\"> Angola <\/option>\n <option value=\"Anguilla\"> Anguilla <\/option>\n <option value=\"Antigua and Barbuda\"> Antigua and Barbuda <\/option>\n <option value=\"Argentina\"> Argentina <\/option>\n <option value=\"Armenia\"> Armenia <\/option>\n <option value=\"Aruba\"> Aruba <\/option>\n <option value=\"Australia\"> Australia <\/option>\n <option value=\"Austria\"> Austria <\/option>\n <option value=\"Azerbaijan\"> Azerbaijan <\/option>\n <option value=\"The Bahamas\"> The Bahamas <\/option>\n <option value=\"Bahrain\"> Bahrain <\/option>\n <option value=\"Bangladesh\"> Bangladesh <\/option>\n <option value=\"Barbados\"> Barbados <\/option>\n <option value=\"Belarus\"> Belarus <\/option>\n <option value=\"Belgium\"> Belgium <\/option>\n <option value=\"Belize\"> Belize <\/option>\n <option value=\"Benin\"> Benin <\/option>\n <option value=\"Bermuda\"> Bermuda <\/option>\n <option value=\"Bhutan\"> Bhutan <\/option>\n <option value=\"Bolivia\"> Bolivia <\/option>\n <option value=\"Bosnia and Herzegovina\"> Bosnia and Herzegovina <\/option>\n <option value=\"Botswana\"> Botswana <\/option>\n <option value=\"Brazil\"> Brazil <\/option>\n <option value=\"Brunei\"> Brunei <\/option>\n <option value=\"Bulgaria\"> Bulgaria <\/option>\n <option value=\"Burkina Faso\"> Burkina Faso <\/option>\n <option value=\"Burundi\"> Burundi <\/option>\n <option value=\"Cambodia\"> Cambodia <\/option>\n <option value=\"Cameroon\"> Cameroon <\/option>\n <option value=\"Canada\"> Canada <\/option>\n <option value=\"Cape Verde\"> Cape Verde <\/option>\n <option value=\"Cayman Islands\"> Cayman Islands <\/option>\n <option value=\"Central African Republic\"> Central African Republic <\/option>\n <option value=\"Chad\"> Chad <\/option>\n <option value=\"Chile\"> Chile <\/option>\n <option value=\"People's Republic of China\"> People's Republic of China <\/option>\n <option value=\"Republic of China\"> Republic of China <\/option>\n <option value=\"Christmas Island\"> Christmas Island <\/option>\n <option value=\"Cocos (Keeling) Islands\"> Cocos (Keeling) Islands <\/option>\n <option value=\"Colombia\"> Colombia <\/option>\n <option value=\"Comoros\"> Comoros <\/option>\n <option value=\"Congo\"> Congo <\/option>\n <option value=\"Cook Islands\"> Cook Islands <\/option>\n <option value=\"Costa Rica\"> Costa Rica <\/option>\n <option value=\"Cote d'Ivoire\"> Cote d'Ivoire <\/option>\n <option value=\"Croatia\"> Croatia <\/option>\n <option value=\"Cuba\"> Cuba <\/option>\n <option value=\"Cyprus\"> Cyprus <\/option>\n <option value=\"Czech Republic\"> Czech Republic <\/option>\n <option value=\"Denmark\"> Denmark <\/option>\n <option value=\"Djibouti\"> Djibouti <\/option>\n <option value=\"Dominica\"> Dominica <\/option>\n <option value=\"Dominican Republic\"> Dominican Republic <\/option>\n <option value=\"Ecuador\"> Ecuador <\/option>\n <option value=\"Egypt\"> Egypt <\/option>\n <option value=\"El Salvador\"> El Salvador <\/option>\n <option value=\"Equatorial Guinea\"> Equatorial Guinea <\/option>\n <option value=\"Eritrea\"> Eritrea <\/option>\n <option value=\"Estonia\"> Estonia <\/option>\n <option value=\"Ethiopia\"> Ethiopia <\/option>\n <option value=\"Falkland Islands\"> Falkland Islands <\/option>\n <option value=\"Faroe Islands\"> Faroe Islands <\/option>\n <option value=\"Fiji\"> Fiji <\/option>\n <option value=\"Finland\"> Finland <\/option>\n <option value=\"France\"> France <\/option>\n <option value=\"French Polynesia\"> French Polynesia <\/option>\n <option value=\"Gabon\"> Gabon <\/option>\n <option value=\"The Gambia\"> The Gambia <\/option>\n <option value=\"Georgia\"> Georgia <\/option>\n <option value=\"Germany\"> Germany <\/option>\n <option value=\"Ghana\"> Ghana <\/option>\n <option value=\"Gibraltar\"> Gibraltar <\/option>\n <option value=\"Greece\"> Greece <\/option>\n <option value=\"Greenland\"> Greenland <\/option>\n <option value=\"Grenada\"> Grenada <\/option>\n <option value=\"Guadeloupe\"> Guadeloupe <\/option>\n <option value=\"Guam\"> Guam <\/option>\n <option value=\"Guatemala\"> Guatemala <\/option>\n <option value=\"Guernsey\"> Guernsey <\/option>\n <option value=\"Guinea\"> Guinea <\/option>\n <option value=\"Guinea-Bissau\"> Guinea-Bissau <\/option>\n <option value=\"Guyana\"> Guyana <\/option>\n <option value=\"Haiti\"> Haiti <\/option>\n <option value=\"Honduras\"> Honduras <\/option>\n <option value=\"Hong Kong\"> Hong Kong <\/option>\n <option value=\"Hungary\"> Hungary <\/option>\n <option value=\"Iceland\"> Iceland <\/option>\n <option value=\"India\"> India <\/option>\n <option value=\"Indonesia\"> Indonesia <\/option>\n <option value=\"Iran\"> Iran <\/option>\n <option value=\"Iraq\"> Iraq <\/option>\n <option value=\"Ireland\"> Ireland <\/option>\n <option value=\"Israel\"> Israel <\/option>\n <option value=\"Italy\"> Italy <\/option>\n <option value=\"Jamaica\"> Jamaica <\/option>\n <option value=\"Japan\"> Japan <\/option>\n <option value=\"Jersey\"> Jersey <\/option>\n <option value=\"Jordan\"> Jordan <\/option>\n <option value=\"Kazakhstan\"> Kazakhstan <\/option>\n <option value=\"Kenya\"> Kenya <\/option>\n <option value=\"Kiribati\"> Kiribati <\/option>\n <option value=\"North Korea\"> North Korea <\/option>\n <option value=\"South Korea\"> South Korea <\/option>\n <option value=\"Kosovo\"> Kosovo <\/option>\n <option value=\"Kuwait\"> Kuwait <\/option>\n <option value=\"Kyrgyzstan\"> Kyrgyzstan <\/option>\n <option value=\"Laos\"> Laos <\/option>\n <option value=\"Latvia\"> Latvia <\/option>\n <option value=\"Lebanon\"> Lebanon <\/option>\n <option value=\"Lesotho\"> Lesotho <\/option>\n <option value=\"Liberia\"> Liberia <\/option>\n <option value=\"Libya\"> Libya <\/option>\n <option value=\"Liechtenstein\"> Liechtenstein <\/option>\n <option value=\"Lithuania\"> Lithuania <\/option>\n <option value=\"Luxembourg\"> Luxembourg <\/option>\n <option value=\"Macau\"> Macau <\/option>\n <option value=\"Macedonia\"> Macedonia <\/option>\n <option value=\"Madagascar\"> Madagascar <\/option>\n <option value=\"Malawi\"> Malawi <\/option>\n <option value=\"Malaysia\"> Malaysia <\/option>\n <option value=\"Maldives\"> Maldives <\/option>\n <option value=\"Mali\"> Mali <\/option>\n <option value=\"Malta\"> Malta <\/option>\n <option value=\"Marshall Islands\"> Marshall Islands <\/option>\n <option value=\"Martinique\"> Martinique <\/option>\n <option value=\"Mauritania\"> Mauritania <\/option>\n <option value=\"Mauritius\"> Mauritius <\/option>\n <option value=\"Mayotte\"> Mayotte <\/option>\n <option value=\"Mexico\"> Mexico <\/option>\n <option value=\"Micronesia\"> Micronesia <\/option>\n <option value=\"Moldova\"> Moldova <\/option>\n <option value=\"Monaco\"> Monaco <\/option>\n <option value=\"Mongolia\"> Mongolia <\/option>\n <option value=\"Montenegro\"> Montenegro <\/option>\n <option value=\"Montserrat\"> Montserrat <\/option>\n <option value=\"Morocco\"> Morocco <\/option>\n <option value=\"Mozambique\"> Mozambique <\/option>\n <option value=\"Myanmar\"> Myanmar <\/option>\n <option value=\"Nagorno-Karabakh\"> Nagorno-Karabakh <\/option>\n <option value=\"Namibia\"> Namibia <\/option>\n <option value=\"Nauru\"> Nauru <\/option>\n <option value=\"Nepal\"> Nepal <\/option>\n <option value=\"Netherlands\"> Netherlands <\/option>\n <option value=\"Netherlands Antilles\"> Netherlands Antilles <\/option>\n <option value=\"New Caledonia\"> New Caledonia <\/option>\n <option value=\"New Zealand\"> New Zealand <\/option>\n <option value=\"Nicaragua\"> Nicaragua <\/option>\n <option value=\"Niger\"> Niger <\/option>\n <option value=\"Nigeria\"> Nigeria <\/option>\n <option value=\"Niue\"> Niue <\/option>\n <option value=\"Norfolk Island\"> Norfolk Island <\/option>\n <option value=\"Turkish Republic of Northern Cyprus\"> Turkish Republic of Northern Cyprus <\/option>\n <option value=\"Northern Mariana\"> Northern Mariana <\/option>\n <option value=\"Norway\"> Norway <\/option>\n <option value=\"Oman\"> Oman <\/option>\n <option value=\"Pakistan\"> Pakistan <\/option>\n <option value=\"Palau\"> Palau <\/option>\n <option value=\"Palestine\"> Palestine <\/option>\n <option value=\"Panama\"> Panama <\/option>\n <option value=\"Papua New Guinea\"> Papua New Guinea <\/option>\n <option value=\"Paraguay\"> Paraguay <\/option>\n <option value=\"Peru\"> Peru <\/option>\n <option value=\"Philippines\"> Philippines <\/option>\n <option value=\"Pitcairn Islands\"> Pitcairn Islands <\/option>\n <option value=\"Poland\"> Poland <\/option>\n <option value=\"Portugal\"> Portugal <\/option>\n <option value=\"Puerto Rico\"> Puerto Rico <\/option>\n <option value=\"Qatar\"> Qatar <\/option>\n <option value=\"Romania\"> Romania <\/option>\n <option value=\"Russia\"> Russia <\/option>\n <option value=\"Rwanda\"> Rwanda <\/option>\n <option value=\"Saint Barthelemy\"> Saint Barthelemy <\/option>\n <option value=\"Saint Helena\"> Saint Helena <\/option>\n <option value=\"Saint Kitts and Nevis\"> Saint Kitts and Nevis <\/option>\n <option value=\"Saint Lucia\"> Saint Lucia <\/option>\n <option value=\"Saint Martin\"> Saint Martin <\/option>\n <option value=\"Saint Pierre and Miquelon\"> Saint Pierre and Miquelon <\/option>\n <option value=\"Saint Vincent and the Grenadines\"> Saint Vincent and the Grenadines <\/option>\n <option value=\"Samoa\"> Samoa <\/option>\n <option value=\"San Marino\"> San Marino <\/option>\n <option value=\"Sao Tome and Principe\"> Sao Tome and Principe <\/option>\n <option value=\"Saudi Arabia\"> Saudi Arabia <\/option>\n <option value=\"Senegal\"> Senegal <\/option>\n <option value=\"Serbia\"> Serbia <\/option>\n <option value=\"Seychelles\"> Seychelles <\/option>\n <option value=\"Sierra Leone\"> Sierra Leone <\/option>\n <option value=\"Singapore\"> Singapore <\/option>\n <option value=\"Slovakia\"> Slovakia <\/option>\n <option value=\"Slovenia\"> Slovenia <\/option>\n <option value=\"Solomon Islands\"> Solomon Islands <\/option>\n <option value=\"Somalia\"> Somalia <\/option>\n <option value=\"Somaliland\"> Somaliland <\/option>\n <option value=\"South Africa\"> South Africa <\/option>\n <option value=\"South Ossetia\"> South Ossetia <\/option>\n <option value=\"Spain\"> Spain <\/option>\n <option value=\"Sri Lanka\"> Sri Lanka <\/option>\n <option value=\"Sudan\"> Sudan <\/option>\n <option value=\"Suriname\"> Suriname <\/option>\n <option value=\"Svalbard\"> Svalbard <\/option>\n <option value=\"Swaziland\"> Swaziland <\/option>\n <option value=\"Sweden\"> Sweden <\/option>\n <option value=\"Switzerland\"> Switzerland <\/option>\n <option value=\"Syria\"> Syria <\/option>\n <option value=\"Taiwan\"> Taiwan <\/option>\n <option value=\"Tajikistan\"> Tajikistan <\/option>\n <option value=\"Tanzania\"> Tanzania <\/option>\n <option value=\"Thailand\"> Thailand <\/option>\n <option value=\"Timor-Leste\"> Timor-Leste <\/option>\n <option value=\"Togo\"> Togo <\/option>\n <option value=\"Tokelau\"> Tokelau <\/option>\n <option value=\"Tonga\"> Tonga <\/option>\n <option value=\"Transnistria Pridnestrovie\"> Transnistria Pridnestrovie <\/option>\n <option value=\"Trinidad and Tobago\"> Trinidad and Tobago <\/option>\n <option value=\"Tristan da Cunha\"> Tristan da Cunha <\/option>\n <option value=\"Tunisia\"> Tunisia <\/option>\n <option value=\"Turkey\"> Turkey <\/option>\n <option value=\"Turkmenistan\"> Turkmenistan <\/option>\n <option value=\"Turks and Caicos Islands\"> Turks and Caicos Islands <\/option>\n <option value=\"Tuvalu\"> Tuvalu <\/option>\n <option value=\"Uganda\"> Uganda <\/option>\n <option value=\"Ukraine\"> Ukraine <\/option>\n <option value=\"United Arab Emirates\"> United Arab Emirates <\/option>\n <option value=\"United Kingdom\"> United Kingdom <\/option>\n <option value=\"Uruguay\"> Uruguay <\/option>\n <option value=\"Uzbekistan\"> Uzbekistan <\/option>\n <option value=\"Vanuatu\"> Vanuatu <\/option>\n <option value=\"Vatican City\"> Vatican City <\/option>\n <option value=\"Venezuela\"> Venezuela <\/option>\n <option value=\"Vietnam\"> Vietnam <\/option>\n <option value=\"British Virgin Islands\"> British Virgin Islands <\/option>\n <option value=\"US Virgin Islands\"> US Virgin Islands <\/option>\n <option value=\"Wallis and Futuna\"> Wallis and Futuna <\/option>\n <option value=\"Western Sahara\"> Western Sahara <\/option>\n <option value=\"Yemen\"> Yemen <\/option>\n <option value=\"Zambia\"> Zambia <\/option>\n <option value=\"Zimbabwe\"> Zimbabwe <\/option>\n <option value=\"other\"> Other <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_27_country\" id=\"sublabel_country\"> Country <\/label><\/span>\n <\/td>\n <\/tr>\n <\/table>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_5\">\n <label class=\"form-label-left\" id=\"label_5\" for=\"input_5\">\n Birth Date<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_5\" class=\"form-input\"><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required]\" name=\"q5_birthDate5[month]\" id=\"input_5_month\">\n <option> <\/option>\n <option value=\"January\"> January <\/option>\n <option value=\"February\"> February <\/option>\n <option value=\"March\"> March <\/option>\n <option value=\"April\"> April <\/option>\n <option value=\"May\"> May <\/option>\n <option value=\"June\"> June <\/option>\n <option value=\"July\"> July <\/option>\n <option value=\"August\"> August <\/option>\n <option value=\"September\"> September <\/option>\n <option value=\"October\"> October <\/option>\n <option value=\"November\"> November <\/option>\n <option value=\"December\"> December <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_5_month\" id=\"sublabel_month\"> Month <\/label><\/span><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required]\" name=\"q5_birthDate5[day]\" id=\"input_5_day\">\n <option> <\/option>\n <option value=\"1\"> 1 <\/option>\n <option value=\"2\"> 2 <\/option>\n <option value=\"3\"> 3 <\/option>\n <option value=\"4\"> 4 <\/option>\n <option value=\"5\"> 5 <\/option>\n <option value=\"6\"> 6 <\/option>\n <option value=\"7\"> 7 <\/option>\n <option value=\"8\"> 8 <\/option>\n <option value=\"9\"> 9 <\/option>\n <option value=\"10\"> 10 <\/option>\n <option value=\"11\"> 11 <\/option>\n <option value=\"12\"> 12 <\/option>\n <option value=\"13\"> 13 <\/option>\n <option value=\"14\"> 14 <\/option>\n <option value=\"15\"> 15 <\/option>\n <option value=\"16\"> 16 <\/option>\n <option value=\"17\"> 17 <\/option>\n <option value=\"18\"> 18 <\/option>\n <option value=\"19\"> 19 <\/option>\n <option value=\"20\"> 20 <\/option>\n <option value=\"21\"> 21 <\/option>\n <option value=\"22\"> 22 <\/option>\n <option value=\"23\"> 23 <\/option>\n <option value=\"24\"> 24 <\/option>\n <option value=\"25\"> 25 <\/option>\n <option value=\"26\"> 26 <\/option>\n <option value=\"27\"> 27 <\/option>\n <option value=\"28\"> 28 <\/option>\n <option value=\"29\"> 29 <\/option>\n <option value=\"30\"> 30 <\/option>\n <option value=\"31\"> 31 <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_5_day\" id=\"sublabel_day\"> Day <\/label><\/span><span class=\"form-sub-label-container\"><select class=\"form-dropdown validate[required]\" name=\"q5_birthDate5[year]\" id=\"input_5_year\">\n <option> <\/option>\n <option value=\"2016\"> 2016 <\/option>\n <option value=\"2015\"> 2015 <\/option>\n <option value=\"2014\"> 2014 <\/option>\n <option value=\"2013\"> 2013 <\/option>\n <option value=\"2012\"> 2012 <\/option>\n <option value=\"2011\"> 2011 <\/option>\n <option value=\"2010\"> 2010 <\/option>\n <option value=\"2009\"> 2009 <\/option>\n <option value=\"2008\"> 2008 <\/option>\n <option value=\"2007\"> 2007 <\/option>\n <option value=\"2006\"> 2006 <\/option>\n <option value=\"2005\"> 2005 <\/option>\n <option value=\"2004\"> 2004 <\/option>\n <option value=\"2003\"> 2003 <\/option>\n <option value=\"2002\"> 2002 <\/option>\n <option value=\"2001\"> 2001 <\/option>\n <option value=\"2000\"> 2000 <\/option>\n <option value=\"1999\"> 1999 <\/option>\n <option value=\"1998\"> 1998 <\/option>\n <option value=\"1997\"> 1997 <\/option>\n <option value=\"1996\"> 1996 <\/option>\n <option value=\"1995\"> 1995 <\/option>\n <option value=\"1994\"> 1994 <\/option>\n <option value=\"1993\"> 1993 <\/option>\n <option value=\"1992\"> 1992 <\/option>\n <option value=\"1991\"> 1991 <\/option>\n <option value=\"1990\"> 1990 <\/option>\n <option value=\"1989\"> 1989 <\/option>\n <option value=\"1988\"> 1988 <\/option>\n <option value=\"1987\"> 1987 <\/option>\n <option value=\"1986\"> 1986 <\/option>\n <option value=\"1985\"> 1985 <\/option>\n <option value=\"1984\"> 1984 <\/option>\n <option value=\"1983\"> 1983 <\/option>\n <option value=\"1982\"> 1982 <\/option>\n <option value=\"1981\"> 1981 <\/option>\n <option value=\"1980\"> 1980 <\/option>\n <option value=\"1979\"> 1979 <\/option>\n <option value=\"1978\"> 1978 <\/option>\n <option value=\"1977\"> 1977 <\/option>\n <option value=\"1976\"> 1976 <\/option>\n <option value=\"1975\"> 1975 <\/option>\n <option value=\"1974\"> 1974 <\/option>\n <option value=\"1973\"> 1973 <\/option>\n <option value=\"1972\"> 1972 <\/option>\n <option value=\"1971\"> 1971 <\/option>\n <option value=\"1970\"> 1970 <\/option>\n <option value=\"1969\"> 1969 <\/option>\n <option value=\"1968\"> 1968 <\/option>\n <option value=\"1967\"> 1967 <\/option>\n <option value=\"1966\"> 1966 <\/option>\n <option value=\"1965\"> 1965 <\/option>\n <option value=\"1964\"> 1964 <\/option>\n <option value=\"1963\"> 1963 <\/option>\n <option value=\"1962\"> 1962 <\/option>\n <option value=\"1961\"> 1961 <\/option>\n <option value=\"1960\"> 1960 <\/option>\n <option value=\"1959\"> 1959 <\/option>\n <option value=\"1958\"> 1958 <\/option>\n <option value=\"1957\"> 1957 <\/option>\n <option value=\"1956\"> 1956 <\/option>\n <option value=\"1955\"> 1955 <\/option>\n <option value=\"1954\"> 1954 <\/option>\n <option value=\"1953\"> 1953 <\/option>\n <option value=\"1952\"> 1952 <\/option>\n <option value=\"1951\"> 1951 <\/option>\n <option value=\"1950\"> 1950 <\/option>\n <option value=\"1949\"> 1949 <\/option>\n <option value=\"1948\"> 1948 <\/option>\n <option value=\"1947\"> 1947 <\/option>\n <option value=\"1946\"> 1946 <\/option>\n <option value=\"1945\"> 1945 <\/option>\n <option value=\"1944\"> 1944 <\/option>\n <option value=\"1943\"> 1943 <\/option>\n <option value=\"1942\"> 1942 <\/option>\n <option value=\"1941\"> 1941 <\/option>\n <option value=\"1940\"> 1940 <\/option>\n <option value=\"1939\"> 1939 <\/option>\n <option value=\"1938\"> 1938 <\/option>\n <option value=\"1937\"> 1937 <\/option>\n <option value=\"1936\"> 1936 <\/option>\n <option value=\"1935\"> 1935 <\/option>\n <option value=\"1934\"> 1934 <\/option>\n <option value=\"1933\"> 1933 <\/option>\n <option value=\"1932\"> 1932 <\/option>\n <option value=\"1931\"> 1931 <\/option>\n <option value=\"1930\"> 1930 <\/option>\n <option value=\"1929\"> 1929 <\/option>\n <option value=\"1928\"> 1928 <\/option>\n <option value=\"1927\"> 1927 <\/option>\n <option value=\"1926\"> 1926 <\/option>\n <option value=\"1925\"> 1925 <\/option>\n <option value=\"1924\"> 1924 <\/option>\n <option value=\"1923\"> 1923 <\/option>\n <option value=\"1922\"> 1922 <\/option>\n <option value=\"1921\"> 1921 <\/option>\n <option value=\"1920\"> 1920 <\/option>\n <\/select>\n <label class=\"form-sub-label\" for=\"input_5_year\" id=\"sublabel_year\"> Year <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_17\">\n <label class=\"form-label-left\" id=\"label_17\" for=\"input_17\">\n Enter the message as it's shown<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_17\" class=\"form-input\">\n <div class=\"form-captcha\">\n <label for=\"input_17\"> <img alt=\"Captcha - Reload if it's not displayed\" id=\"input_17_captcha\" class=\"form-captcha-image\" style=\"background:url(http:\/\/www.jotform.com\/images\/loader-big.gif) no-repeat center;\" src=\"http:\/\/www.jotform.com\/images\/blank.gif\" width=\"150\" height=\"41\" \/> <\/label>\n <div style=\"white-space:nowrap;\">\n <input type=\"text\" id=\"input_17\" class=\"form-textbox validate[required]\" name=\"captcha\" style=\"width:130px;\" \/>\n <img src=\"http:\/\/www.jotform.com\/images\/reload.png\" alt=\"Reload\" align=\"absmiddle\" style=\"cursor:pointer\" onclick=\"JotForm.reloadCaptcha('input_17');\" \/>\n <input type=\"hidden\" name=\"captcha_id\" id=\"input_17_captcha_id\" value=\"0\">\n <\/div>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_7\">\n <label class=\"form-label-left\" id=\"label_7\" for=\"input_7\"> Self-Portrait <\/label>\n <div id=\"cid_7\" class=\"form-input\">\n <input class=\"form-upload\" type=\"file\" id=\"input_7\" name=\"q7_selfportrait\" file-accept=\"pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif\" file-maxsize=\"500\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_2\">\n <div id=\"cid_2\" class=\"form-input-wide\">\n <div style=\"margin-left:156px\" class=\"form-buttons-wrapper\">\n <button id=\"input_2\" type=\"submit\" class=\"form-submit-button\">\n Submit Form !!!!\n <\/button>\n  \n <button id=\"input_print_2\" style=\"margin-left:25px;\" class=\"form-submit-print\" type=\"button\">\n <img src=\"http:\/\/www.jotform.com\/images\/printer.png\" align=\"absmiddle\" \/>\n Print Form\n <\/button>\n <\/div>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_41\">\n <label class=\"form-label-left\" id=\"label_41\" for=\"input_41\"> Quick Reminder!!! <\/label>\n <div id=\"cid_41\" class=\"form-input\">\n <input type=\"text\" class=\"form-textbox\" id=\"input_41\" name=\"q41_quickReminder41\" autocomplete=\"off\" size=\"35\" \/>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_44\">\n <label class=\"form-label-left\" id=\"label_44\" for=\"input_44\"> Comments \/ Concerns! <\/label>\n <div id=\"cid_44\" class=\"form-input\"><span class=\"form-sub-label-container\"><input type=\"text\" class=\"form-textbox\" id=\"input_44\" name=\"q44_comments\" size=\"20\" \/>\n <label class=\"form-sub-label\" for=\"input_44\"> This Box next to dumpster! <\/label><\/span>\n <\/div>\n <\/li>\n <li class=\"form-line\" id=\"id_45\">\n <label class=\"form-label-left\" id=\"label_45\" for=\"input_45\">\n Special Request !!<span class=\"form-required\">*<\/span>\n <\/label>\n <div id=\"cid_45\" class=\"form-input\">\n <textarea id=\"input_45\" class=\"form-textarea validate[required]\" name=\"q45_specialRequest45\" cols=\"40\" rows=\"6\"><\/textarea>\n <\/div>\n <\/li>\n <li id=\"cid_36\" class=\"form-input-wide\">\n <div class=\"form-header-group\">\n <h1 id=\"header_36\" class=\"form-header\">\n Gamma Zeta Alpha Golf Association\n <\/h1>\n <div id=\"subHeader_36\" class=\"form-subHeader\">\n \u00a9 2011 GZAGA: National Golf Tournament \u2013 All rights reserved\n <\/div>\n <\/div>\n <\/li>\n <li style=\"display:none\">\n Should be Empty:\n <input type=\"text\" name=\"website\" value=\"\" \/>\n <\/li>\n <\/ul>\n <\/div>\n <input type=\"hidden\" id=\"simple_spc\" name=\"simple_spc\" value=\"2194115996\" \/>\n <script type=\"text\/javascript\">\n document.getElementById(\"si\" + \"mple\" + \"_spc\").value = \"2194115996-2194115996\";\n <\/script>\n<\/form><\/body>\n<\/html>\n");