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</div> <div> <form enctype="multipart/form-data" action="//www.weebly.com/weebly/apps/formSubmit.php" method="POST" id="form-820017973213217006"> <div id="820017973213217006-form-parent" class="wsite-form-container" style="margin-top:10px;"> <ul class="formlist" id="820017973213217006-form-list"> <h2 class="wsite-content-title" style="text-align:left;">Create Play Learn Sign-up</h2> <label class="wsite-form-label wsite-form-fields-required-label"><span class="form-required">*</span> Indicates required field</label><div><div class="wsite-form-field" style="margin:5px 0px 0px 0px;"> <label class="wsite-form-label" for="input-846666601459217744">Option Period <span class="form-required">*</span></label> <div class="wsite-form-radio-container" aria-role="radiogroup" aria-required="true"> <span class='form-radio-container'><input type='radio' id='radio-0-_u846666601459217744' name='_u846666601459217744' value='4th' /><label for='radio-0-_u846666601459217744'>4th</label></span> <span class='form-radio-container'><input type='radio' id='radio-1-_u846666601459217744' name='_u846666601459217744' value='5th' /><label for='radio-1-_u846666601459217744'>5th</label></span> <span class='form-radio-container'><input type='radio' id='radio-2-_u846666601459217744' name='_u846666601459217744' value='6th' /><label for='radio-2-_u846666601459217744'>6th</label></span> <span class='form-radio-container'><input type='radio' id='radio-3-_u846666601459217744' name='_u846666601459217744' value='7th' /><label for='radio-3-_u846666601459217744'>7th</label></span> </div> <div id="instructions-Option Period" class="wsite-form-instructions" style="display:none;"></div> </div></div> <div><div class="wsite-form-field" style="margin:5px 0px 0px 0px;"> <label class="wsite-form-label" for="input-541463014100056163">Session Date <span class="form-required">*</span></label> <div class="wsite-form-radio-container" aria-role="radiogroup" aria-required="true"> <span class='form-radio-container'><input type='radio' id='radio-0-_u541463014100056163' name='_u541463014100056163' value='3/24 - Balloon Animals' /><label for='radio-0-_u541463014100056163'>3/24 - Balloon Animals</label></span> <span class='form-radio-container'><input type='radio' id='radio-1-_u541463014100056163' name='_u541463014100056163' value='4/7 - Cricut Diecuts' /><label for='radio-1-_u541463014100056163'>4/7 - Cricut Diecuts</label></span> <span class='form-radio-container'><input type='radio' id='radio-2-_u541463014100056163' name='_u541463014100056163' value='4/14 - Green Screen' /><label for='radio-2-_u541463014100056163'>4/14 - Green Screen</label></span> </div> <div id="instructions-Session Date" class="wsite-form-instructions" style="display:none;"></div> </div></div> <div><div class="wsite-form-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label" for="input-804876894234009292">Email <span class="form-required">*</span></label> <div class="wsite-form-input-container"> <input aria-required="true" id="input-804876894234009292" class="wsite-form-input wsite-input wsite-input-width-370px" type="text" name="_u804876894234009292" /> </div> <div id="instructions-804876894234009292" class="wsite-form-instructions" style="display:none;"></div> </div></div> <div><div class="wsite-form-field wsite-name-field" style="margin:5px 0px 5px 0px;"> <label class="wsite-form-label">Name <span class="form-required">*</span></label> <div style="clear:both;"></div> <div class="wsite-form-input-container wsite-form-left wsite-form-input-first-name"> <input aria-required="true" id="input-796485431426643973" class="wsite-form-input wsite-input" placeholder="First" type="text" name="_u796485431426643973[first]" /> <label class="wsite-form-sublabel" for="input-796485431426643973">First</label> </div> <div class="wsite-form-input-container wsite-form-right wsite-form-input-last-name"> <input aria-required="true" id="input-796485431426643973-1" class="wsite-form-input wsite-input" placeholder="Last" type="text" name="_u796485431426643973[last]" /> <label class="wsite-form-sublabel" for="input-796485431426643973-1">Last</label> </div> <div id="instructions-796485431426643973" class="wsite-form-instructions" style="display:none;"></div> </div> <div style="clear:both;"></div></div> </ul> </div> <div style="display:none; 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visibility:hidden;"> <input type="hidden" name="wsite_subject" /> </div> <div style="text-align:left; margin-top:10px; margin-bottom:10px;"> <input type="hidden" name="form_version" value="2" /> <input type="hidden" name="wsite_approved" id="wsite-approved" value="approved" /> <input type="hidden" name="ucfid" value="254178084469446559" /> <input type="hidden" name="recaptcha_token"/> <input type="submit" role="button" aria-label="Submit" value="Submit" style="position:absolute;top:0;left:-9999px;width:1px;height:1px" /> <a class="wsite-button"> <span class="wsite-button-inner">Submit</span> </a> </div> </form> <div id="g-recaptcha-254178084469446559" class="recaptcha" data-size="invisible" data-recaptcha="0" data-sitekey="6Ldf5h8UAAAAAJFJhN6x2OfZqBvANPQcnPa8eb1C"></div> </div> </td> </tr> </tbody> </table> </div></div></div> </div> </div> </div> <div id="footer"><div class='wsite-elements wsite-footer'> <div><div class="wsite-multicol"><div class="wsite-multicol-table-wrap" style="margin:0 -15px;"> <table class="wsite-multicol-table"> <tbody class="wsite-multicol-tbody"> <tr class="wsite-multicol-tr"> <td class="wsite-multicol-col" style="width:50%; padding:0 15px;"> <div class="paragraph" style="text-align:left;">Neuqua Valley High School<br />Main Building <strong>LMC</strong><br />Attn: Eric Bodwell<br />2360 95th Street <br />Naperville, IL 60564<br />(630) 428-6050</div> <div style="text-align:left;"><div style="height:10px;overflow:hidden"></div> <span class="wsite-social wsite-social-default"><a class='first-child wsite-social-item wsite-social-mail' href='mailto:eric_bodwell@ipsd.org' target='_blank' alt='Mail'><span class='wsite-social-item-inner'></span></a></span> <div style="height:10px;overflow:hidden"></div></div> </td> <td class="wsite-multicol-col" style="width:50%; padding:0 15px;"> <div class="paragraph" style="text-align:left;">Neuqua Valley High School<br />Birkett Freshman Center <strong>LMC</strong><br />Attn: Carrie Ory<br />3220 Cedar Glade Dr.<br />Naperville, IL 60564<br />(630) 428-6415</div> <div style="text-align:left;"><div style="height:10px;overflow:hidden"></div> <span class="wsite-social wsite-social-default"><a class='first-child wsite-social-item wsite-social-mail' href='mailto:carrie_ory@ipsd.org' target='_blank' alt='Mail'><span class='wsite-social-item-inner'></span></a></span> <div style="height:10px;overflow:hidden"></div></div> </td> </tr> </tbody> </table> </div></div></div></div></div> </div> <div id="customer-accounts-app"></div> <script src="//cdn2.editmysite.com/js/site/main-customer-accounts-site.js?buildTime=1558740950"></script> <script type="text/javascript"> var _gaq = _gaq || []; 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