{"id":49,"date":"2017-10-31T02:36:42","date_gmt":"2017-10-31T02:36:42","guid":{"rendered":"http:\/\/parorangi.maori.nz\/hpc\/?page_id=49"},"modified":"2019-07-31T12:21:21","modified_gmt":"2019-07-31T00:21:21","slug":"hbcoba_registration_a","status":"publish","type":"page","link":"https:\/\/parorangi.maori.nz\/hpc\/register-now\/hbcoba_registration_a\/","title":{"rendered":"ONLINE REGISTRATION &#8211; Sponsor"},"content":{"rendered":"<p><!-- Begin myContactForm.com Form HTML --><\/p>\n<form name=\"contactForm\" id=\"contactForm\" method=\"post\"  action=\"http:\/\/www.mycontactform.com\/sendform\/sendform.php\" style=\"width: 100%; border: 0px solid #000000; margin: 0; padding: 0; background-color: #FFFFFF;\">\n<table summary=\"This table contains contact form fields.\" width=\"100%\" cellpadding=\"0\" cellspacing=\"0\">\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q1\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Prefix: <\/label> <select name=\"q1\" id=\"q1\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" ><option value=\"Mr.\">Mr.<\/option><option value=\"Mrs.\">Mrs.<\/option><option value=\"Miss\">Miss<\/option><option value=\"Ms.\">Ms.<\/option><option value=\"Dr.\">Dr.<\/option><\/select>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q2\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">First Name: <span style=\"color: #FF0000\">*<\/span><\/label> <input name=\"q2\" id=\"q2\" type=\"text\" value=\"\" size=\"20\" maxlength=\"100\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q3\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Last Name: <span style=\"color: #FF0000\">*<\/span><\/label> <input name=\"q3\" id=\"q3\" type=\"text\" value=\"\" size=\"20\" maxlength=\"100\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"email\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">E-mail Address: <span style=\"color: #FF0000\">*<\/span><\/label><br \/>\n  <input name=\"email\" type=\"email\" id=\"email\" size=\"20\" maxlength=\"100\" required=\"required\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q4\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Phone Number: <span style=\"color: #FF0000\">*<\/span><\/label> <input name=\"q4\" id=\"q4\" type=\"text\" value=\"\" size=\"20\" maxlength=\"100\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q5\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Street Address: <span style=\"color: #FF0000\">*<\/span><\/label> <input name=\"q5\" id=\"q5\" type=\"text\" value=\"\" size=\"30\" maxlength=\"200\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q6\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Address Line 2: <\/label> <input name=\"q6\" id=\"q6\" type=\"text\" value=\"\" size=\"30\" maxlength=\"200\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: ##FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q7\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">City: <span style=\"color: #FF0000\">*<\/span><\/label> <input name=\"q7\" id=\"q7\" type=\"text\" value=\"\" size=\"20\" maxlength=\"100\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q9\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Postal Code: <span style=\"color: #FF0000\">*<\/span><\/label> <input name=\"q9\" id=\"q9\" type=\"text\" value=\"\" size=\"10\" maxlength=\"15\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q15\" style=\"float: left; width: 100%; display: block; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Country: <span style=\"color: #FF0000\">*<\/span><\/label> <select name=\"q15\" id=\"q15\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/><option value=\"Afghanistan\">Afghanistan<\/option><option value=\"Albania\">Albania<\/option><option value=\"Algeria\">Algeria<\/option><option value=\"American Samoa\">American Samoa<\/option><option value=\"Andorra\">Andorra<\/option><option value=\"Angola\">Angola<\/option><option value=\"Anguilla\">Anguilla<\/option><option value=\"Antarctica\">Antarctica<\/option><option value=\"Antigua &#038; Barbuda\">Antigua &#038; 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=\"Bahama\">Bahama<\/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=\"Bouvet Island\">Bouvet Island<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\">British Indian Ocean Territory<\/option><option value=\"British Virgin Islands\">British Virgin Islands<\/option><option value=\"Brunei Darussalam\">Brunei Darussalam<\/option><option value=\"Bulgaria\">Bulgaria<\/option><option value=\"Burkina Faso\">Burkina Faso<\/option><option value=\"Burundi\">Burundi<\/option><option value=\"Cambodia\">Cambodia<\/option><option value=\"Cameroon\">Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\">Cape Verde<\/option><option value=\"Cayman Islands\">Cayman Islands<\/option><option value=\"Central African Republic\">Central African Republic<\/option><option value=\"Chad\">Chad<\/option><option value=\"Chile\">Chile<\/option><option value=\"China\">China<\/option><option value=\"Christmas Island\">Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\">Cocos (Keeling) Islands<\/option><option value=\"Colombia\">Colombia<\/option><option value=\"Comoros\">Comoros<\/option><option value=\"Congo\">Congo<\/option><option value=\"Cook Iislands\">Cook Iislands<\/option><option value=\"Costa Rica\">Costa Rica<\/option><option value=\"Cote D'ivoire (Ivory Coast)\">Cote D&#8217;ivoire (Ivory Coast)<\/option><option value=\"Croatia\">Croatia<\/option><option value=\"Cuba\">Cuba<\/option><option value=\"Cyprus\">Cyprus<\/option><option value=\"Czech Republic\">Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\">Djibouti<\/option><option value=\"Dominica\">Dominica<\/option><option value=\"Dominican Republic\">Dominican Republic<\/option><option value=\"East Timor\">East Timor<\/option><option value=\"Ecuador\">Ecuador<\/option><option value=\"Egypt\">Egypt<\/option><option value=\"El Salvador\">El Salvador<\/option><option value=\"Equatorial Guinea\">Equatorial Guinea<\/option><option value=\"Eritrea\">Eritrea<\/option><option value=\"Estonia\">Estonia<\/option><option value=\"Ethiopia\">Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\">Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\">Faroe Islands<\/option><option value=\"Fiji\">Fiji<\/option><option value=\"Finland\">Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\">French Guiana<\/option><option value=\"French Polynesia\">French Polynesia<\/option><option value=\"French Southern Territories\">French Southern Territories<\/option><option value=\"Gabon\">Gabon<\/option><option value=\"Gambia\">Gambia<\/option><option value=\"Georgia\">Georgia<\/option><option value=\"Germany\">Germany<\/option><option value=\"Ghana\">Ghana<\/option><option value=\"Gibraltar\">Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\">Greenland<\/option><option value=\"Grenada\">Grenada<\/option><option value=\"Guadeloupe\">Guadeloupe<\/option><option value=\"Guam\">Guam<\/option><option value=\"Guatemala\">Guatemala<\/option><option value=\"Guinea\">Guinea<\/option><option value=\"Guinea-Bissau\">Guinea-Bissau<\/option><option value=\"Guyana\">Guyana<\/option><option value=\"Haiti\">Haiti<\/option><option value=\"Heard &#038; McDonald Islands\">Heard &#038; McDonald Islands<\/option><option value=\"Honduras\">Honduras<\/option><option value=\"Hong Kong\">Hong Kong<\/option><option value=\"Hungary\">Hungary<\/option><option value=\"Iceland\">Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\">Indonesia<\/option><option value=\"Iraq\">Iraq<\/option><option value=\"Ireland\">Ireland<\/option><option value=\"Islamic Republic of Iran\">Islamic Republic of Iran<\/option><option value=\"Israel\">Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\">Jamaica<\/option><option value=\"Japan\">Japan<\/option><option value=\"Jordan\">Jordan<\/option><option value=\"Kazakhstan\">Kazakhstan<\/option><option value=\"Kenya\">Kenya<\/option><option value=\"Kiribati\">Kiribati<\/option><option value=\"Korea, Democratic People's Republic of\">Korea, Democratic People&#8217;s Republic of<\/option><option value=\"Korea, Republic of\">Korea, Republic of<\/option><option value=\"Kuwait\">Kuwait<\/option><option value=\"Kyrgyzstan\">Kyrgyzstan<\/option><option value=\"Lao People's Democratic Republic\">Lao People&#8217;s Democratic Republic<\/option><option value=\"Latvia\">Latvia<\/option><option value=\"Lebanon\">Lebanon<\/option><option value=\"Lesotho\">Lesotho<\/option><option value=\"Liberia\">Liberia<\/option><option value=\"Libyan Arab Jamahiriya\">Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\">Liechtenstein<\/option><option value=\"Lithuania\">Lithuania<\/option><option value=\"Luxembourg\">Luxembourg<\/option><option value=\"Macau\">Macau<\/option><option value=\"Madagascar\">Madagascar<\/option><option value=\"Malawi\">Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\">Maldives<\/option><option value=\"Mali\">Mali<\/option><option value=\"Malta\">Malta<\/option><option value=\"Marshall Islands\">Marshall Islands<\/option><option value=\"Martinique\">Martinique<\/option><option value=\"Mauritania\">Mauritania<\/option><option value=\"Mauritius\">Mauritius<\/option><option value=\"Mayotte\">Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia\">Micronesia<\/option><option value=\"Moldova, Republic of\">Moldova, Republic of<\/option><option value=\"Monaco\">Monaco<\/option><option value=\"Mongolia\">Mongolia<\/option><option value=\"Monserrat\">Monserrat<\/option><option value=\"Morocco\">Morocco<\/option><option value=\"Mozambique\">Mozambique<\/option><option value=\"Myanmar\">Myanmar<\/option><option value=\"Namibia\">Namibia<\/option><option value=\"Nauru\">Nauru<\/option><option value=\"Nepal\">Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Netherlands Antilles\">Netherlands Antilles<\/option><option value=\"New Caledonia\">New Caledonia<\/option><option value=\"New Zealand\" selected>New Zealand<\/option><option value=\"Nicaragua\">Nicaragua<\/option><option value=\"Niger\">Niger<\/option><option value=\"Nigeria\">Nigeria<\/option><option value=\"Niue\">Niue<\/option><option value=\"Norfolk Island\">Norfolk Island<\/option><option value=\"Northern Mariana Islands\">Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\">Oman<\/option><option value=\"Pakistan\">Pakistan<\/option><option value=\"Palau\">Palau<\/option><option value=\"Panama\">Panama<\/option><option value=\"Papua New Guinea\">Papua New Guinea<\/option><option value=\"Paraguay\">Paraguay<\/option><option value=\"Peru\">Peru<\/option><option value=\"Philippines\">Philippines<\/option><option value=\"Pitcairn\">Pitcairn<\/option><option value=\"Poland\">Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\">Puerto Rico<\/option><option value=\"Qatar\">Qatar<\/option><option value=\"Reunion\">Reunion<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russian Federation\" >Russian Federation<\/option><option value=\"Rwanda\">Rwanda<\/option><option value=\"Saint Lucia\">Saint Lucia<\/option><option value=\"Samoa\">Samoa<\/option><option value=\"San Marino\">San Marino<\/option><option value=\"Sao Tome &#038; Principe\">Sao Tome &#038; Principe<\/option><option value=\"Saudi Arabia\">Saudi Arabia<\/option><option value=\"Senegal\">Senegal<\/option><option value=\"Seychelles\">Seychelles<\/option><option value=\"Sierra Leone\">Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slovakia\">Slovakia<\/option><option value=\"Slovenia\">Slovenia<\/option><option value=\"Solomon Islands\">Solomon Islands<\/option><option value=\"Somalia\">Somalia<\/option><option value=\"South Africa\">South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\">South Georgia and the South Sandwich Islands<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\">Sri Lanka<\/option><option value=\"St. Helena\">St. Helena<\/option><option value=\"St. Kitts and Nevis\">St. Kitts and Nevis<\/option><option value=\"St. Pierre &#038; Miquelon\">St. Pierre &#038; Miquelon<\/option><option value=\"St. Vincent &#038; the Grenadines\">St. Vincent &#038; the Grenadines<\/option><option value=\"Sudan\">Sudan<\/option><option value=\"Suriname\">Suriname<\/option><option value=\"Svalbard &#038; Jan Mayen Islands\">Svalbard &#038; Jan Mayen Islands<\/option><option value=\"Swaziland\">Swaziland<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\">Switzerland<\/option><option value=\"Syrian Arab Republic\">Syrian Arab Republic<\/option><option value=\"Taiwan, Province of China\">Taiwan, Province of China<\/option><option value=\"Tajikistan\">Tajikistan<\/option><option value=\"Tanzania, United Republic of\">Tanzania, United Republic of<\/option><option value=\"Thailand\">Thailand<\/option><option value=\"Togo\">Togo<\/option><option value=\"Tokelau\">Tokelau<\/option><option value=\"Tonga\">Tonga<\/option><option value=\"Trinidad &#038; Tobago\">Trinidad &#038; Tobago<\/option><option value=\"Tunisia\">Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\">Turkmenistan<\/option><option value=\"Turks &#038; Caicos Islands\">Turks &#038; Caicos Islands<\/option><option value=\"Tuvalu\">Tuvalu<\/option><option value=\"Uganda\">Uganda<\/option><option value=\"Ukraine\">Ukraine<\/option><option value=\"United Arab Emirates\">United Arab Emirates<\/option><option value=\"United Kingdom (Great Britain)\" >United Kingdom (Great Britain)<\/option><option value=\"United States Minor Outlying Islands\">United States Minor Outlying Islands<\/option><option value=\"United States of America\">United States of America<\/option><option value=\"United States Virgin Islands\">United States Virgin Islands<\/option><option value=\"Uruguay\">Uruguay<\/option><option value=\"Uzbekistan\">Uzbekistan<\/option><option value=\"Vanuatu\">Vanuatu<\/option><option value=\"Vatican City State\">Vatican City State<\/option><option value=\"Venezuela\">Venezuela<\/option><option value=\"Vietnam\">Vietnam<\/option><option value=\"Wallis &#038; Futuna Islands\">Wallis &#038; Futuna Islands<\/option><option value=\"Western Sahara\">Western Sahara<\/option><option value=\"Yemen\">Yemen<\/option><option value=\"Yugoslavia\" >Yugoslavia<\/option><option value=\"Zaire\">Zaire<\/option><option value=\"Zambia\">Zambia<\/option><option value=\"Zimbabwe\">Zimbabwe<\/option><\/select>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q26\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">I am a &#8230;.. <\/label> <\/p>\n<div style=\"font-family: Verdana; color: #000000; font-size: 14px; float: left;\"\"><input name=\"q26\" id=\"q26\" type=\"hidden\" value=\"checkbox431540\" \/><input name=\"checkbox26[]\" type=\"checkbox\" value=\"Old Boy\" \/>Old Boy<br \/><input name=\"checkbox26[]\" type=\"checkbox\" value=\"School Staff Member\" \/>School Staff Member<br \/><input name=\"checkbox26[]\" type=\"checkbox\" value=\"Hostel Staff Member\" \/>Hostel Staff Member<br \/><input name=\"checkbox26[]\" type=\"checkbox\" value=\"Board of Trustees Member\" \/>Board of Trustees Member<br \/><input name=\"checkbox26[]\" type=\"checkbox\" value=\"Trust Board Member\" \/>Trust Board Member<br \/><input name=\"checkbox26[]\" type=\"checkbox\" value=\"Whanau Whanui\" \/>Wh\u0101nau Whanui<\/div>\n<div style=\"clear: both;\"><\/div>\n<\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\nClick boxes below to select dates&#8230;.<br \/>\n  <label for=\"q16\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Year Started <\/label> <link href=\"https:\/\/www.mycontactform.com\/js\/jquery\/jquery-ui.css\" rel=\"stylesheet\" type=\"text\/css\"\/>\n<style type=\"text\/css\"> \n   div.ui-datepicker { \n   font-size: 10px; \n   } \n\t<\/style>\n<p><script src=\"https:\/\/www.mycontactform.com\/js\/jquery\/jquery.js\"><\/script><br \/>\n<script src=\"https:\/\/www.mycontactform.com\/js\/jquery\/jquery-ui.js\"><\/script><br \/>\n<script> \n   $(document).ready(function() { \n   $(\"#q16\").datepicker({ dateFormat: 'dd-mm-yy', changeMonth: true, changeYear: true, yearRange: 'c-100:c+100' }); \n\t  }); \n<\/script><br \/>\n<input name=\"q16\" type=\"text\" id=\"q16\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" size=\"10\"  \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q25\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Year ended <\/label> <link href=\"https:\/\/www.mycontactform.com\/js\/jquery\/jquery-ui.css\" rel=\"stylesheet\" type=\"text\/css\"\/>\n<style type=\"text\/css\"> \n   div.ui-datepicker { \n    font-size: 10px; \n   } \n\t<\/style>\n<p><script src=\"https:\/\/www.mycontactform.com\/js\/jquery\/jquery.js\"><\/script><br \/>\n<script src=\"https:\/\/www.mycontactform.com\/js\/jquery\/jquery-ui.js\"><\/script><br \/>\n<script> \n  $(document).ready(function() { \n  $(\"#q25\").datepicker({ dateFormat: 'dd-mm-yy', changeMonth: true, changeYear: true, yearRange: 'c-100:c+100' }); \n  }); \n<\/script><br \/>\n<input name=\"q25\" type=\"text\" id=\"q25\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" size=\"10\"  \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q17\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Old Boys to fill in only; Please Tick Your House: <\/label> <\/p>\n<div style=\"font-family: Verdana; color: #000000; font-size: 14px; float: left;\"\"><input name=\"q17\" id=\"q17\" type=\"hidden\" value=\"checkbox431540\" \/><input name=\"checkbox17[]\" type=\"checkbox\" value=\"Tawhirimatea\" \/>Tawhirimatea<br \/><input name=\"checkbox17[]\" type=\"checkbox\" value=\"Rongomatane\" \/>Rongomatane<br \/><input name=\"checkbox17[]\" type=\"checkbox\" value=\"Tangaroa\" \/>Tangaroa<br \/><input name=\"checkbox17[]\" type=\"checkbox\" value=\"Whiro\" \/>Whiro<\/div>\n<div style=\"clear: both;\"><\/div>\n<\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #F8DB83; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q20\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Gold Membership<\/label> <\/p>\n<div style=\"font-family: Verdana; color: #000000; font-size: 14px; float: left;\"\"><input name=\"q20\" id=\"q20\" type=\"hidden\" value=\"checkbox431540\" \/><input name=\"checkbox20[]\" type=\"checkbox\" value=\"$1,500 one off payment\" \/>$1,500 one off payment<br \/><input name=\"checkbox20[]\" type=\"checkbox\" value=\"$2 weekly\" \/>$2 weekly<br \/><input name=\"checkbox20[]\" type=\"checkbox\" value=\"$4 fortnightly\" \/>$4 fortnightly<\/div>\n<div style=\"clear: both;\"><\/div>\n<\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #F8DB83; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q24\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Other Payment option enter $ amount Here <\/label> <input name=\"q24\" id=\"q24\" type=\"text\" value=\"$\" size=\"20\" maxlength=\"\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\"  \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #F8DB83; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q23\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">PAYMENT OPTION: Gold <\/label> <select name=\"q23\" id=\"q23\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" ><option value=\"Weekly\">Weekly<\/option><option value=\"Fortnightly\">Fortnightly<\/option><option value=\"Other\">Other<\/option><\/select>\n  <\/td>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q18\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Silver Membership<\/label> <\/p>\n<div style=\"font-family: Verdana; color: #000000; font-size: 14px; float: left;\"\"><input name=\"q18\" id=\"q18\" type=\"hidden\" value=\"checkbox431540\" \/><input name=\"checkbox18[]\" type=\"checkbox\" value=\"$500 one off payment\" \/>$500 one off payment<br \/><input name=\"checkbox18[]\" type=\"checkbox\" value=\"$2 weekly\" \/>$2 weekly<br \/><input name=\"checkbox18[]\" type=\"checkbox\" value=\"$4 fortnightly\" \/>$4 fortnightly<\/div>\n<div style=\"clear: both;\"><\/div>\n<\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q22\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Other Payment option enter $ amount Here <\/label> <input name=\"q22\" id=\"q22\" type=\"text\" value=\"$\" size=\"20\" maxlength=\"\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\"  \/>\n  <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #EFEFEF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n  <label for=\"q19\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">PAYMENT OPTION: Silver <\/label> <select name=\"q19\" id=\"q19\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\"  ><option value=\"Weekly\">Weekly<\/option><option value=\"Fortnightly\">Fortnightly<\/option><option value=\"Other\">Other<\/option><\/select>\n  <\/td>\n<\/tr>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n<label for=\"verification_image\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Verification Code:<\/label><img decoding=\"async\" src=\"http:\/\/www.mycontactform.com\/visver\/gen_img.php?formid=431540&#038;user=rabbit007\" alt=\"Visual Verification Image\" id=\"verification_image\" \/> <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; border-bottom: 0px solid #D8D8D8; padding: 5px; clear: left; margin: 0;\">\n<label for=\"visver_code\" style=\"float: left; width: 30%; padding-top: 4px; font-family: Verdana; color: #000000; font-size: 14px;\">Enter Verification Code: <span style=\"color: #FF0000\">*<\/span><\/label> <input name=\"visver_code\" type=\"text\" id=\"visver_code\" size=\"6\" maxlength=\"6\" style=\"font-family: Verdana; font-size: 14px; color: #000000; background-color: #FFFFFF; border: 1px solid #000000; padding: 2px;\" \/>\n <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; padding: 5px; clear: left; margin: 0;\">\n<hr style=\"color: #D8D8D8; background-color: #D8D8D8; height: 1px;\" \/>\n <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; padding: 5px; clear: left; margin: 0;\">\n   <input name=\"user\" type=\"hidden\" id=\"user\" value=\"rabbit007\" \/><br \/>\n   <input name=\"formid\" type=\"hidden\" id=\"formid\" value=\"431540\" \/><br \/>\n   <input name=\"subject\" type=\"hidden\" id=\"subject\" value=\"HPC-OBA Personal Registration\" \/><br \/>\n   <input name=\"submit\" type=\"submit\" value=\"Click to register information submitted\" style=\"font-family: ; font-size: ; color: ; background-color: ; border:  solid ; padding: 2px;\" \/><br \/>\n   <input name=\"reset\" type=\"reset\" value=\"Reset\" style=\"font-family: ; font-size: ; color: ; background-color: ; border:  solid ; padding: 2px;\" \/><br \/>\n   <input type=\"button\" value=\"Print\" onClick=\"window.print()\" style=\"font-family: ; font-size: ; color: ; background-color: ; border:  solid ; padding: 2px;\" \/>\n <\/td>\n<\/tr>\n<tr style=\"margin: 0; padding: 0;\">\n<td style=\"background-color: #FFFFFF; padding: 5px; clear: left; margin: 0;\">\n<span style=\"color: #FF0000\">*<\/span> <span style=\"font-family: Verdana; color: #000000; font-size: 14px;\">Required<\/span> <\/td>\n<\/tr>\n<\/table>\n<\/form>\n<p><!-- End myContactForm.com Form HTML --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Prefix: Mr.Mrs.MissMs.Dr. First Name: * Last Name: * E-mail Address: * Phone Number: * Street Address: * Address Line 2: City: * Postal Code: * Country: * AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua &#038; BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamaBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IislandsCosta RicaCote D&#8217;ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast &hellip; <a href=\"https:\/\/parorangi.maori.nz\/hpc\/register-now\/hbcoba_registration_a\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">ONLINE REGISTRATION &#8211; Sponsor<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":47,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-49","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/pages\/49","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/comments?post=49"}],"version-history":[{"count":29,"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/pages\/49\/revisions"}],"predecessor-version":[{"id":276,"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/pages\/49\/revisions\/276"}],"up":[{"embeddable":true,"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/pages\/47"}],"wp:attachment":[{"href":"https:\/\/parorangi.maori.nz\/hpc\/wp-json\/wp\/v2\/media?parent=49"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}