{"id":18380,"date":"2024-11-01T00:13:58","date_gmt":"2024-11-01T00:13:58","guid":{"rendered":"https:\/\/surreyborder.org.uk\/?p=18380"},"modified":"2024-11-01T00:55:14","modified_gmt":"2024-11-01T00:55:14","slug":"membership-form","status":"publish","type":"post","link":"https:\/\/surreyborder.org.uk\/index.php\/2024\/11\/01\/membership-form\/","title":{"rendered":"Membership Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"18380\" class=\"elementor elementor-18380\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7d12743 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7d12743\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f45bc3f\" data-id=\"f45bc3f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e8b9b2c elementor-widget elementor-widget-htmega-wpforms-addons\" data-id=\"e8b9b2c\" data-element_type=\"widget\" data-widget_type=\"htmega-wpforms-addons.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-16107\"><form id=\"wpforms-form-16107\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"16107\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/posts\/18380\" data-token=\"b72dcb7f494f3e821c99189650a1e420\" data-token-time=\"1775424897\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-16107-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_1\">Member Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-16107-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" placeholder=\"First Name\" required><label for=\"wpforms-16107-field_1\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-16107-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" placeholder=\"Last Name\" required><label for=\"wpforms-16107-field_1-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-16107-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-16107-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><div class=\"wpforms-field-description\">This email will be used for club communications.<\/div><\/div><div id=\"wpforms-16107-field_29-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_29\">Full Address (inc Post Code)<\/label><textarea id=\"wpforms-16107-field_29\" class=\"wpforms-field-small\" name=\"wpforms[fields][29]\" >Address including Post Code<\/textarea><div class=\"wpforms-field-description\">Please enter your full address including postcode<\/div><\/div><div id=\"wpforms-16107-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_11\">Telephone Contact <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-16107-field_11\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][11]\" value=\"Telephone\" required><\/div><div id=\"wpforms-16107-field_23-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_23\">Please provide contact Information in Case of Emergency <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-16107-field_23\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][23][first]\" placeholder=\"Emergency Contact Name\" required><label for=\"wpforms-16107-field_23\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-16107-field_23-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][23][last]\" placeholder=\"Emergency Contact Telephone Number\" required><label for=\"wpforms-16107-field_23-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-16107-field_8-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_8\">Name of 2nd family member, telephone number and email if you require Family Membership<\/label><div class=\"wpforms-field-row wpforms-field-large\"><div class=\"wpforms-field-row-block wpforms-first wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-16107-field_8\" class=\"wpforms-field-name-first\" name=\"wpforms[fields][8][first]\" placeholder=\"Name\" ><label for=\"wpforms-16107-field_8\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-fifth\"><input type=\"text\" id=\"wpforms-16107-field_8-middle\" class=\"wpforms-field-name-middle\" name=\"wpforms[fields][8][middle]\" placeholder=\"Telephone \" ><label for=\"wpforms-16107-field_8-middle\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Middle<\/label><\/div><div class=\"wpforms-field-row-block wpforms-two-fifths\"><input type=\"text\" id=\"wpforms-16107-field_8-last\" class=\"wpforms-field-name-last\" name=\"wpforms[fields][8][last]\" placeholder=\"Email Address\" ><label for=\"wpforms-16107-field_8-last\" class=\"wpforms-field-sublabel after wpforms-sublabel-hide\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-16107-field_27-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_27\">Please share any film making experiences or interests (Optional) <\/label><textarea id=\"wpforms-16107-field_27\" class=\"wpforms-field-small\" name=\"wpforms[fields][27]\" placeholder=\"Experiences or interests\" ><\/textarea><div class=\"wpforms-field-description\">Eg Drama, Acting, Script Writing, Animation, Camera, Sound, etc<\/div><\/div><div id=\"wpforms-16107-field_24-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"24\"><label class=\"wpforms-field-label\">Type of Membership Required (Pro rata for part year) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-16107-field_24\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-16107-field_24_1\" name=\"wpforms[fields][24]\" value=\"Single Person Membership (\u00a345 full year)\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_24_1\">Single Person Membership (\u00a345 full year)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-16107-field_24_2\" name=\"wpforms[fields][24]\" value=\"Family Membership (\u00a365 full year)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_24_2\">Family Membership (\u00a365 full year)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-16107-field_24_4\" name=\"wpforms[fields][24]\" value=\"Student (In full time education without regular income) (\u00a315 full year)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_24_4\">Student (In full time education without regular income) (\u00a315 full year)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-16107-field_24_5\" name=\"wpforms[fields][24]\" value=\"Country Membership (\u00a312 full year) + \u00a35 per attendance\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_24_5\">Country Membership (\u00a312 full year) + \u00a35 per attendance<\/label><\/li><\/ul><\/div><div id=\"wpforms-16107-field_2-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"2\"><label class=\"wpforms-field-label\">Appropriate Subscription fee for 2026 paid: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-16107-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1 wpforms-selected\"><input type=\"radio\" id=\"wpforms-16107-field_2_1\" name=\"wpforms[fields][2]\" value=\"via Online Banking\" required  checked='checked'><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_2_1\">via Online Banking<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-16107-field_2_2\" name=\"wpforms[fields][2]\" value=\"via Cheque\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_2_2\">via Cheque<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"radio\" id=\"wpforms-16107-field_2_8\" name=\"wpforms[fields][2]\" value=\"Send me details of how to pay\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_2_8\">Send me details of how to pay<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"radio\" id=\"wpforms-16107-field_2_7\" name=\"wpforms[fields][2]\" value=\"Other - Please explain in &#039;comments&#039; box below.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_2_7\">Other - Please explain in 'comments' box below.<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please confirm payment made by Online Banking or Cheque as per emailed guidance<\/div><\/div><div id=\"wpforms-16107-field_25-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-16107-field_25\">Comments for Membership Secretary<\/label><textarea id=\"wpforms-16107-field_25\" class=\"wpforms-field-small\" name=\"wpforms[fields][25]\" placeholder=\"Comments\" ><\/textarea><\/div><div id=\"wpforms-16107-field_15-container\" class=\"wpforms-field wpforms-field-gdpr-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label\">GDPR Agreement <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-16107-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1\"><input type=\"checkbox\" id=\"wpforms-16107-field_15_1\" name=\"wpforms[fields][15][]\" value=\"I consent to Surrey Border Movie Makers storing and using my information for club purposes.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-16107-field_15_1\">I consent to Surrey Border Movie Makers storing and using my information for club purposes.<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v2\" ><div class=\"g-recaptcha\" data-sitekey=\"6Le-6JkpAAAAADxhimREkqw5hqv7gwRm9MRtOgNz\"><\/div><input type=\"text\" name=\"g-recaptcha-hidden\" class=\"wpforms-recaptcha-hidden\" style=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\" data-rule-recaptcha=\"1\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"16107\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/posts\/18380\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-16107\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/surreyborder.org.uk\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"iawp_total_views":45,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-18380","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/posts\/18380","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/comments?post=18380"}],"version-history":[{"count":37,"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/posts\/18380\/revisions"}],"predecessor-version":[{"id":18419,"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/posts\/18380\/revisions\/18419"}],"wp:attachment":[{"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/media?parent=18380"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/categories?post=18380"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/surreyborder.org.uk\/index.php\/wp-json\/wp\/v2\/tags?post=18380"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}