Notah Begay III Chicago

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<div><label>Athlete's First Name<span style='color:red;'>*</span></label><input type='text' style='width:100%;' maxlength='40' name='First Name' /></div><div><label>Athlete's Last Name<span style='color:red;'>*</span></label><input type='text' style='width:100%;' maxlength='80' name='Last Name' /></div><div><label>Email<span style='color:red;'>*</span></label><input type='text' style='width:100%;' maxlength='100' name='Email' /></div><div><label>Gender</label> <select style='width:100%;font-size:16px' name='LEADCF16' multiple> <option value='Male'>Male</option> <option value='Female'>Female</option> </select></div> <div><label>Graduation Year</label><input type='text' style='width:100%;' maxlength='9' name='LEADCF55' /></div>

<div><label>Parents First Name</label><input type='text' style='width:100%;' maxlength='255' name='LEADCF39' /></div><div><label>Parents Last Name<label><input type='text' style='width:100%;' maxlength='255' name='LEADCF41' /></div><div><label>Parents Email</label><input type='text' style='width:100%;' maxlength='100' name='LEADCF40' /></div><div><label>Phone</label><input type='text' style='width:100%;' maxlength='30' name='Phone' /></div><div><label>Zip Code</label><input type='text' style='width:100%;' maxlength='30' name='Zip Code' /></div>

<div align="center"> <input class="et_pb_button et_pb_button_0 et_pb_module et_pb_bg_layout_light" style='padding:20px;width:150px;font-size:16px;color:black' type='submit' value='Submit' />  </div> <script> var mndFileds=new Array('First Name','Last Name','Email'); var fldLangVal=new Array('First Name','Last Name','Email'); var name=''; var email=''; function checkMandatory() { for(i=0;i<mndFileds.length;i++) { var fieldObj=document.forms['WebToLeads3447630000001226035'][mndFileds[i]]; if(fieldObj) { if (((fieldObj.value).replace(/^s+|s+$/g, '')).length==0) { if(fieldObj.type =='file') {  alert('Please select a file to upload.');  fieldObj.focus();  return false; }  alert(fldLangVal[i] +' cannot be empty.');  fieldObj.focus(); return false; } else if(fieldObj.nodeName=='SELECT') { if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') { alert(fldLangVal[i] +' cannot be none.');  fieldObj.focus(); return false; } } else if(fieldObj.type =='checkbox'){ if(fieldObj.checked == false){ alert('Please accept '+fldLangVal[i]); fieldObj.focus(); return false; }  }  try { if(fieldObj.name == 'Last Name') { name = fieldObj.value; } } catch (e) {} } } } </script> </form></div>

Fill Out The Form Below to Reserve Your Seat

<div align="center"> <input class="et_pb_button et_pb_button_0 et_pb_module et_pb_bg_layout_light" style='padding:20px;width:150px;font-size:16px;color:black' type='submit' value='Submit' />  </div> <script> var mndFileds=new Array('First Name','Last Name','Email'); var fldLangVal=new Array('First Name','Last Name','Email'); var name=''; var email=''; function checkMandatory() { for(i=0;i<mndFileds.length;i++) { var fieldObj=document.forms['WebToLeads3447630000001226035'][mndFileds[i]]; if(fieldObj) { if (((fieldObj.value).replace(/^\s+|\s+$/g, '')).length==0) { if(fieldObj.type =='file') {  alert('Please select a file to upload.');  fieldObj.focus();  return false; }  alert(fldLangVal[i] +' cannot be empty.');  fieldObj.focus(); return false; } else if(fieldObj.nodeName=='SELECT') { if(fieldObj.options[fieldObj.selectedIndex].value=='-None-') { alert(fldLangVal[i] +' cannot be none.');  fieldObj.focus(); return false; } } else if(fieldObj.type =='checkbox'){ if(fieldObj.checked == false){ alert('Please accept '+fldLangVal[i]); fieldObj.focus(); return false; }  }  try { if(fieldObj.name == 'Last Name') { name = fieldObj.value; } } catch (e) {} } } } </script> </form></div>

Fill Out The Form Below to Reserve Your Seat

Fill Out The Form Below to Reserve Your Seat

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