{"id":1271,"date":"2019-01-12T02:48:32","date_gmt":"2019-01-12T02:48:32","guid":{"rendered":"https:\/\/northwesterndriving.com\/?page_id=1271"},"modified":"2024-01-25T06:27:02","modified_gmt":"2024-01-25T06:27:02","slug":"register","status":"publish","type":"page","link":"https:\/\/www.northwesterndriving.com\/?page_id=1271","title":{"rendered":"Registration"},"content":{"rendered":"\n<p class=\"has-small-font-size\">We require you to enter all the information accurately. It will help us process your information promptly. <\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full wpforms-stripe wpforms-block wpforms-block-214448b6-8792-423f-ab9c-9b61463162c4\" id=\"wpforms-18025\"><form id=\"wpforms-form-18025\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"18025\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1271\" data-token=\"674716f564b81d36319ff6e7acd35686\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-18025-field_1-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_1\">Checkboxes <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-18025-field_1\" class=\"wpforms-field-required\"><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-18025-field_1_8\" name=\"wpforms[fields][1][]\" value=\"Skokie | Tuesday | April 28- 1:30pm-5:30pm | 4554 Oakton, Skokie, IL 60076\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-18025-field_1_8\">Skokie | Tuesday | April 28- 1:30pm-5:30pm | 4554 Oakton, Skokie, IL 60076<\/label><\/li><\/ul><div class=\"wpforms-field-description\">Please select the class you wish to join*<\/div><\/div><div id=\"wpforms-18025-field_2-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_2\">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-18025-field_2\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][2][first]\" required><label for=\"wpforms-18025-field_2\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-18025-field_2-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][2][last]\" required><label for=\"wpforms-18025-field_2-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-18025-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_8\">Zip Code <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-18025-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-18025-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_4\">Phone <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-18025-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-18025-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_5\">Date of Birth (MM\/DD\/YYYY)* <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-18025-field_5\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-18025-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_6\">Driver&#039;s License \/ State ID #<\/label><input type=\"text\" id=\"wpforms-18025-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-18025-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-18025-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-18025-field_11-container\" class=\"wpforms-field wpforms-field-payment-single\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_11\">Remedial Class<\/label><div class=\"wpforms-single-item-price\">Price: <span class=\"wpforms-price\">&#036;100.00<\/span><\/div><input type=\"hidden\" id=\"wpforms-18025-field_11\" class=\"wpforms-field-small wpforms-payment-price\" name=\"wpforms[fields][11]\" value=\"&#036;100.00\"><\/div><div id=\"wpforms-18025-field_9-container\" class=\"wpforms-field wpforms-field-stripe-credit-card\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_9\">Remedial Class Payment $100<\/label><div class=\"wpforms-field-row wpforms-no-columns wpforms-field-small \" data-sublabel-position=\"above\" data-link-email=\"\" data-required=\"0\"><div id=\"wpforms-field-stripe-link-element-18025\"><\/div><div id=\"wpforms-field-stripe-payment-element-18025\"><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-18025]\" disabled style=\"display: none;\"><\/div><\/div><div id=\"wpforms-18025-field_10-container\" class=\"wpforms-field wpforms-field-payment-total\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-18025-field_10\">Total<\/label><div class=\"wpforms-payment-total\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-18025-field_10\" class=\"wpforms-payment-total\" name=\"wpforms[fields][10]\" value=\"0\"><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"18025\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-18025\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.northwesterndriving.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"<p>We require you to enter all the information accurately. It will help us process your information promptly.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"elegant_blocks_team_1":false,"elegant_blocks_blog_1":false,"elegant_blocks_slider_1":false,"1536x1536":false,"2048x2048":false,"bizberg_medium":false,"bizberg_gallery":false,"bizberg_blog_list":false,"bizberg_detail_image":false,"bizberg_detail_image_no_sidebar":false,"bizberg_portfolio_homepage":false,"bizberg_blog_list_no_sidebar_1":false},"uagb_author_info":{"display_name":"admin","author_link":"https:\/\/www.northwesterndriving.com\/?author=1"},"uagb_comment_info":0,"uagb_excerpt":"We require you to enter all the information accurately. It will help us process your information promptly.","_links":{"self":[{"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=\/wp\/v2\/pages\/1271"}],"collection":[{"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1271"}],"version-history":[{"count":6,"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=\/wp\/v2\/pages\/1271\/revisions"}],"predecessor-version":[{"id":18045,"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=\/wp\/v2\/pages\/1271\/revisions\/18045"}],"wp:attachment":[{"href":"https:\/\/www.northwesterndriving.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}