{"id":9803,"date":"2022-03-21T09:31:07","date_gmt":"2022-03-21T13:31:07","guid":{"rendered":"https:\/\/web.uri.edu\/chs\/?page_id=9803"},"modified":"2022-03-24T13:25:31","modified_gmt":"2022-03-24T17:25:31","slug":"cdc-payment-portal","status":"publish","type":"page","link":"https:\/\/web.uri.edu\/chs\/payment-portal\/cdc-payment-portal\/","title":{"rendered":"Child Development Center &#8211; Payment Portal"},"content":{"rendered":"<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_27' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_27'  action='\/chs\/wp-json\/wp\/v2\/pages\/9803' data-formid='27' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_27' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_27_40\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_40'>URL<\/label><div class='ginput_container'><input name='input_40' id='input_27_40' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_27_40'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_27_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Select Clinic<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_6'>\n\t\t\t<div class='gchoice gchoice_27_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='CHS-CDCK'  id='choice_27_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_0' id='label_27_6_0' class='gform-field-label gform-field-label--type-inline'>Kingston &#8211; URI Child Development Center<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='CHS-CDCP'  id='choice_27_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_1' id='label_27_6_1' class='gform-field-label gform-field-label--type-inline'>Providence &#8211; Dr. Pat Feinstein Child Development Center<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_26\" class=\"gfield gfield--type-select gfield--input-type-select cdc_session gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_26'>Select Session<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_26' id='input_27_26' class='medium gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Academic Year 2025' >Academic Year 2025<\/option><option value='Academic Year 2026' >Academic Year 2026<\/option><\/select><\/div><\/div><div id=\"field_27_9\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_9'>Select the number of children<\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_27_9' class='medium gfield_select'     aria-invalid=\"false\" ><option value='1' >1<\/option><option value='2' >2<\/option><\/select><\/div><\/div><div id=\"field_27_37\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_27_37'>Enter email address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_37' id='input_27_37' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_27_29\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name of individual submitting payment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_27_29'>\n                            \n                            <span id='input_27_29_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_29.3' id='input_27_29_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_29_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_27_29_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_29.6' id='input_27_29_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_29_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_27_5\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Child Name(s)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_5'>Enter in your child(rens) first name. For multiple children please enter in both first names.<\/div><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_27_5'>\n                            \n                            <span id='input_27_5_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.3' id='input_27_5_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_5_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_27_5_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_5.6' id='input_27_5_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_27_5_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><fieldset id=\"field_27_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Select Pricing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_30'>Summer for one child.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_30'>\n\t\t\t<div class='gchoice gchoice_27_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='$25.00'  id='choice_27_30_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_27_30\"   \/>\n\t\t\t\t\t<label for='choice_27_30_0' id='label_27_30_0' class='gform-field-label gform-field-label--type-inline'>Application Fee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='$2760'  id='choice_27_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_1' id='label_27_30_1' class='gform-field-label gform-field-label--type-inline'>Extended Day (One Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='$1380'  id='choice_27_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_2' id='label_27_30_2' class='gform-field-label gform-field-label--type-inline'>Extended Day (Two Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_30_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='$2240'  id='choice_27_30_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_3' id='label_27_30_3' class='gform-field-label gform-field-label--type-inline'>Morning Program (One Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_30_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='$1120'  id='choice_27_30_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_4' id='label_27_30_4' class='gform-field-label gform-field-label--type-inline'>Morning Program (Two Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_30_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='$0.00'  id='choice_27_30_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_5' id='label_27_30_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label' >Select Pricing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_34'>Summer for two children.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_34'>\n\t\t\t<div class='gchoice gchoice_27_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='$25.00'  id='choice_27_34_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_27_34\"   \/>\n\t\t\t\t\t<label for='choice_27_34_0' id='label_27_34_0' class='gform-field-label gform-field-label--type-inline'>Application Fee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='$5244'  id='choice_27_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_34_1' id='label_27_34_1' class='gform-field-label gform-field-label--type-inline'>Extended Day (One Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_34_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='$2622'  id='choice_27_34_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_34_2' id='label_27_34_2' class='gform-field-label gform-field-label--type-inline'>Extended Day (Two Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_34_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='$4256'  id='choice_27_34_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_34_3' id='label_27_34_3' class='gform-field-label gform-field-label--type-inline'>Morning Program (One Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_34_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='$2128'  id='choice_27_34_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_34_4' id='label_27_34_4' class='gform-field-label gform-field-label--type-inline'>Morning Program (Two Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_34_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='$0.00'  id='choice_27_34_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_34_5' id='label_27_34_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_32\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Select Pricing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_32'>Academic Year for one child.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_32'>\n\t\t\t<div class='gchoice gchoice_27_32_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$25.00'  id='choice_27_32_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_27_32\"   \/>\n\t\t\t\t\t<label for='choice_27_32_0' id='label_27_32_0' class='gform-field-label gform-field-label--type-inline'>Application Fee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_32_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$1400'  id='choice_27_32_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_32_1' id='label_27_32_1' class='gform-field-label gform-field-label--type-inline'>Extended Day Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_32_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$14000'  id='choice_27_32_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_32_2' id='label_27_32_2' class='gform-field-label gform-field-label--type-inline'>Extended Day (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_32_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$1400'  id='choice_27_32_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_32_3' id='label_27_32_3' class='gform-field-label gform-field-label--type-inline'>Extended Day (10 Monthly Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_32_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$1190'  id='choice_27_32_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_32_4' id='label_27_32_4' class='gform-field-label gform-field-label--type-inline'>Morning Program Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_32_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$11900'  id='choice_27_32_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_32_5' id='label_27_32_5' class='gform-field-label gform-field-label--type-inline'>Morning Program (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_32_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$1190'  id='choice_27_32_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_32_6' id='label_27_32_6' class='gform-field-label gform-field-label--type-inline'>Morning Program (10 Monthly Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_32_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_32' type='radio' value='$0.00'  id='choice_27_32_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_32_7' id='label_27_32_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_33\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Select Pricing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_33'>Academic Year for two children.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_33'>\n\t\t\t<div class='gchoice gchoice_27_33_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$25.00'  id='choice_27_33_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_27_33\"   \/>\n\t\t\t\t\t<label for='choice_27_33_0' id='label_27_33_0' class='gform-field-label gform-field-label--type-inline'>Application Fee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_33_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$2660'  id='choice_27_33_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_33_1' id='label_27_33_1' class='gform-field-label gform-field-label--type-inline'>Extended Day Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_33_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$26600'  id='choice_27_33_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_33_2' id='label_27_33_2' class='gform-field-label gform-field-label--type-inline'>Extended Day (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_33_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$2660'  id='choice_27_33_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_33_3' id='label_27_33_3' class='gform-field-label gform-field-label--type-inline'>Extended Day (10 Monthly Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_33_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$2261'  id='choice_27_33_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_33_4' id='label_27_33_4' class='gform-field-label gform-field-label--type-inline'>Morning Program Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_33_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$22260'  id='choice_27_33_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_33_5' id='label_27_33_5' class='gform-field-label gform-field-label--type-inline'>Morning Program (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_33_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$2261'  id='choice_27_33_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_33_6' id='label_27_33_6' class='gform-field-label gform-field-label--type-inline'>Morning Program (10 Monthly Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_33_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_33' type='radio' value='$0.00'  id='choice_27_33_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_33_7' id='label_27_33_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Select Pricing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_38'>2025 Academic Year for one child.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_38'>\n\t\t\t<div class='gchoice gchoice_27_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$25.00'  id='choice_27_38_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_27_38\"   \/>\n\t\t\t\t\t<label for='choice_27_38_0' id='label_27_38_0' class='gform-field-label gform-field-label--type-inline'>Application Fee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_38_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$1300'  id='choice_27_38_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_38_1' id='label_27_38_1' class='gform-field-label gform-field-label--type-inline'>Extended Day Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_38_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$13000'  id='choice_27_38_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_38_2' id='label_27_38_2' class='gform-field-label gform-field-label--type-inline'>Extended Day (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_38_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$1300'  id='choice_27_38_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_38_3' id='label_27_38_3' class='gform-field-label gform-field-label--type-inline'>Extended Day (10 Monthly Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_38_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$1100'  id='choice_27_38_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_38_4' id='label_27_38_4' class='gform-field-label gform-field-label--type-inline'>Morning Program Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_38_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$11000'  id='choice_27_38_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_38_5' id='label_27_38_5' class='gform-field-label gform-field-label--type-inline'>Morning Program (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_38_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$1100'  id='choice_27_38_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_38_6' id='label_27_38_6' class='gform-field-label gform-field-label--type-inline'>Morning Program (10 Monthly Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_38_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='$0.00'  id='choice_27_38_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_38_7' id='label_27_38_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_39\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Select Pricing<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description' id='gfield_description_27_39'>2025 Academic Year for two children.<\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_39'>\n\t\t\t<div class='gchoice gchoice_27_39_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='$25.00'  id='choice_27_39_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_27_39\"   \/>\n\t\t\t\t\t<label for='choice_27_39_0' id='label_27_39_0' class='gform-field-label gform-field-label--type-inline'>Application Fee<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_39_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='$2340'  id='choice_27_39_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_39_1' id='label_27_39_1' class='gform-field-label gform-field-label--type-inline'>Extended Day Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_39_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='$23400'  id='choice_27_39_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_39_2' id='label_27_39_2' class='gform-field-label gform-field-label--type-inline'>Extended Day (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_39_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='$2340'  id='choice_27_39_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_39_3' id='label_27_39_3' class='gform-field-label gform-field-label--type-inline'>Extended Day (10 Monthly Payments)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_39_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='$1980'  id='choice_27_39_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_39_4' id='label_27_39_4' class='gform-field-label gform-field-label--type-inline'>Morning Program Deposit<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_39_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='$9900'  id='choice_27_39_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_39_5' id='label_27_39_5' class='gform-field-label gform-field-label--type-inline'>Morning Program (Full Payment)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_39_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_39' type='radio' value='$990'  id='choice_27_39_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_39_6' id='label_27_39_6' 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