{"id":4417,"date":"2025-09-11T15:12:28","date_gmt":"2025-09-11T15:12:28","guid":{"rendered":"https:\/\/www.puravidafutbolchallenge.com\/?page_id=4417"},"modified":"2025-09-11T17:52:30","modified_gmt":"2025-09-11T17:52:30","slug":"registration2026v1","status":"publish","type":"page","link":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/registration2026v1\/","title":{"rendered":"Registration Form 2026"},"content":{"rendered":"<style id=\"wpforms-css-vars-4392\">\n\t\t\t\t#wpforms-4392 {\n\t\t\t\t--wpforms-field-border-style: none;\n--wpforms-field-border-radius: 6px;\n--wpforms-field-background-color: rgba(255, 255, 255, 0.75);\n--wpforms-field-border-color: rgba(0, 0, 0, 0.25);\n--wpforms-field-border-color-spare: rgba(0, 0, 0, 0.25);\n--wpforms-field-text-color: #606775;\n--wpforms-label-color: #373d4a;\n--wpforms-label-sublabel-color: #606775;\n--wpforms-button-border-radius: 6px;\n--wpforms-button-background-color: #366ce3;\n--wpforms-button-border-color: #366ce3;\n--wpforms-container-padding: 60px;\n--wpforms-container-border-radius: 0px;\n--wpforms-background-color: #ffffff;\n--wpforms-background-image: stock;\n--wpforms-background-position: bottom center;\n--wpforms-background-url: url( https:\/\/www.puravidafutbolchallenge.com\/wp-content\/uploads\/wpforms\/themes\/stock-photos\/artiom-vallat-ZYhQXXGxvtQ-unsplash.jpg );\n--wpforms-page-break-color: #366ce3;\n--wpforms-field-border-size: 0px;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 18px;\n--wpforms-label-size-line-height: 21px;\n--wpforms-label-size-sublabel-font-size: 16px;\n--wpforms-label-size-sublabel-line-height: 19px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: 0px 30px 50px -10px rgba(0, 0, 0, 0.15);\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-4392\"><form id=\"wpforms-form-4392\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"4392\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/4417\" data-token=\"735d3d0bb87b19ca839abe6d391cddba\" data-token-time=\"1776371391\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-4392-field_8-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"8\"><h3 id=\"wpforms-4392-field_8\" aria-errormessage=\"wpforms-4392-field_8-error\">Team  Details<\/h3><\/div><div id=\"wpforms-4392-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_3\">Team Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-4392-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-4392-field_3-error\" aria-describedby=\"wpforms-4392-field_3-description\" required><div id=\"wpforms-4392-field_3-description\" class=\"wpforms-field-description\">Team Name<\/div><\/div><div id=\"wpforms-4392-field_72-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"72\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4392-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_9\">HOME Shirt Color <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4392-field_9\" class=\"wpforms-field-medium wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][9][]\" required=\"required\" multiple=\"multiple\"><option value=\"\" class=\"placeholder\" disabled >- Please select -<\/option><option value=\"White\"  class=\"choice-4 depth-1\"  >White<\/option><option value=\"Yellow\"  class=\"choice-5 depth-1\"  >Yellow<\/option><option value=\"Red\"  class=\"choice-6 depth-1\"  >Red<\/option><option value=\"Black\"  class=\"choice-7 depth-1\"  >Black<\/option><option value=\"Blue\"  class=\"choice-8 depth-1\"  >Blue<\/option><option value=\"Navy\"  class=\"choice-9 depth-1\"  >Navy<\/option><option value=\"Claret\"  class=\"choice-10 depth-1\"  >Claret<\/option><option value=\"Black\"  class=\"choice-11 depth-1\"  >Black<\/option><option value=\"Maroon\"  class=\"choice-12 depth-1\"  >Maroon<\/option><option value=\"Green\"  class=\"choice-13 depth-1\"  >Green<\/option><option value=\"Gold\"  class=\"choice-14 depth-1\"  >Gold<\/option><option value=\"Sky Blue\"  class=\"choice-15 depth-1\"  >Sky Blue<\/option><option value=\"Other\"  class=\"choice-16 depth-1\"  >Other<\/option><\/select><div id=\"wpforms-4392-field_9-description\" class=\"wpforms-field-description\">HOME team jersey colors. If not listed, pick Other and enter color.<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4392-field_73-container\" class=\"wpforms-field wpforms-field-select wpforms-conditional-trigger wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"73\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_73\">AWAY Shirt Color <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><select id=\"wpforms-4392-field_73\" class=\"wpforms-field-medium wpforms-field-required choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"1\" name=\"wpforms[fields][73][]\" required=\"required\" multiple=\"multiple\"><option value=\"\" class=\"placeholder\" disabled >- Please select -<\/option><option value=\"White\"  class=\"choice-4 depth-1\"  >White<\/option><option value=\"Yellow\"  class=\"choice-5 depth-1\"  >Yellow<\/option><option value=\"Red\"  class=\"choice-6 depth-1\"  >Red<\/option><option value=\"Black\"  class=\"choice-7 depth-1\"  >Black<\/option><option value=\"Blue\"  class=\"choice-8 depth-1\"  >Blue<\/option><option value=\"Navy\"  class=\"choice-9 depth-1\"  >Navy<\/option><option value=\"Claret\"  class=\"choice-10 depth-1\"  >Claret<\/option><option value=\"Black\"  class=\"choice-11 depth-1\"  >Black<\/option><option value=\"Maroon\"  class=\"choice-12 depth-1\"  >Maroon<\/option><option value=\"Green\"  class=\"choice-13 depth-1\"  >Green<\/option><option value=\"Gold\"  class=\"choice-14 depth-1\"  >Gold<\/option><option value=\"Sky Blue\"  class=\"choice-15 depth-1\"  >Sky Blue<\/option><option value=\"Other\"  class=\"choice-16 depth-1\"  >Other<\/option><\/select><div id=\"wpforms-4392-field_73-description\" class=\"wpforms-field-description\">AWAY team jersey colors. If not listed, pick Other and enter color.<\/div><\/div><\/div><\/div><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4392-field_10-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"10\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_10\">HOME Shirt Color Other - please specify<\/label><input type=\"text\" id=\"wpforms-4392-field_10\" class=\"wpforms-field-medium\" name=\"wpforms[fields][10]\" aria-errormessage=\"wpforms-4392-field_10-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-50\"><div id=\"wpforms-4392-field_74-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"text\" data-field-id=\"74\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_74\">AWAY Shirt Color Other - please specify<\/label><input type=\"text\" id=\"wpforms-4392-field_74\" class=\"wpforms-field-medium\" name=\"wpforms[fields][74]\" aria-errormessage=\"wpforms-4392-field_74-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4392-field_45-container\" class=\"wpforms-field wpforms-field-address\" data-field-type=\"address\" data-field-id=\"45\"><fieldset><legend class=\"wpforms-field-label\">Team Address <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-4392-field_45\" class=\"wpforms-field-address-address1 wpforms-field-required\" name=\"wpforms[fields][45][address1]\" aria-errormessage=\"wpforms-4392-field_45-error\" aria-describedby=\"wpforms-4392-field_45-description\" required><label for=\"wpforms-4392-field_45\" class=\"wpforms-field-sublabel after\">Address Line 1<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div ><input type=\"text\" id=\"wpforms-4392-field_45-address2\" class=\"wpforms-field-address-address2\" name=\"wpforms[fields][45][address2]\" aria-errormessage=\"wpforms-4392-field_45-address2-error\" aria-describedby=\"wpforms-4392-field_45-description\" ><label for=\"wpforms-4392-field_45-address2\" class=\"wpforms-field-sublabel after\">Address Line 2<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4392-field_45-city\" class=\"wpforms-field-address-city wpforms-field-required\" name=\"wpforms[fields][45][city]\" aria-errormessage=\"wpforms-4392-field_45-city-error\" aria-describedby=\"wpforms-4392-field_45-description\" required><label for=\"wpforms-4392-field_45-city\" class=\"wpforms-field-sublabel after\">City<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_45-state\" class=\"wpforms-field-address-state wpforms-field-required\" name=\"wpforms[fields][45][state]\" aria-errormessage=\"wpforms-4392-field_45-state-error\" aria-describedby=\"wpforms-4392-field_45-description\" required><label for=\"wpforms-4392-field_45-state\" class=\"wpforms-field-sublabel after\">State \/ Province \/ Region<\/label><\/div><\/div><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-one-half wpforms-first\"><input type=\"text\" id=\"wpforms-4392-field_45-postal\" class=\"wpforms-field-address-postal wpforms-field-required\" name=\"wpforms[fields][45][postal]\" aria-errormessage=\"wpforms-4392-field_45-postal-error\" aria-describedby=\"wpforms-4392-field_45-description\" required><label for=\"wpforms-4392-field_45-postal\" class=\"wpforms-field-sublabel after\">Postal Code<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><select id=\"wpforms-4392-field_45-country\" class=\"wpforms-field-address-country wpforms-field-required\" name=\"wpforms[fields][45][country]\" aria-errormessage=\"wpforms-4392-field_45-country-error\" aria-describedby=\"wpforms-4392-field_45-description\" required><option class=\"placeholder\" value=\"\" selected disabled>--- Select country ---<\/option><option value=\"AF\" >Afghanistan<\/option><option value=\"AL\" >Albania<\/option><option value=\"DZ\" >Algeria<\/option><option value=\"AS\" >American Samoa<\/option><option value=\"AD\" >Andorra<\/option><option value=\"AO\" >Angola<\/option><option value=\"AI\" >Anguilla<\/option><option value=\"AQ\" >Antarctica<\/option><option value=\"AG\" >Antigua and Barbuda<\/option><option value=\"AR\" >Argentina<\/option><option value=\"AM\" >Armenia<\/option><option value=\"AW\" >Aruba<\/option><option value=\"AU\" >Australia<\/option><option value=\"AT\" >Austria<\/option><option value=\"AZ\" >Azerbaijan<\/option><option value=\"BS\" >Bahamas<\/option><option value=\"BH\" >Bahrain<\/option><option value=\"BD\" >Bangladesh<\/option><option value=\"BB\" >Barbados<\/option><option value=\"BY\" >Belarus<\/option><option value=\"BE\" >Belgium<\/option><option value=\"BZ\" >Belize<\/option><option value=\"BJ\" >Benin<\/option><option value=\"BM\" >Bermuda<\/option><option value=\"BT\" >Bhutan<\/option><option value=\"BO\" >Bolivia (Plurinational State of)<\/option><option value=\"BQ\" >Bonaire, Saint Eustatius and Saba<\/option><option value=\"BA\" >Bosnia and Herzegovina<\/option><option value=\"BW\" >Botswana<\/option><option value=\"BV\" >Bouvet Island<\/option><option value=\"BR\" >Brazil<\/option><option value=\"IO\" >British Indian Ocean Territory<\/option><option value=\"BN\" >Brunei Darussalam<\/option><option value=\"BG\" >Bulgaria<\/option><option value=\"BF\" >Burkina Faso<\/option><option value=\"BI\" >Burundi<\/option><option value=\"CV\" >Cabo Verde<\/option><option value=\"KH\" >Cambodia<\/option><option value=\"CM\" >Cameroon<\/option><option value=\"CA\" >Canada<\/option><option value=\"KY\" >Cayman Islands<\/option><option value=\"CF\" >Central African Republic<\/option><option value=\"TD\" >Chad<\/option><option value=\"CL\" >Chile<\/option><option value=\"CN\" >China<\/option><option value=\"CX\" >Christmas Island<\/option><option value=\"CC\" >Cocos (Keeling) Islands<\/option><option value=\"CO\" >Colombia<\/option><option value=\"KM\" >Comoros<\/option><option value=\"CG\" >Congo<\/option><option value=\"CD\" >Congo (Democratic Republic of the)<\/option><option value=\"CK\" >Cook Islands<\/option><option value=\"CR\" >Costa Rica<\/option><option value=\"HR\" >Croatia<\/option><option value=\"CU\" >Cuba<\/option><option value=\"CW\" >Cura\u00e7ao<\/option><option value=\"CY\" >Cyprus<\/option><option value=\"CZ\" >Czech Republic<\/option><option value=\"CI\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"DK\" >Denmark<\/option><option value=\"DJ\" >Djibouti<\/option><option value=\"DM\" >Dominica<\/option><option value=\"DO\" >Dominican Republic<\/option><option value=\"EC\" >Ecuador<\/option><option value=\"EG\" >Egypt<\/option><option value=\"SV\" >El Salvador<\/option><option value=\"GQ\" >Equatorial Guinea<\/option><option value=\"ER\" >Eritrea<\/option><option value=\"EE\" >Estonia<\/option><option value=\"SZ\" >Eswatini (Kingdom of)<\/option><option value=\"ET\" >Ethiopia<\/option><option value=\"FK\" >Falkland Islands (Malvinas)<\/option><option value=\"FO\" >Faroe Islands<\/option><option value=\"FJ\" >Fiji<\/option><option value=\"FI\" >Finland<\/option><option value=\"FR\" >France<\/option><option value=\"GF\" >French Guiana<\/option><option value=\"PF\" >French Polynesia<\/option><option value=\"TF\" >French Southern Territories<\/option><option value=\"GA\" >Gabon<\/option><option value=\"GM\" >Gambia<\/option><option value=\"GE\" >Georgia<\/option><option value=\"DE\" >Germany<\/option><option value=\"GH\" >Ghana<\/option><option value=\"GI\" >Gibraltar<\/option><option value=\"GR\" >Greece<\/option><option value=\"GL\" >Greenland<\/option><option value=\"GD\" >Grenada<\/option><option value=\"GP\" >Guadeloupe<\/option><option value=\"GU\" >Guam<\/option><option value=\"GT\" >Guatemala<\/option><option value=\"GG\" >Guernsey<\/option><option value=\"GN\" >Guinea<\/option><option value=\"GW\" >Guinea-Bissau<\/option><option value=\"GY\" >Guyana<\/option><option value=\"HT\" >Haiti<\/option><option value=\"HM\" >Heard Island and McDonald Islands<\/option><option value=\"HN\" >Honduras<\/option><option value=\"HK\" >Hong Kong<\/option><option value=\"HU\" >Hungary<\/option><option value=\"IS\" >Iceland<\/option><option value=\"IN\" >India<\/option><option value=\"ID\" >Indonesia<\/option><option value=\"IR\" >Iran (Islamic Republic of)<\/option><option value=\"IQ\" >Iraq<\/option><option value=\"IE\" >Ireland (Republic of)<\/option><option value=\"IM\" >Isle of Man<\/option><option value=\"IL\" >Israel<\/option><option value=\"IT\" >Italy<\/option><option value=\"JM\" >Jamaica<\/option><option value=\"JP\" >Japan<\/option><option value=\"JE\" >Jersey<\/option><option value=\"JO\" >Jordan<\/option><option value=\"KZ\" >Kazakhstan<\/option><option value=\"KE\" >Kenya<\/option><option value=\"KI\" >Kiribati<\/option><option value=\"KP\" >Korea (Democratic People&#039;s Republic of)<\/option><option value=\"KR\" >Korea (Republic of)<\/option><option value=\"XK\" >Kosovo<\/option><option value=\"KW\" >Kuwait<\/option><option value=\"KG\" >Kyrgyzstan<\/option><option value=\"LA\" >Lao People&#039;s Democratic Republic<\/option><option value=\"LV\" >Latvia<\/option><option value=\"LB\" >Lebanon<\/option><option value=\"LS\" >Lesotho<\/option><option value=\"LR\" >Liberia<\/option><option value=\"LY\" >Libya<\/option><option value=\"LI\" >Liechtenstein<\/option><option value=\"LT\" >Lithuania<\/option><option value=\"LU\" >Luxembourg<\/option><option value=\"MO\" >Macao<\/option><option value=\"MG\" >Madagascar<\/option><option value=\"MW\" >Malawi<\/option><option value=\"MY\" >Malaysia<\/option><option value=\"MV\" >Maldives<\/option><option value=\"ML\" >Mali<\/option><option value=\"MT\" >Malta<\/option><option value=\"MH\" >Marshall Islands<\/option><option value=\"MQ\" >Martinique<\/option><option value=\"MR\" >Mauritania<\/option><option value=\"MU\" >Mauritius<\/option><option value=\"YT\" >Mayotte<\/option><option value=\"MX\" >Mexico<\/option><option value=\"FM\" >Micronesia (Federated States of)<\/option><option value=\"MD\" >Moldova (Republic of)<\/option><option value=\"MC\" >Monaco<\/option><option value=\"MN\" >Mongolia<\/option><option value=\"ME\" >Montenegro<\/option><option value=\"MS\" >Montserrat<\/option><option value=\"MA\" >Morocco<\/option><option value=\"MZ\" >Mozambique<\/option><option value=\"MM\" >Myanmar<\/option><option value=\"NA\" >Namibia<\/option><option value=\"NR\" >Nauru<\/option><option value=\"NP\" >Nepal<\/option><option value=\"NL\" >Netherlands<\/option><option value=\"NC\" >New Caledonia<\/option><option value=\"NZ\" >New Zealand<\/option><option value=\"NI\" >Nicaragua<\/option><option value=\"NE\" >Niger<\/option><option value=\"NG\" >Nigeria<\/option><option value=\"NU\" >Niue<\/option><option value=\"NF\" >Norfolk Island<\/option><option value=\"MK\" >North Macedonia (Republic of)<\/option><option value=\"MP\" >Northern Mariana Islands<\/option><option value=\"NO\" >Norway<\/option><option value=\"OM\" >Oman<\/option><option value=\"PK\" >Pakistan<\/option><option value=\"PW\" >Palau<\/option><option value=\"PS\" >Palestine (State of)<\/option><option value=\"PA\" >Panama<\/option><option value=\"PG\" >Papua New Guinea<\/option><option value=\"PY\" >Paraguay<\/option><option value=\"PE\" >Peru<\/option><option value=\"PH\" >Philippines<\/option><option value=\"PN\" >Pitcairn<\/option><option value=\"PL\" >Poland<\/option><option value=\"PT\" >Portugal<\/option><option value=\"PR\" >Puerto Rico<\/option><option value=\"QA\" >Qatar<\/option><option value=\"RO\" >Romania<\/option><option value=\"RU\" >Russian Federation<\/option><option value=\"RW\" >Rwanda<\/option><option value=\"RE\" >R\u00e9union<\/option><option value=\"BL\" >Saint Barth\u00e9lemy<\/option><option value=\"SH\" >Saint Helena, Ascension and Tristan da Cunha<\/option><option value=\"KN\" >Saint Kitts and Nevis<\/option><option value=\"LC\" >Saint Lucia<\/option><option value=\"MF\" >Saint Martin (French part)<\/option><option value=\"PM\" >Saint Pierre and Miquelon<\/option><option value=\"VC\" >Saint Vincent and the Grenadines<\/option><option value=\"WS\" >Samoa<\/option><option value=\"SM\" >San Marino<\/option><option value=\"ST\" >Sao Tome and Principe<\/option><option value=\"SA\" >Saudi Arabia<\/option><option value=\"SN\" >Senegal<\/option><option value=\"RS\" >Serbia<\/option><option value=\"SC\" >Seychelles<\/option><option value=\"SL\" >Sierra Leone<\/option><option value=\"SG\" >Singapore<\/option><option value=\"SX\" >Sint Maarten (Dutch part)<\/option><option value=\"SK\" >Slovakia<\/option><option value=\"SI\" >Slovenia<\/option><option value=\"SB\" >Solomon Islands<\/option><option value=\"SO\" >Somalia<\/option><option value=\"ZA\" >South Africa<\/option><option value=\"GS\" >South Georgia and the South Sandwich Islands<\/option><option value=\"SS\" >South Sudan<\/option><option value=\"ES\" >Spain<\/option><option value=\"LK\" >Sri Lanka<\/option><option value=\"SD\" >Sudan<\/option><option value=\"SR\" >Suriname<\/option><option value=\"SJ\" >Svalbard and Jan Mayen<\/option><option value=\"SE\" >Sweden<\/option><option value=\"CH\" >Switzerland<\/option><option value=\"SY\" >Syrian Arab Republic<\/option><option value=\"TW\" >Taiwan, Republic of China<\/option><option value=\"TJ\" >Tajikistan<\/option><option value=\"TZ\" >Tanzania (United Republic of)<\/option><option value=\"TH\" >Thailand<\/option><option value=\"TL\" >Timor-Leste<\/option><option value=\"TG\" >Togo<\/option><option value=\"TK\" >Tokelau<\/option><option value=\"TO\" >Tonga<\/option><option value=\"TT\" >Trinidad and Tobago<\/option><option value=\"TN\" >Tunisia<\/option><option value=\"TM\" >Turkmenistan<\/option><option value=\"TC\" >Turks and Caicos Islands<\/option><option value=\"TV\" >Tuvalu<\/option><option value=\"TR\" >T\u00fcrkiye<\/option><option value=\"UG\" >Uganda<\/option><option value=\"UA\" >Ukraine<\/option><option value=\"AE\" >United Arab Emirates<\/option><option value=\"GB\" >United Kingdom of Great Britain and Northern Ireland<\/option><option value=\"UM\" >United States Minor Outlying Islands<\/option><option value=\"US\" >United States of America<\/option><option value=\"UY\" >Uruguay<\/option><option value=\"UZ\" >Uzbekistan<\/option><option value=\"VU\" >Vanuatu<\/option><option value=\"VA\" >Vatican City State<\/option><option value=\"VE\" >Venezuela (Bolivarian Republic of)<\/option><option value=\"VN\" >Vietnam<\/option><option value=\"VG\" >Virgin Islands (British)<\/option><option value=\"VI\" >Virgin Islands (U.S.)<\/option><option value=\"WF\" >Wallis and Futuna<\/option><option value=\"EH\" >Western Sahara<\/option><option value=\"YE\" >Yemen<\/option><option value=\"ZM\" >Zambia<\/option><option value=\"ZW\" >Zimbabwe<\/option><option value=\"AX\" >\u00c5land Islands<\/option><\/select><label for=\"wpforms-4392-field_45-country\" class=\"wpforms-field-sublabel after\">Country<\/label><\/div><\/div><div id=\"wpforms-4392-field_45-description\" class=\"wpforms-field-description\">Team official address (Coach's address if applicable)<\/div><\/fieldset><\/div><div id=\"wpforms-4392-field_4-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"4\"><h3 id=\"wpforms-4392-field_4\" aria-errormessage=\"wpforms-4392-field_4-error\">Coach  Details<\/h3><\/div><div id=\"wpforms-4392-field_5-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Head Coach Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_5\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][5][first]\" aria-errormessage=\"wpforms-4392-field_5-error\" aria-describedby=\"wpforms-4392-field_5-description\" required><label for=\"wpforms-4392-field_5\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_5-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][5][last]\" aria-errormessage=\"wpforms-4392-field_5-last-error\" aria-describedby=\"wpforms-4392-field_5-description\" required><label for=\"wpforms-4392-field_5-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-4392-field_5-description\" class=\"wpforms-field-description\">Coach Name - first and last<\/div><\/fieldset><\/div><div id=\"wpforms-4392-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_1\">Coach Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-4392-field_1\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" aria-errormessage=\"wpforms-4392-field_1-error\" aria-describedby=\"wpforms-4392-field_1-description\" required><div id=\"wpforms-4392-field_1-description\" class=\"wpforms-field-description\">Email Address<\/div><\/div><div id=\"wpforms-4392-field_40-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_40\">Coach Phone Number <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"tel\" id=\"wpforms-4392-field_40\" class=\"wpforms-field-medium wpforms-field-required wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][40]\" aria-label=\"Coach Phone Number\" aria-errormessage=\"wpforms-4392-field_40-error\" aria-describedby=\"wpforms-4392-field_40-description\" required><div id=\"wpforms-4392-field_40-description\" class=\"wpforms-field-description\">Mobile Phone<\/div><\/div><div id=\"wpforms-4392-field_59-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"59\"><fieldset><legend class=\"wpforms-field-label wpforms-label-hide\" aria-hidden=\"false\">Checkboxes<\/legend><ul id=\"wpforms-4392-field_59\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4392-field_59_1\" name=\"wpforms[fields][59][]\" value=\"Assistance for bulk upload for multiple divisions\" aria-errormessage=\"wpforms-4392-field_59_1-error\" aria-describedby=\"wpforms-4392-field_59-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4392-field_59_1\">Assistance for bulk upload for multiple divisions<\/label><\/li><\/ul><div id=\"wpforms-4392-field_59-description\" class=\"wpforms-field-description\">If you have a bulk upload for multiple teams send us an email at info@puravida-fc.com<\/div><\/fieldset><\/div><div id=\"wpforms-4392-field_61-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"61\"><h3 id=\"wpforms-4392-field_61\" aria-errormessage=\"wpforms-4392-field_61-error\">Team Roster<\/h3><\/div>\t\t<div id=\"wpforms-4392-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-4392-field_2\" >specify Details Team<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-4392-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-4392-field_46-container\" class=\"wpforms-field wpforms-field-repeater wpforms-field-repeater-display-blocks\" data-rows-min=\"1\" data-rows-max=\"16\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"46\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tPlayer Details\n\t\t\t<\/h3><div id=\"wpforms-4392-field_46-description\" class=\"wpforms-field-description\">The minimum # of players is 12. We reserve the right to inspect each player's government issued ID to confirm age and identity.<\/div><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][46][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template-46-4392\"><div id=\"wpforms-4392-repeater-field_46-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<h3 class=\"wpforms-field-repeater-block-title\">\n\t\t\t\tPlayer Details <span class=\"wpforms-wpforms-field-repeater-block-num\">#{CLONE}<\/span>\n\t\t\t<\/h3><div class=\"wpforms-field-description\">The minimum # of players is 12. We reserve the right to inspect each player's government issued ID to confirm age and identity.<\/div><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-blocks wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_57_{CLONE}-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"57_{CLONE}\"><fieldset><legend class=\"wpforms-field-label\">Player Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_57_{CLONE}\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][57_{CLONE}][first]\" aria-errormessage=\"wpforms-4392-field_57_{CLONE}-error\" aria-describedby=\"wpforms-4392-field_57_{CLONE}-description\" required><label for=\"wpforms-4392-field_57_{CLONE}\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_57_{CLONE}-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][57_{CLONE}][last]\" aria-errormessage=\"wpforms-4392-field_57_{CLONE}-last-error\" aria-describedby=\"wpforms-4392-field_57_{CLONE}-description\" required><label for=\"wpforms-4392-field_57_{CLONE}-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-4392-field_57_{CLONE}-description\" class=\"wpforms-field-description\">Player name - first and last<\/div><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_60_{CLONE}-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"60_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_60_{CLONE}\">Player Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4392-field_60_{CLONE}\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][60_{CLONE}][date]\" aria-errormessage=\"wpforms-4392-field_60_{CLONE}-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_52_{CLONE}-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"52_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_52_{CLONE}\">Player Jersey #<\/label><input type=\"number\" id=\"wpforms-4392-field_52_{CLONE}\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52_{CLONE}]\" step=\"any\" aria-errormessage=\"wpforms-4392-field_52_{CLONE}-error\" aria-describedby=\"wpforms-4392-field_52_{CLONE}-description\" ><div id=\"wpforms-4392-field_52_{CLONE}-description\" class=\"wpforms-field-description\">Team jersey number<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_51_{CLONE}-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"51_{CLONE}\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_51_{CLONE}\">Player Division Group<\/label><select id=\"wpforms-4392-field_51_{CLONE}\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][51_{CLONE}]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"U15\"  class=\"choice-1 depth-1\"  >U15<\/option><option value=\"U13\"  class=\"choice-2 depth-1\"  >U13<\/option><option value=\"U11\"  class=\"choice-3 depth-1\"  >U11<\/option><option value=\"U9\"  class=\"choice-4 depth-1\"  >U9<\/option><\/select><div id=\"wpforms-4392-field_51_{CLONE}-description\" class=\"wpforms-field-description\">Age group player will be playing at the tournament<\/div><\/div><\/div><\/div><\/div><div class=\"wpforms-field-repeater-display-blocks-buttons\" data-button-type=\"buttons_with_icons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Add<\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Remove<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-blocks wpforms-field-repeater-preset-25-25-25-25\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_57-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"57\"><fieldset><legend class=\"wpforms-field-label\">Player Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_57\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][57][first]\" aria-errormessage=\"wpforms-4392-field_57-error\" aria-describedby=\"wpforms-4392-field_57-description\" required><label for=\"wpforms-4392-field_57\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_57-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][57][last]\" aria-errormessage=\"wpforms-4392-field_57-last-error\" aria-describedby=\"wpforms-4392-field_57-description\" required><label for=\"wpforms-4392-field_57-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><div id=\"wpforms-4392-field_57-description\" class=\"wpforms-field-description\">Player name - first and last<\/div><\/fieldset><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_60-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-type=\"date-time\" data-field-id=\"60\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_60\">Player Date of Birth <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-4392-field_60\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][60][date]\" aria-errormessage=\"wpforms-4392-field_60-error\" required><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_52-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"52\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_52\">Player Jersey #<\/label><input type=\"number\" id=\"wpforms-4392-field_52\" class=\"wpforms-field-medium\" name=\"wpforms[fields][52]\" step=\"any\" aria-errormessage=\"wpforms-4392-field_52-error\" aria-describedby=\"wpforms-4392-field_52-description\" ><div id=\"wpforms-4392-field_52-description\" class=\"wpforms-field-description\">Team jersey number<\/div><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_51-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-modern\" data-field-type=\"select\" data-field-id=\"51\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_51\">Player Division Group<\/label><select id=\"wpforms-4392-field_51\" class=\"wpforms-field-medium choicesjs-select\" data-size-class=\"wpforms-field-row wpforms-field-medium\" data-search-enabled=\"\" name=\"wpforms[fields][51]\"><option value=\"\" class=\"placeholder\" disabled  selected='selected'><\/option><option value=\"U15\"  class=\"choice-1 depth-1\"  >U15<\/option><option value=\"U13\"  class=\"choice-2 depth-1\"  >U13<\/option><option value=\"U11\"  class=\"choice-3 depth-1\"  >U11<\/option><option value=\"U9\"  class=\"choice-4 depth-1\"  >U9<\/option><\/select><div id=\"wpforms-4392-field_51-description\" class=\"wpforms-field-description\">Age group player will be playing at the tournament<\/div><\/div><\/div><\/div><\/div><div class=\"wpforms-field-repeater-display-blocks-buttons\" data-button-type=\"buttons_with_icons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Add<\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Remove<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"wpforms-4392-field_77-container\" class=\"wpforms-field wpforms-field-repeater wpforms-field-repeater-display-blocks\" data-rows-min=\"1\" data-rows-max=\"40\" data-clone-num=\"2\" data-field-type=\"repeater\" data-field-id=\"77\"><h3 class=\"wpforms-field-label\">\n\t\t\t\tParent \/ Accompanying Adult Details\n\t\t\t<\/h3><div id=\"wpforms-4392-field_77-description\" class=\"wpforms-field-description\">Include anyone other than a player that will attend the tournament<\/div><input type=\"hidden\" class=\"wpforms-field-repeater-clone-list\" name=\"wpforms[fields][77][clone_list]\" value=\"[]\"><script type=\"text\/html\" class=\"tmpl-wpforms-field-repeater-template-77-4392\"><div id=\"wpforms-4392-repeater-field_77-clone_{CLONE}\" class=\"wpforms-field-repeater-clone-wrap\" data-clone=\"{CLONE}\">\n\t\t\t\t<h3 class=\"wpforms-field-repeater-block-title\">\n\t\t\t\tParent \/ Accompanying Adult Details <span class=\"wpforms-wpforms-field-repeater-block-num\">#{CLONE}<\/span>\n\t\t\t<\/h3><div class=\"wpforms-field-description\">Include anyone other than a player that will attend the tournament<\/div><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-blocks wpforms-field-repeater-preset-100\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-4392-field_78_{CLONE}-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"78_{CLONE}\"><fieldset><legend class=\"wpforms-field-label\">Adult Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_78_{CLONE}\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][78_{CLONE}][first]\" aria-errormessage=\"wpforms-4392-field_78_{CLONE}-error\" required><label for=\"wpforms-4392-field_78_{CLONE}\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_78_{CLONE}-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][78_{CLONE}][last]\" aria-errormessage=\"wpforms-4392-field_78_{CLONE}-last-error\" required><label for=\"wpforms-4392-field_78_{CLONE}-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><div class=\"wpforms-field-repeater-display-blocks-buttons\" data-button-type=\"buttons_with_icons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Add<\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Remove<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div>\n\t\t\t<\/div><\/script><div class=\"wpforms-field-layout-rows wpforms-field-medium wpforms-field-repeater-display-blocks wpforms-field-repeater-preset-100\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-4392-field_78-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"78\"><fieldset><legend class=\"wpforms-field-label\">Adult Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_78\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][78][first]\" aria-errormessage=\"wpforms-4392-field_78-error\" required><label for=\"wpforms-4392-field_78\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-4392-field_78-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][78][last]\" aria-errormessage=\"wpforms-4392-field_78-last-error\" required><label for=\"wpforms-4392-field_78-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><\/div><\/div><\/div><div class=\"wpforms-field-repeater-display-blocks-buttons\" data-button-type=\"buttons_with_icons\">\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-add\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M12.129 7.984v1.032a.392.392 0 0 1-.387.387H8.903v2.839a.392.392 0 0 1-.387.387H7.484a.373.373 0 0 1-.387-.387V9.403H4.258a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h2.839V4.758c0-.193.161-.387.387-.387h1.032c.194 0 .387.194.387.387v2.839h2.839c.193 0 .387.193.387.387ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Add<\/span>\n\t\t\t\t<\/button>\n\t\t\t\t<button type=\"button\" class=\"wpforms-field-repeater-button-remove wpforms-disabled\">\n\t\t\t\t\t<svg width=\"16\" height=\"17\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.258 9.403a.373.373 0 0 1-.387-.387V7.984c0-.194.161-.387.387-.387h7.484c.193 0 .387.193.387.387v1.032a.392.392 0 0 1-.387.387H4.258ZM16 8.5c0 4.42-3.58 8-8 8s-8-3.58-8-8 3.58-8 8-8 8 3.58 8 8Zm-1.548 0c0-3.548-2.904-6.452-6.452-6.452A6.45 6.45 0 0 0 1.548 8.5 6.43 6.43 0 0 0 8 14.952 6.45 6.45 0 0 0 14.452 8.5Z\" fill=\"currentColor\"\/><\/svg><span>Remove<\/span>\n\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"wpforms-4392-field_23-container\" class=\"wpforms-field wpforms-field-divider\" data-field-type=\"divider\" data-field-id=\"23\"><h3 id=\"wpforms-4392-field_23\" aria-errormessage=\"wpforms-4392-field_23-error\" aria-describedby=\"wpforms-4392-field_23-description\">Team  Fees<\/h3><div id=\"wpforms-4392-field_23-description\" class=\"wpforms-field-description\">Costs are per coach, player and per parent \/ accompanying adult. Payment will taken in 4 payments. First deposit of 30% due on Nov 3, Second payment of 20% due on Dec 15, Third payment of 25% due on Jan 15 and, Fourth payment (last) of 25% due on Feb 15.\n<br \/><br \/>\n<b>Player Fee:<\/b> $990.00 USD\n<br \/><br \/>\n<b>Coach \/ Parent \/ Accompanying Adult Fee:<\/b> $800.00 USD\n<br \/><br \/>\n<b>Child (under 12 years old) Fee:<\/b> $650.00 USD\n<br \/><br \/>\n\nThis includes hotel, meals, tournament registration fees and transportation to games and airport.<\/div><\/div><div id=\"wpforms-4392-field_65-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"65\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_66-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"66\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_66\"># of Coaches<\/label><input type=\"number\" id=\"wpforms-4392-field_66\" class=\"wpforms-field-medium\" name=\"wpforms[fields][66]\" step=\"any\" aria-errormessage=\"wpforms-4392-field_66-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_67-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"67\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_67\"># of Players<\/label><input type=\"number\" id=\"wpforms-4392-field_67\" class=\"wpforms-field-medium\" name=\"wpforms[fields][67]\" step=\"any\" aria-errormessage=\"wpforms-4392-field_67-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_68-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"68\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_68\"># of Adults<\/label><input type=\"number\" id=\"wpforms-4392-field_68\" class=\"wpforms-field-medium\" name=\"wpforms[fields][68]\" step=\"any\" aria-errormessage=\"wpforms-4392-field_68-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-25\"><div id=\"wpforms-4392-field_79-container\" class=\"wpforms-field wpforms-field-number\" data-field-type=\"number\" data-field-id=\"79\"><label class=\"wpforms-field-label\" for=\"wpforms-4392-field_79\"># of Children<\/label><input type=\"number\" id=\"wpforms-4392-field_79\" class=\"wpforms-field-medium\" name=\"wpforms[fields][79]\" step=\"any\" aria-errormessage=\"wpforms-4392-field_79-error\" ><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4392-field_69-container\" class=\"wpforms-field wpforms-field-layout\" data-field-type=\"layout\" data-field-id=\"69\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-100\"><div id=\"wpforms-4392-field_71-container\" class=\"wpforms-field wpforms-field-payment-single wpforms-calculations-field\" data-field-type=\"payment-single\" data-field-id=\"71\"><label class=\"wpforms-field-label\">Estimated Total<\/label><div class=\"wpforms-single-item-price-content\"><div class=\"wpforms-single-item-price wpforms-field-medium wpforms-payment-price\">Price: <span class=\"wpforms-price\">&#036;0.00<\/span><\/div><\/div><input type=\"hidden\" id=\"wpforms-4392-field_71\" class=\"wpforms-field-medium wpforms-payment-price\" name=\"wpforms[fields][71]\"><\/div><\/div><\/div><\/div><\/div><div id=\"wpforms-4392-field_56-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-type=\"checkbox\" data-field-id=\"56\"><fieldset><legend class=\"wpforms-field-label\">Consent Checkbox <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-4392-field_56\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-4392-field_56_1\" name=\"wpforms[fields][56][]\" value=\"As the official representative and coach of the team listed below, I confirm that I have obtained written consent from the parent(s) or legal guardian(s) of each participating player.\" aria-errormessage=\"wpforms-4392-field_56_1-error\" aria-describedby=\"wpforms-4392-field_56-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-4392-field_56_1\">As the official representative and coach of the team listed below, I confirm that I have obtained written consent from the parent(s) or legal guardian(s) of each participating player.<\/label><\/li><\/ul><div id=\"wpforms-4392-field_56-description\" class=\"wpforms-field-description wpforms-disclaimer-description\">Pura Vida Futbol Challenge tournament \u2013 Team Consent &amp; Terms and Conditions.<br \/>\n<br \/>\nAs the official representative and coach of the team listed above, I confirm that I have obtained written consent from the parent(s) or legal guardian(s) of each participating player. By signing below, I agree to the following terms on their behalf:<br \/>\n<br \/>\nParental Consent Secured<br \/>\nI confirm that I have obtained written permission from each player's parent or guardian for their child to participate in the tournament and all related activities.<br \/>\n<br \/>\nMedical Authorization<br \/>\nI am authorized to act on behalf of the parents\/guardians in the event of a medical emergency. I will ensure that appropriate medical attention is sought and that the parents\/guardians are informed as soon as possible.<br \/>\n<br \/>\nTravel &amp; Accommodation Approval<br \/>\nI confirm that parents\/guardians have consented to their child's travel (including international travel) and approved the accommodation and supervision arrangements made by the team and\/or tournament organizers.<br \/>\n<br \/>\nAcknowledgment of Risk<br \/>\nI confirm that parents\/guardians understand the risks involved in youth sports and have agreed not to hold the tournament organizers, sponsors, or affiliated personnel responsible for injuries, losses, or damages that may occur.<br \/>\n<br \/>\nCode of Conduct Agreement<br \/>\nAll players and parents\/guardians have been informed of the expected behavior and tournament rules. They understand that failure to comply may result in disciplinary action or removal from the tournament.<br \/>\n<br \/>\nMedia Consent<br \/>\nI confirm that media release consent has been obtained from each parent\/guardian, allowing the tournament to use images or videos of their child for promotional and media purposes.<br \/>\n<br \/>\nInsurance Verification<br \/>\nI confirm that each player is covered by valid medical and travel insurance suitable for international youth sports participation.<br \/>\n<br \/>\nData Privacy Compliance<br \/>\nI acknowledge that all collected player information will be handled in accordance with applicable data protection laws and used solely for tournament-related purposes.<\/div><\/fieldset><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-4392-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-4392-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-4392-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"4392\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/pages\/4417\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-4392\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"data:image\/svg+xml,%3Csvg%20xmlns%3D%27http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%27%20width%3D%2726%27%20height%3D%2726%27%20viewBox%3D%270%200%2026%2026%27%3E%3Crect%20width%3D%2726%27%20height%3D%2726%27%20fill-opacity%3D%220%22%2F%3E%3C%2Fsvg%3E\" data-orig-src=\"https:\/\/www.puravidafutbolchallenge.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"lazyload wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-4417","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/pages\/4417","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/comments?post=4417"}],"version-history":[{"count":4,"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/pages\/4417\/revisions"}],"predecessor-version":[{"id":4430,"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/pages\/4417\/revisions\/4430"}],"wp:attachment":[{"href":"https:\/\/www.puravidafutbolchallenge.com\/index.php\/wp-json\/wp\/v2\/media?parent=4417"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}