{"id":1206,"date":"2025-08-13T22:41:51","date_gmt":"2025-08-13T22:41:51","guid":{"rendered":"https:\/\/cornerstonefarmomak.com\/?page_id=1206"},"modified":"2025-08-14T01:00:05","modified_gmt":"2025-08-14T01:00:05","slug":"registration-form-2","status":"publish","type":"page","link":"https:\/\/cornerstonefarmomak.com\/index.php\/registration-form-2\/","title":{"rendered":"registration-form"},"content":{"rendered":"<form id='cfs-after-school-form' class='cfs-form' novalidate>\n<input type='hidden' name='action' value='cfs_submit_after_school'>\n<input type='hidden' name='cfs_nonce' value='90dafd434b'>\n<h2>Cornerstone Farm After School Lesson Program<\/h2>\n<p class='cfs-tagline'>Where confidence grows from the saddle up \ud83c\udf3f\ud83d\udc34<\/p>\n<fieldset><legend>Student Information<\/legend>\n<label>Full Name <span class='req'>*<\/span><input type='text' name='student_name' required><\/label>\n<label>Garden Name \/ Nickname<input type='text' name='nickname'><\/label>\n<label>Age <span class='req'>*<\/span><input type='number' name='age' min='3' max='100' required><\/label>\n<label>Address<textarea name='address' rows='2'><\/textarea><\/label>\n<label>Riding Experience <span class='req'>*<\/span><\/label><div class='cfs-options'><label class='inline'><input type='radio' name='riding_experience' value='None' required> None<\/label><label class='inline'><input type='radio' name='riding_experience' value='Beginner' required> Beginner<\/label><label class='inline'><input type='radio' name='riding_experience' value='Intermediate' required> Intermediate<\/label><label class='inline'><input type='radio' name='riding_experience' value='Advanced' required> Advanced<\/label><\/div>\n<label>Preferred Session <span class='req'>*<\/span><\/label><div class='cfs-options'><label class='inline'><input type='radio' name='preferred_session' value='Monday' required> Monday<\/label><label class='inline'><input type='radio' name='preferred_session' value='Thursday' required> Thursday<\/label><\/div>\n<\/fieldset>\n<fieldset><legend>Parent\/Guardian Contact<\/legend>\n<label>Name(s) <span class='req'>*<\/span><input type='text' name='parent_names' required><\/label>\n<label>Phone <span class='req'>*<\/span><input type='tel' name='parent_phone' required><\/label>\n<label>Email <span class='req'>*<\/span><input type='email' name='parent_email' required><\/label>\n<\/fieldset>\n<fieldset><legend>Emergency Contact<\/legend>\n<label>Name <span class='req'>*<\/span><input type='text' name='emergency_name' required><\/label>\n<label>Phone <span class='req'>*<\/span><input type='tel' name='emergency_phone' required><\/label>\n<\/fieldset>\n<fieldset><legend>Allergies \/ Medical Notes<\/legend><textarea name='allergies' rows='3'><\/textarea><\/fieldset>\n<fieldset><legend>Barn Rules & Safety Guidelines<\/legend><div class='cfs-rules'><p><strong>By checking below, you agree to the following (summary):<\/strong><\/p><ul><li>Respect Others.<\/li><li>Be Responsible.<\/li><li>Dress Code.<\/li><li>No Running\/Yelling Around Horses.<\/li><li>Phones Away unless staff permits.<\/li><li>Safety Basics.<\/li><\/ul><\/div><label class='agree'><input type='checkbox' name='agree_rules' required> I have read and agree to the Barn Rules & Safety Guidelines.<\/label><\/fieldset>\n<fieldset><legend>Sportsmanship Agreement<\/legend><p>Encourage others; stay positive; be honest and fair; treat horses with patience and care. 3\u2011Strike Rule: Verbal Warning \u2192 Reflection \u2192 Parent Contact.<\/p><\/fieldset>\n<fieldset><legend>Consent & Waiver<\/legend><p>I understand that horseback riding carries risks and release Cornerstone Farm from liability except in cases of negligence. I grant permission for emergency medical care if needed.<\/p><label class='agree'><input type='checkbox' name='agree_waiver' required> I agree to the Consent & Waiver.<\/label><label class='inline'><input type='checkbox' name='photo_opt_in' value='1'> (Optional) I give permission for my\/my child\u2019s photo to be used in farm promotions.<\/label><\/fieldset>\n<fieldset><legend>Acknowledgment<\/legend><p>By submitting, I acknowledge that I have read and understand the Barn Rules, Safety Guidelines, and Sportsmanship Agreement.<\/p><\/fieldset>\n<input type='hidden' name='paypal_subscription_id' id='cfs_pp_sub_id' value=''>\n<button type='submit' class='cfs-submit'>Proceed to Payment<\/button>\n<div class='cfs-pp-wrap' style='margin-top:10px;'><div id='paypal-button-container'><\/div><p class='description'>You\u2019ll finish by starting your subscription via PayPal.<\/p><\/div><div class='cfs-form-message' aria-live='polite'><\/div>\n<\/form>\n<script>(function($){const $f=$('#cfs-after-school-form'),$m=$f.find('.cfs-form-message'),$sid=$('#cfs_pp_sub_id');const pe=true, pr=true;const pm=\"P-2UY37764BS8315212NCOTEGA\", pt=\"P-7G149967KK118843BNCOTFOY\";function plan(){const s=$f.find('input[name=\"preferred_session\"]:checked').val(); if(s==='Monday')return pm; if(s==='Thursday')return pt; return null;} if(pe){const src='https:\/\/www.paypal.com\/sdk\/js?client-id=ASXx7asJgAeGaQ3iF0Kq9qq7PkYOxQ6ZQ13Bj5IrJzif7GbPGUq3gG7pwykrlo3urZq_r-nZUCVcg2Kz&vault=true&intent=subscription'; const s=document.createElement('script'); s.src=src; s.onload=setup; document.head.appendChild(s);} function setup(){ if(!window.paypal||!document.getElementById('paypal-button-container'))return; paypal.Buttons({style:{layout:'vertical',shape:'rect'},createSubscription:function(d,a){const p=plan(); if(!p){alert('Please select a Preferred Session first.'); return;} return a.subscription.create({'plan_id':p});},onApprove:function(d,a){$sid.val(d.subscriptionID||d.subscriptionId||''); submit();},onError:function(e){console.error(e); $m.addClass('error').text('PayPal error. Please try again.');}}).render('#paypal-button-container'); } function submit(){ $m.removeClass('error success').text('Submitting...'); $.ajax({url:'https:\/\/cornerstonefarmomak.com\/wp-admin\/admin-ajax.php', method:'POST', data:$f.serialize(), success:function(r){ if(r&&r.success){$m.addClass('success').text('Thanks! Your signup was received.'); $f[0].reset(); $sid.val('');} else {$m.addClass('error').text((r&&r.data&&r.data.message)?r.data.message:'Submission failed.');}}, error:function(){ $m.addClass('error').text('Network error.'); }});} $f.on('submit',function(e){e.preventDefault(); if(pe&&pr && !$sid.val()){ $m.addClass('error').text('Please start your PayPal subscription to continue.'); return;} submit();});})(jQuery);<\/script>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_theme","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1206","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/pages\/1206","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/comments?post=1206"}],"version-history":[{"count":1,"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/pages\/1206\/revisions"}],"predecessor-version":[{"id":1207,"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/pages\/1206\/revisions\/1207"}],"wp:attachment":[{"href":"https:\/\/cornerstonefarmomak.com\/index.php\/wp-json\/wp\/v2\/media?parent=1206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}