{"id":1040,"date":"2022-08-25T14:08:07","date_gmt":"2022-08-25T14:08:07","guid":{"rendered":"https:\/\/arinas.demo.ly\/?page_id=1040"},"modified":"2022-10-17T14:09:27","modified_gmt":"2022-10-17T14:09:27","slug":"doctors-participation-form","status":"publish","type":"page","link":"https:\/\/arinasexpo.ly\/doctors-participation-form\/","title":{"rendered":"Doctors Participation Form"},"content":{"rendered":"<div>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_3_container\" data-token=\"9ff503261ec13f1e7bf147ff6352cef6\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_ajax_submit  frm_pro_form \" id=\"form_isalx2\" data-token=\"9ff503261ec13f1e7bf147ff6352cef6\">\n<div class=\"frm_form_fields \">\n<fieldset class=\"uk-fieldset\">\n<legend class=\"uk-legend frm_screen_reader\">Docotors Participation Form<\/legend>\r\n\r\n<div class=\"frm_fields_container  uk-grid uk-grid-small\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"3\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_3\" id=\"frm_hide_fields_3\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"isalx2\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit uk-width-1-1_entry_3\" name=\"frm_submit uk-width-1-1_entry_3\" value=\"28dce809db\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/1040\/\" \/><div id=\"frm_field_22_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container uk-width-1-2s frm_first uk-margin\">\r\n    <label for=\"field_8k9082\" id=\"field_8k9082_label\" class=\"frm_primary_label\">First Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_8k9082\" name=\"item_meta[22]\" value=\"\"  data-reqmsg=\"First Name is required\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"uk-input\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_23_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container uk-width-1-2s uk-margin\">\r\n    <label for=\"field_osszn2\" id=\"field_osszn2_label\" class=\"frm_primary_label\">Last Name\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_osszn2\" name=\"item_meta[23]\" value=\"\"  data-reqmsg=\"Last Name is required\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"uk-input\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_29_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container uk-width-1-2s frm_first uk-margin\">\r\n    <label for=\"field_twfhm2\" id=\"field_twfhm2_label\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_twfhm2\" name=\"item_meta[29]\" value=\"\"  data-reqmsg=\"Email is required\" aria-required=\"true\" data-invmsg=\"Email is invalid\" class=\"uk-input\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_75_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container uk-width-1-2s uk-margin\">\r\n    <label for=\"field_io65r\" id=\"field_io65r_label\" class=\"frm_primary_label\">Phone\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_io65r\" name=\"item_meta[75]\" value=\"\"  data-reqmsg=\"Phone is required\" aria-required=\"true\" data-invmsg=\"Phone is invalid\" class=\"uk-input\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_148_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container uk-width-1-2s frm_first uk-margin\">\n    <label for=\"field_3l2iq\" id=\"field_3l2iq_label\" class=\"frm_primary_label\">Graduation year\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    <input  type=\"text\" id=\"field_3l2iq\" name=\"item_meta[148]\" value=\"\"  maxlength=\"4\" data-reqmsg=\"Graduation year is required\" aria-required=\"true\" data-invmsg=\"Invalid year\" class=\"uk-input\" aria-invalid=\"false\" pattern=\"[12][0-9]{3}$\"   \/>\n    \n    \n<\/div>\n<div id=\"frm_field_27_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container uk-width-1-2s uk-margin\">\r\n    <label for=\"field_9d2s62\" id=\"field_9d2s62_label\" class=\"frm_primary_label\">Address\r\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\r\n    <\/label>\r\n    <input  type=\"text\" id=\"field_9d2s62\" name=\"item_meta[27]\" value=\"\"  data-reqmsg=\"Address is required\" aria-required=\"true\" data-invmsg=\"Text is invalid\" class=\"uk-input\" aria-invalid=\"false\"   \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_149_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container uk-margin uk-width-1-1\">\n    <label for=\"field_wpwh8\" id=\"field_wpwh8_label\" class=\"frm_primary_label\">specialty\n        <span class=\"frm_required\" aria-hidden=\"true\">*<\/span>\n    <\/label>\n    \t\t<select name=\"item_meta[149]\" id=\"field_wpwh8\"  data-reqmsg=\"specialty is required\" aria-required=\"true\" data-invmsg=\"specialty is invalid\" class=\"uk-select\" aria-invalid=\"false\"  >\n\t\t<option  value=\"Dermatology\">Dermatology<\/option><option  value=\"plastic surgery\">plastic surgery<\/option><option  value=\"dental aesthetics\">dental aesthetics<\/option><option  value=\"pharmacy\">pharmacy<\/option>\t<\/select>\n\t\n    \n    \n<\/div>\n<div id=\"frm_field_150_container\" class=\"frm_form_field  frm_html_container uk-margin uk-width-1-1 form-field\">\n<div>\nParticipation price 600dl Includes<\/p>\n<ul>\n<li>Cafe break<\/li>\n<li>Lunch For 3 days<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div id=\"frm_field_34_container\" class=\"frm_form_field form-field  frm_none_container uk-margin uk-width-1-1\">\r\n    <label for=\"g-recaptcha-response\" id=\"field_c3fvq2_label\" class=\"frm_primary_label\">CAPTCHA\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <div  id=\"field_c3fvq2\" class=\"frm-g-recaptcha\" data-sitekey=\"6LepsY8jAAAAAJkwbE2OHP2zDxGMEnGs5BdwsLSS\" data-size=\"invisible\" data-theme=\"light\"><\/div>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__653f5342964bd\">\n\t\t\t\t<label for=\"frm_email_3\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_3\" type=\"text\" class=\"frm_verify\" name=\"frm__653f5342964bd\" value=\"\" autocomplete=\"off\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"CJ8YGCOW5pft9r8NJi3kHvPp1sskSzPg47MvV02p6p0=\" \/><div class=\"frm_submit uk-width-1-1\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit uk-button uk-button-primary \" type=\"submit\"   formnovalidate=\"formnovalidate\">Submit<\/button>\r\n\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"56\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n<\/div>\n<\/div>\n<p><!--more--><br \/>\n<!-- 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