{"id":3522,"date":"2020-06-15T18:30:37","date_gmt":"2020-06-15T23:30:37","guid":{"rendered":"http:\/\/www.cristinacarrillo.com.pa\/?page_id=3522"},"modified":"2020-06-15T18:31:08","modified_gmt":"2020-06-15T23:31:08","slug":"inscripcion-virtual","status":"publish","type":"page","link":"https:\/\/www.cristinacarrillo.com.pa\/?page_id=3522","title":{"rendered":"INSCRIPCI\u00d3N VIRTUAL"},"content":{"rendered":"<h1>INSCRIPCI\u00d3N VIRTUAL<\/h1>\n<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-3517\"><form id=\"wpforms-form-3517\" class=\"wpforms-validate wpforms-form\" data-formid=\"3517\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F3522\" data-token=\"7013ba123083ff5e016a71c130d89f98\"><noscript class=\"wpforms-error-noscript\">Por favor, activa JavaScript en tu navegador para completar este formulario.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-3517-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_1\">Nombre <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_1\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][1]\" required><\/div><div id=\"wpforms-3517-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_3\">Apellido <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-3517-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_12\">Tel\u00e9fono Residencial<\/label><input type=\"text\" id=\"wpforms-3517-field_12\" class=\"wpforms-field-medium\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-3517-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_13\">Celular <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_13\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][13]\" required><\/div><div id=\"wpforms-3517-field_31-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"31\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_31\">Direcci\u00f3n <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_31\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][31]\" required><\/div><div id=\"wpforms-3517-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_7\">Email 1 <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" required><\/div><div id=\"wpforms-3517-field_33-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"33\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_33\">Email 2(opcional)<\/label><input type=\"text\" id=\"wpforms-3517-field_33\" class=\"wpforms-field-medium\" name=\"wpforms[fields][33]\" ><\/div><div id=\"wpforms-3517-field_8-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_8\">Edad <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_8\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][8]\" required><\/div><div id=\"wpforms-3517-field_14-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_14\">Fecha de Nacimiento <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_14\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][14]\" required><\/div><div id=\"wpforms-3517-field_10-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"10\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_10\">Lugar de Nacimiento <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_10\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][10]\" required><\/div><div id=\"wpforms-3517-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_11\">Fecha de Ingreso <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_11\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][11]\" required><\/div><div id=\"wpforms-3517-field_15-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_15\">Nombre del Acudiente <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_15\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][15]\" required><\/div><div id=\"wpforms-3517-field_16-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_16\">Apellido del Acudiente <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_16\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][16]\" required><\/div><div id=\"wpforms-3517-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_19\">Email del Acudiente <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_19\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][19]\" required><\/div><div id=\"wpforms-3517-field_34-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"34\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_34\">Email del Acudiente 2 (opcional)<\/label><input type=\"text\" id=\"wpforms-3517-field_34\" class=\"wpforms-field-medium\" name=\"wpforms[fields][34]\" ><\/div><div id=\"wpforms-3517-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_20\">Tel\u00e9fono Residencial del Acudiente<\/label><input type=\"text\" id=\"wpforms-3517-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" ><\/div><div id=\"wpforms-3517-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_21\">Tel\u00e9fono Oficina del Acudiente<\/label><input type=\"text\" id=\"wpforms-3517-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" ><\/div><div id=\"wpforms-3517-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_22\">Celular del Acudiente <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-3517-field_37-container\" class=\"wpforms-field wpforms-field-select\" data-field-id=\"37\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_37\">Modalidad Virtual<\/label><select id=\"wpforms-3517-field_37\" class=\"wpforms-field-medium\" name=\"wpforms[fields][37]\"><option value=\"Cursos\" >Cursos<\/option><option value=\"Talleres\" >Talleres<\/option><\/select><\/div><div id=\"wpforms-3517-field_44-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"44\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_44\">Cursos Mensuales<\/label><ul id=\"wpforms-3517-field_44\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_44_1\" name=\"wpforms[fields][44][]\" value=\"Ballet y Preparaci\u00f3n\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_44_1\">Ballet y Preparaci\u00f3n<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_44_2\" name=\"wpforms[fields][44][]\" value=\"Ballet\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_44_2\">Ballet<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_44_3\" name=\"wpforms[fields][44][]\" value=\"Preparaci\u00f3n F\u00edsica\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_44_3\">Preparaci\u00f3n F\u00edsica<\/label><\/li><\/ul><\/div><div id=\"wpforms-3517-field_45-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-2-columns\" data-field-id=\"45\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_45\">Talleres<\/label><ul id=\"wpforms-3517-field_45\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_1\" name=\"wpforms[fields][45][]\" value=\"Jazz Principiante\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_1\">Jazz Principiante<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_2\" name=\"wpforms[fields][45][]\" value=\"Jazz Avanzado\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_2\">Jazz Avanzado<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_3\" name=\"wpforms[fields][45][]\" value=\"Danza \u00c1rabe \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_3\">Danza \u00c1rabe <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_4\" name=\"wpforms[fields][45][]\" value=\"Contempor\u00e1neo\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_4\">Contempor\u00e1neo<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_5\" name=\"wpforms[fields][45][]\" value=\"Salsa\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_5\">Salsa<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_8\" name=\"wpforms[fields][45][]\" value=\"Preparaci\u00f3n F\u00edsica Adultos\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_8\">Preparaci\u00f3n F\u00edsica Adultos<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_7\" name=\"wpforms[fields][45][]\" value=\"Acrocontorsion\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_7\">Acrocontorsion<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_6\" name=\"wpforms[fields][45][]\" value=\"Karate\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_6\">Karate<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_9\" name=\"wpforms[fields][45][]\" value=\"Gimnasia \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_9\">Gimnasia <\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_45_10\" name=\"wpforms[fields][45][]\" value=\"tap\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_45_10\">tap<\/label><\/li><\/ul><\/div><div id=\"wpforms-3517-field_24-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"24\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_24\">Nivel <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3517-field_24\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][24]\" required><\/div><div id=\"wpforms-3517-field_26-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"26\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_26\">\u00bfTiene estudios afines?<\/label><ul id=\"wpforms-3517-field_26\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_26_1\" name=\"wpforms[fields][26][]\" value=\"S\u00ed\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_26_1\">S\u00ed<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_26_2\" name=\"wpforms[fields][26][]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_26_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3517-field_27-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_27\">Danza<\/label><input type=\"text\" id=\"wpforms-3517-field_27\" class=\"wpforms-field-medium\" name=\"wpforms[fields][27]\" ><\/div><div id=\"wpforms-3517-field_28-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_28\">Nivel Alcanzado<\/label><input type=\"text\" id=\"wpforms-3517-field_28\" class=\"wpforms-field-medium\" name=\"wpforms[fields][28]\" ><\/div><div id=\"wpforms-3517-field_30-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"30\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_30\">Escuela o Academia<\/label><input type=\"text\" id=\"wpforms-3517-field_30\" class=\"wpforms-field-medium\" name=\"wpforms[fields][30]\" ><\/div><div id=\"wpforms-3517-field_40-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"40\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_40\">Opciones de Pago <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3517-field_40\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_40_1\" name=\"wpforms[fields][40][]\" value=\"Efectivo\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_40_1\">Efectivo<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_40_2\" name=\"wpforms[fields][40][]\" value=\"Cheques\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_40_2\">Cheques<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_40_3\" name=\"wpforms[fields][40][]\" value=\"Tarjeta de Cr\u00e9dito\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_40_3\">Tarjeta de Cr\u00e9dito<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3517-field_40_4\" name=\"wpforms[fields][40][]\" value=\"Ach\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3517-field_40_4\">Ach<\/label><\/li><\/ul><\/div><div id=\"wpforms-3517-field_41-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"41\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_41\">Tarjeta de Cr\u00e9dito <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3517-field_41\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][41][first]\" required><label for=\"wpforms-3517-field_41\" class=\"wpforms-field-sublabel after \">Nombre<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3517-field_41-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][41][last]\" required><label for=\"wpforms-3517-field_41-last\" class=\"wpforms-field-sublabel after \">Apellidos<\/label><\/div><\/div><div class=\"wpforms-field-description\">Los cargos se hacen en 24 horas aprox.<\/div><\/div><div id=\"wpforms-3517-field_42-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"42\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_42\">N\u00fameros<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-3517-field_42\" class=\"wpforms-field-medium\" name=\"wpforms[fields][42]\" ><\/div><div id=\"wpforms-3517-field_43-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"43\"><label class=\"wpforms-field-label\" for=\"wpforms-3517-field_43\">N\u00fameros<\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-3517-field_43\" class=\"wpforms-field-medium\" name=\"wpforms[fields][43]\" ><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-field wpforms-field-hp\"><label for=\"wpforms-3517-field-hp\" class=\"wpforms-field-label\">Email<\/label><input type=\"text\" name=\"wpforms[hp]\" id=\"wpforms-3517-field-hp\" class=\"wpforms-field-medium\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3517\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3517\" class=\"wpforms-submit\" data-alt-text=\"Enviando...\" data-submit-text=\"Enviar\" aria-live=\"assertive\" value=\"wpforms-submit\">Enviar<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n","protected":false},"excerpt":{"rendered":"<p>INSCRIPCI\u00d3N VIRTUAL<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=\/wp\/v2\/pages\/3522"}],"collection":[{"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3522"}],"version-history":[{"count":1,"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=\/wp\/v2\/pages\/3522\/revisions"}],"predecessor-version":[{"id":3523,"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=\/wp\/v2\/pages\/3522\/revisions\/3523"}],"wp:attachment":[{"href":"https:\/\/www.cristinacarrillo.com.pa\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3522"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}