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<body>
<form class="jotform-form" method="post" name="form_23114306030131" id="23114306030131" accept-charset="utf-8">
<input type="hidden" name="formID" value="23114306030131" />
<div class="form-all">
<ul class="form-section page-section">
<li id="cid_1" class="form-input-wide" data-type="control_head">
<div class="form-header-group">
<div class="header-text httal htvam">
<h1 id="header_1" class="form-header">
Registro de Alunos
</h1>
<div id="subHeader_1" class="form-subHeader">
</div>
</div>
</div>
</li>
<li class="form-line" data-type="control_fullname" id="id_4">
<label class="form-label form-label-top form-label-auto" id="label_4" for="input_4"> Nome do Aluno </label>
<div id="cid_4" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="text" size="10" name="q4_studentName[first]" id="first_4" />
<label class="form-sub-label" for="first_4" id="sublabel_first" style="min-height: 13px;"> Nome </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="text" size="10" name="q4_studentName[middle]" id="middle_4" />
<label class="form-sub-label" for="middle_4" id="sublabel_middle" style="min-height: 13px;"> Sobrenome</label>
</span>
</li>
<li class="form-line" data-type="control_fullname" id="id_4">
<label class="form-label form-label-top form-label-auto" id="label_4" for="input_4"> Dados de Acesso </label>
<div id="cid_4" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="text" size="10" name="q4_studentName[first]" id="first_4" />
<label class="form-sub-label" for="first_4" id="sublabel_first" style="min-height: 13px;"> Usuario </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="text" size="10" name="q4_studentName[middle]" id="middle_4" />
<label class="form-sub-label" for="middle_4" id="sublabel_middle" style="min-height: 13px;"> Senha</label>
</span>
</li>
<li class="form-line form-line-column form-col-1" data-type="control_birthdate" id="id_24">
<label class="form-label form-label-top" id="label_24" for="input_24"> Data de nascimento </label>
<div id="cid_24" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align: top;">
<select class="form-dropdown" name="q24_birthDate24[month]" id="input_24_month">
<option> </option>
<option value="January"> Janeiro </option>
<option value="February"> Fevereiro </option>
<option value="March"> Março </option>
<option value="April"> Abril </option>
<option value="May"> Maio </option>
<option value="June"> Junho </option>
<option value="July"> Julho </option>
<option value="August"> Agosto </option>
<option value="September"> Setembro </option>
<option value="October"> Outubro </option>
<option value="November"> Novembro </option>
<option value="December"> Dezembro </option>
</select>
<label class="form-sub-label" for="input_24_month" id="sublabel_month" style="min-height: 13px;"> Mes </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top;">
<select class="form-dropdown" name="q24_birthDate24[day]" id="input_24_day">
<option> </option>
<option value="1"> 1 </option>
<option value="2"> 2 </option>
<option value="3"> 3 </option>
<option value="4"> 4 </option>
<option value="5"> 5 </option>
<option value="6"> 6 </option>
<option value="7"> 7 </option>
<option value="8"> 8 </option>
<option value="9"> 9 </option>
<option value="10"> 10 </option>
<option value="11"> 11 </option>
<option value="12"> 12 </option>
<option value="13"> 13 </option>
<option value="14"> 14 </option>
<option value="15"> 15 </option>
<option value="16"> 16 </option>
<option value="17"> 17 </option>
<option value="18"> 18 </option>
<option value="19"> 19 </option>
<option value="20"> 20 </option>
<option value="21"> 21 </option>
<option value="22"> 22 </option>
<option value="23"> 23 </option>
<option value="24"> 24 </option>
<option value="25"> 25 </option>
<option value="26"> 26 </option>
<option value="27"> 27 </option>
<option value="28"> 28 </option>
<option value="29"> 29 </option>
<option value="30"> 30 </option>
<option value="31"> 31 </option>
</select>
<label class="form-sub-label" for="input_24_day" id="sublabel_day" style="min-height: 13px;"> Dia </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top;">
<select class="form-dropdown" name="q24_birthDate24[year]" id="input_24_year">
<option> </option>
<option value="2016"> 2016 </option>
<option value="2015"> 2015 </option>
<option value="2014"> 2014 </option>
<option value="2013"> 2013 </option>
<option value="2012"> 2012 </option>
<option value="2011"> 2011 </option>
<option value="2010"> 2010 </option>
<option value="2009"> 2009 </option>
<option value="2008"> 2008 </option>
<option value="2007"> 2007 </option>
<option value="2006"> 2006 </option>
<option value="2005"> 2005 </option>
<option value="2004"> 2004 </option>
<option value="2003"> 2003 </option>
<option value="2002"> 2002 </option>
<option value="2001"> 2001 </option>
<option value="2000"> 2000 </option>
<option value="1999"> 1999 </option>
<option value="1998"> 1998 </option>
<option value="1997"> 1997 </option>
<option value="1996"> 1996 </option>
<option value="1995"> 1995 </option>
<option value="1994"> 1994 </option>
<option value="1993"> 1993 </option>
<option value="1992"> 1992 </option>
<option value="1991"> 1991 </option>
<option value="1990"> 1990 </option>
<option value="1989"> 1989 </option>
<option value="1988"> 1988 </option>
<option value="1987"> 1987 </option>
<option value="1986"> 1986 </option>
<option value="1985"> 1985 </option>
<option value="1984"> 1984 </option>
<option value="1983"> 1983 </option>
<option value="1982"> 1982 </option>
<option value="1981"> 1981 </option>
<option value="1980"> 1980 </option>
<option value="1979"> 1979 </option>
<option value="1978"> 1978 </option>
<option value="1977"> 1977 </option>
<option value="1976"> 1976 </option>
<option value="1975"> 1975 </option>
<option value="1974"> 1974 </option>
<option value="1973"> 1973 </option>
<option value="1972"> 1972 </option>
<option value="1971"> 1971 </option>
<option value="1970"> 1970 </option>
<option value="1969"> 1969 </option>
<option value="1968"> 1968 </option>
<option value="1967"> 1967 </option>
<option value="1966"> 1966 </option>
<option value="1965"> 1965 </option>
<option value="1964"> 1964 </option>
<option value="1963"> 1963 </option>
<option value="1962"> 1962 </option>
<option value="1961"> 1961 </option>
<option value="1960"> 1960 </option>
<option value="1959"> 1959 </option>
<option value="1958"> 1958 </option>
<option value="1957"> 1957 </option>
<option value="1956"> 1956 </option>
<option value="1955"> 1955 </option>
<option value="1954"> 1954 </option>
<option value="1953"> 1953 </option>
<option value="1952"> 1952 </option>
<option value="1951"> 1951 </option>
<option value="1950"> 1950 </option>
<option value="1949"> 1949 </option>
<option value="1948"> 1948 </option>
<option value="1947"> 1947 </option>
<option value="1946"> 1946 </option>
<option value="1945"> 1945 </option>
<option value="1944"> 1944 </option>
<option value="1943"> 1943 </option>
<option value="1942"> 1942 </option>
<option value="1941"> 1941 </option>
<option value="1940"> 1940 </option>
<option value="1939"> 1939 </option>
<option value="1938"> 1938 </option>
<option value="1937"> 1937 </option>
<option value="1936"> 1936 </option>
<option value="1935"> 1935 </option>
<option value="1934"> 1934 </option>
<option value="1933"> 1933 </option>
<option value="1932"> 1932 </option>
<option value="1931"> 1931 </option>
<option value="1930"> 1930 </option>
<option value="1929"> 1929 </option>
<option value="1928"> 1928 </option>
<option value="1927"> 1927 </option>
<option value="1926"> 1926 </option>
<option value="1925"> 1925 </option>
<option value="1924"> 1924 </option>
<option value="1923"> 1923 </option>
<option value="1922"> 1922 </option>
<option value="1921"> 1921 </option>
<option value="1920"> 1920 </option>
</select>
<label class="form-sub-label" for="input_24_year" id="sublabel_year" style="min-height: 13px;"> Ano </label>
</span>
</div>
</li>
<li class="form-line form-line-column form-col-2" data-type="control_dropdown" id="id_3">
<label class="form-label form-label-top" id="label_3" for="input_3"> Sexo </label>
<div id="cid_3" class="form-input-wide jf-required">
<select class="form-dropdown" style="width:150px;" id="input_3" name="q3_gender">
<option value=""> </option>
<option value="Male"> Menino </option>
<option value="Female"> Menina </option>
</select>
</div>
</li>
<li class="form-line" data-type="control_address" id="id_23">
<label class="form-label form-label-top form-label-auto" id="label_23" for="input_23"> Endereço </label>
<div id="cid_23" class="form-input-wide jf-required">
<table summary="" undefined class="form-address-table" border="0" cellpadding="0" cellspacing="0">
<tr>
<td colspan="2">
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox form-address-line" type="text" name="q23_address[addr_line1]" id="input_23_addr_line1" />
<label class="form-sub-label" for="input_23_addr_line1" id="sublabel_23_addr_line1" style="min-height: 13px;"> Endereço </label>
</span>
</td>
</tr>
<td width="50%">
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox form-address-city" type="text" name="q23_address[city]" id="input_23_city" size="21" />
<label class="form-sub-label" for="input_23_city" id="sublabel_23_city" style="min-height: 13px;"> Cidade </label>
</span>
</td>
<td>
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox form-address-state" type="text" name="q23_address[state]" id="input_23_state" size="22" />
<label class="form-sub-label" for="input_23_state" id="sublabel_23_state" style="min-height: 13px;"> Estado </label>
</span>
</td>
</tr>
<tr>
<td width="50%">
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox form-address-postal" type="text" name="q23_address[postal]" id="input_23_postal" size="10" />
<label class="form-sub-label" for="input_23_postal" id="sublabel_23_postal" style="min-height: 13px;"> CEP </label>
</span>
</td>
<td>
<span class="form-sub-label-container" style="vertical-align: top;">
<select class="form-dropdown form-address-country" defaultcountry="" name="q23_address[country]" id="input_23_country">
<option value="" selected> Selecione </option>
<option value="United States"> United States </option>
<option value="Afghanistan"> Afghanistan </option>
<option value="Albania"> Albania </option>
<option value="Algeria"> Algeria </option>
<option value="American Samoa"> American Samoa </option>
<option value="Andorra"> Andorra </option>
<option value="Angola"> Angola </option>
<option value="Anguilla"> Anguilla </option>
<option value="Antigua and Barbuda"> Antigua and Barbuda </option>
<option value="Argentina"> Argentina </option>
<option value="Armenia"> Armenia </option>
<option value="Aruba"> Aruba </option>
<option value="Australia"> Australia </option>
<option value="Austria"> Austria </option>
<option value="Azerbaijan"> Azerbaijan </option>
<option value="The Bahamas"> The Bahamas </option>
<option value="Bahrain"> Bahrain </option>
<option value="Bangladesh"> Bangladesh </option>
<option value="Barbados"> Barbados </option>
<option value="Belarus"> Belarus </option>
<option value="Belgium"> Belgium </option>
<option value="Belize"> Belize </option>
<option value="Benin"> Benin </option>
<option value="Bermuda"> Bermuda </option>
<option value="Bhutan"> Bhutan </option>
<option value="Bolivia"> Bolivia </option>
<option value="Bosnia and Herzegovina"> Bosnia and Herzegovina </option>
<option value="Botswana"> Botswana </option>
<option value="Brazil"> Brazil </option>
<option value="Brunei"> Brunei </option>
<option value="Bulgaria"> Bulgaria </option>
<option value="Burkina Faso"> Burkina Faso </option>
<option value="Burundi"> Burundi </option>
<option value="Cambodia"> Cambodia </option>
<option value="Cameroon"> Cameroon </option>
<option value="Canada"> Canada </option>
<option value="Cape Verde"> Cape Verde </option>
<option value="Cayman Islands"> Cayman Islands </option>
<option value="Central African Republic"> Central African Republic </option>
<option value="Chad"> Chad </option>
<option value="Chile"> Chile </option>
<option value="China"> China </option>
<option value="Christmas Island"> Christmas Island </option>
<option value="Cocos (Keeling) Islands"> Cocos (Keeling) Islands </option>
<option value="Colombia"> Colombia </option>
<option value="Comoros"> Comoros </option>
<option value="Congo"> Congo </option>
<option value="Cook Islands"> Cook Islands </option>
<option value="Costa Rica"> Costa Rica </option>
<option value="Cote d'Ivoire"> Cote d'Ivoire </option>
<option value="Croatia"> Croatia </option>
<option value="Cuba"> Cuba </option>
<option value="Cyprus"> Cyprus </option>
<option value="Czech Republic"> Czech Republic </option>
<option value="Democratic Republic of the Congo"> Democratic Republic of the Congo </option>
<option value="Denmark"> Denmark </option>
<option value="Djibouti"> Djibouti </option>
<option value="Dominica"> Dominica </option>
<option value="Dominican Republic"> Dominican Republic </option>
<option value="Ecuador"> Ecuador </option>
<option value="Egypt"> Egypt </option>
<option value="El Salvador"> El Salvador </option>
<option value="Equatorial Guinea"> Equatorial Guinea </option>
<option value="Eritrea"> Eritrea </option>
<option value="Estonia"> Estonia </option>
<option value="Ethiopia"> Ethiopia </option>
<option value="Falkland Islands"> Falkland Islands </option>
<option value="Faroe Islands"> Faroe Islands </option>
<option value="Fiji"> Fiji </option>
<option value="Finland"> Finland </option>
<option value="France"> France </option>
<option value="French Polynesia"> French Polynesia </option>
<option value="Gabon"> Gabon </option>
<option value="The Gambia"> The Gambia </option>
<option value="Georgia"> Georgia </option>
<option value="Germany"> Germany </option>
<option value="Ghana"> Ghana </option>
<option value="Gibraltar"> Gibraltar </option>
<option value="Greece"> Greece </option>
<option value="Greenland"> Greenland </option>
<option value="Grenada"> Grenada </option>
<option value="Guadeloupe"> Guadeloupe </option>
<option value="Guam"> Guam </option>
<option value="Guatemala"> Guatemala </option>
<option value="Guernsey"> Guernsey </option>
<option value="Guinea"> Guinea </option>
<option value="Guinea-Bissau"> Guinea-Bissau </option>
<option value="Guyana"> Guyana </option>
<option value="Haiti"> Haiti </option>
<option value="Honduras"> Honduras </option>
<option value="Hong Kong"> Hong Kong </option>
<option value="Hungary"> Hungary </option>
<option value="Iceland"> Iceland </option>
<option value="India"> India </option>
<option value="Indonesia"> Indonesia </option>
<option value="Iran"> Iran </option>
<option value="Iraq"> Iraq </option>
<option value="Ireland"> Ireland </option>
<option value="Israel"> Israel </option>
<option value="Italy"> Italy </option>
<option value="Jamaica"> Jamaica </option>
<option value="Japan"> Japan </option>
<option value="Jersey"> Jersey </option>
<option value="Jordan"> Jordan </option>
<option value="Kazakhstan"> Kazakhstan </option>
<option value="Kenya"> Kenya </option>
<option value="Kiribati"> Kiribati </option>
<option value="North Korea"> North Korea </option>
<option value="South Korea"> South Korea </option>
<option value="Kosovo"> Kosovo </option>
<option value="Kuwait"> Kuwait </option>
<option value="Kyrgyzstan"> Kyrgyzstan </option>
<option value="Laos"> Laos </option>
<option value="Latvia"> Latvia </option>
<option value="Lebanon"> Lebanon </option>
<option value="Lesotho"> Lesotho </option>
<option value="Liberia"> Liberia </option>
<option value="Libya"> Libya </option>
<option value="Liechtenstein"> Liechtenstein </option>
<option value="Lithuania"> Lithuania </option>
<option value="Luxembourg"> Luxembourg </option>
<option value="Macau"> Macau </option>
<option value="Macedonia"> Macedonia </option>
<option value="Madagascar"> Madagascar </option>
<option value="Malawi"> Malawi </option>
<option value="Malaysia"> Malaysia </option>
<option value="Maldives"> Maldives </option>
<option value="Mali"> Mali </option>
<option value="Malta"> Malta </option>
<option value="Marshall Islands"> Marshall Islands </option>
<option value="Martinique"> Martinique </option>
<option value="Mauritania"> Mauritania </option>
<option value="Mauritius"> Mauritius </option>
<option value="Mayotte"> Mayotte </option>
<option value="Mexico"> Mexico </option>
<option value="Micronesia"> Micronesia </option>
<option value="Moldova"> Moldova </option>
<option value="Monaco"> Monaco </option>
<option value="Mongolia"> Mongolia </option>
<option value="Montenegro"> Montenegro </option>
<option value="Montserrat"> Montserrat </option>
<option value="Morocco"> Morocco </option>
<option value="Mozambique"> Mozambique </option>
<option value="Myanmar"> Myanmar </option>
<option value="Nagorno-Karabakh"> Nagorno-Karabakh </option>
<option value="Namibia"> Namibia </option>
<option value="Nauru"> Nauru </option>
<option value="Nepal"> Nepal </option>
<option value="Netherlands"> Netherlands </option>
<option value="Netherlands Antilles"> Netherlands Antilles </option>
<option value="New Caledonia"> New Caledonia </option>
<option value="New Zealand"> New Zealand </option>
<option value="Nicaragua"> Nicaragua </option>
<option value="Niger"> Niger </option>
<option value="Nigeria"> Nigeria </option>
<option value="Niue"> Niue </option>
<option value="Norfolk Island"> Norfolk Island </option>
<option value="Turkish Republic of Northern Cyprus"> Turkish Republic of Northern Cyprus </option>
<option value="Northern Mariana"> Northern Mariana </option>
<option value="Norway"> Norway </option>
<option value="Oman"> Oman </option>
<option value="Pakistan"> Pakistan </option>
<option value="Palau"> Palau </option>
<option value="Palestine"> Palestine </option>
<option value="Panama"> Panama </option>
<option value="Papua New Guinea"> Papua New Guinea </option>
<option value="Paraguay"> Paraguay </option>
<option value="Peru"> Peru </option>
<option value="Philippines"> Philippines </option>
<option value="Pitcairn Islands"> Pitcairn Islands </option>
<option value="Poland"> Poland </option>
<option value="Portugal"> Portugal </option>
<option value="Puerto Rico"> Puerto Rico </option>
<option value="Qatar"> Qatar </option>
<option value="Republic of the Congo"> Republic of the Congo </option>
<option value="Romania"> Romania </option>
<option value="Russia"> Russia </option>
<option value="Rwanda"> Rwanda </option>
<option value="Saint Barthelemy"> Saint Barthelemy </option>
<option value="Saint Helena"> Saint Helena </option>
<option value="Saint Kitts and Nevis"> Saint Kitts and Nevis </option>
<option value="Saint Lucia"> Saint Lucia </option>
<option value="Saint Martin"> Saint Martin </option>
<option value="Saint Pierre and Miquelon"> Saint Pierre and Miquelon </option>
<option value="Saint Vincent and the Grenadines"> Saint Vincent and the Grenadines </option>
<option value="Samoa"> Samoa </option>
<option value="San Marino"> San Marino </option>
<option value="Sao Tome and Principe"> Sao Tome and Principe </option>
<option value="Saudi Arabia"> Saudi Arabia </option>
<option value="Senegal"> Senegal </option>
<option value="Serbia"> Serbia </option>
<option value="Seychelles"> Seychelles </option>
<option value="Sierra Leone"> Sierra Leone </option>
<option value="Singapore"> Singapore </option>
<option value="Slovakia"> Slovakia </option>
<option value="Slovenia"> Slovenia </option>
<option value="Solomon Islands"> Solomon Islands </option>
<option value="Somalia"> Somalia </option>
<option value="Somaliland"> Somaliland </option>
<option value="South Africa"> South Africa </option>
<option value="South Ossetia"> South Ossetia </option>
<option value="South Sudan"> South Sudan </option>
<option value="Spain"> Spain </option>
<option value="Sri Lanka"> Sri Lanka </option>
<option value="Sudan"> Sudan </option>
<option value="Suriname"> Suriname </option>
<option value="Svalbard"> Svalbard </option>
<option value="Swaziland"> Swaziland </option>
<option value="Sweden"> Sweden </option>
<option value="Switzerland"> Switzerland </option>
<option value="Syria"> Syria </option>
<option value="Taiwan"> Taiwan </option>
<option value="Tajikistan"> Tajikistan </option>
<option value="Tanzania"> Tanzania </option>
<option value="Thailand"> Thailand </option>
<option value="Timor-Leste"> Timor-Leste </option>
<option value="Togo"> Togo </option>
<option value="Tokelau"> Tokelau </option>
<option value="Tonga"> Tonga </option>
<option value="Transnistria Pridnestrovie"> Transnistria Pridnestrovie </option>
<option value="Trinidad and Tobago"> Trinidad and Tobago </option>
<option value="Tristan da Cunha"> Tristan da Cunha </option>
<option value="Tunisia"> Tunisia </option>
<option value="Turkey"> Turkey </option>
<option value="Turkmenistan"> Turkmenistan </option>
<option value="Turks and Caicos Islands"> Turks and Caicos Islands </option>
<option value="Tuvalu"> Tuvalu </option>
<option value="Uganda"> Uganda </option>
<option value="Ukraine"> Ukraine </option>
<option value="United Arab Emirates"> United Arab Emirates </option>
<option value="United Kingdom"> United Kingdom </option>
<option value="Uruguay"> Uruguay </option>
<option value="Uzbekistan"> Uzbekistan </option>
<option value="Vanuatu"> Vanuatu </option>
<option value="Vatican City"> Vatican City </option>
<option value="Venezuela"> Venezuela </option>
<option value="Vietnam"> Vietnam </option>
<option value="British Virgin Islands"> British Virgin Islands </option>
<option value="Isle of Man"> Isle of Man </option>
<option value="US Virgin Islands"> US Virgin Islands </option>
<option value="Wallis and Futuna"> Wallis and Futuna </option>
<option value="Western Sahara"> Western Sahara </option>
<option value="Yemen"> Yemen </option>
<option value="Zambia"> Zambia </option>
<option value="Zimbabwe"> Zimbabwe </option>
<option value="other"> Other </option>
</select>
<label class="form-sub-label" for="input_23_country" id="sublabel_23_country" style="min-height: 13px;"> Pais </label>
</span>
</td>
</tr>
</table>
</div>
</li>
<li class="form-line form-line-column form-col-1" data-type="control_phone" id="id_27">
<label class="form-label form-label-top" id="label_27" for="input_27"> Numero do Telefone </label>
<div id="cid_27" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="tel" name="q27_mobileNumber[area]" id="input_27_area" size="3">
<span class="phone-separate">
-
</span>
<label class="form-sub-label" for="input_27_area" id="sublabel_area" style="min-height: 13px;"> DDD </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="tel" name="q27_mobileNumber[phone]" id="input_27_phone" size="8">
<label class="form-sub-label" for="input_27_phone" id="sublabel_phone" style="min-height: 13px;"> Numero </label>
</span>
</div>
</li>
<li class="form-line form-line-column form-col-2" data-type="control_phone" id="id_25">
<label class="form-label form-label-top" id="label_25" for="input_25"> Celular </label>
<div id="cid_25" class="form-input-wide jf-required">
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="tel" name="q25_phoneNumber25[area]" id="input_25_area" size="3">
<span class="phone-separate">
-
</span>
<label class="form-sub-label" for="input_25_area" id="sublabel_area" style="min-height: 13px;"> DDD </label>
</span>
<span class="form-sub-label-container" style="vertical-align: top;">
<input class="form-textbox" type="tel" name="q25_phoneNumber25[phone]" id="input_25_phone" size="8">
<label class="form-sub-label" for="input_25_phone" id="sublabel_phone" style="min-height: 13px;"> Numero </label>
</span>
</div>
</li>
<li class="form-line form-line-column form-col-1" data-type="control_button" id="id_20">
<div id="cid_20" class="form-input-wide">
<div style="text-align:left" class="form-buttons-wrapper">
<button id="input_20" type="submit" class="form-submit-button">
Registrar
</button>
</div>
</div>
</li>
<li class="form-line form-line-column form-col-2" data-type="control_button" id="id_19">
<div id="cid_19" class="form-input-wide">
<div style="text-align:right" class="form-buttons-wrapper">
<button id="input_19" type="submit" class="form-submit-button">
Limpar campos
</button>
</div>
</div>
</li>
<li style="clear:both">
</li>
<li style="display:none">
Should be Empty:
<input type="text" name="website" value="" />
</li>
</ul>
</div>
<input type="hidden" id="simple_spc" name="simple_spc" value="23114306030131" />
<script type="text/javascript">
document.getElementById("si" + "mple" + "_spc").value = "23114306030131-23114306030131";
</script>
</form></body>
</html>
/*
/* Created by Filipe Pina
* Specific styles of signin, register, component
*/
/*
* General styles
*/
body, html{
height: 100%;
background-repeat: no-repeat;
background-color: #d3d3d3;
font-family: 'Oxygen', sans-serif;
}
.main{
margin-top: 70px;
}
h1.title {
font-size: 50px;
font-family: 'Passion One', cursive;
font-weight: 400;
}
hr{
width: 10%;
color: #fff;
}
.form-group{
margin-bottom: 15px;
}
label{
margin-bottom: 15px;
}
input,
input::-webkit-input-placeholder {
font-size: 11px;
padding-top: 3px;
}
.main-login{
background-color: #fff;
/* shadows and rounded borders */
-moz-border-radius: 2px;
-webkit-border-radius: 2px;
border-radius: 2px;
-moz-box-shadow: 0px 2px 2px rgba(0, 0, 0, 0.3);
-webkit-box-shadow: 0px 2px 2px rgba(0, 0, 0, 0.3);
box-shadow: 0px 2px 2px rgba(0, 0, 0, 0.3);
}
.main-center{
margin-top: 30px;
margin: 0 auto;
max-width: 330px;
padding: 40px 40px;
}
.login-button{
margin-top: 5px;
}
.login-register{
font-size: 11px;
text-align: center;
}
$(document).ready(function(){
$('[data-toggle="offcanvas"]').click(function(){
$("#navigation").toggleClass("hidden-xs");
});
});