www.discoverycube.org
Open in
urlscan Pro
2606:4700:7::a29f:862a
Public Scan
Submitted URL: http://discoverycube.org.mcas-df.ms/
Effective URL: https://www.discoverycube.org/
Submission: On January 08 via api from US — Scanned from US
Effective URL: https://www.discoverycube.org/
Submission: On January 08 via api from US — Scanned from US
Form analysis 12 forms found in the DOM
POST /
<form method="post" enctype="multipart/form-data" id="gform_18" action="/">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":true,"openpopup_id":239591}">
<div class="gform_body gform-body">
<ul id="gform_fields_18" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_18_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_6"><label class="gfield_label" for="input_18_6">First Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_6" id="input_18_6" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_18_7" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_7"><label class="gfield_label" for="input_18_7">Last Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_18_7" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_18_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_1"><label class="gfield_label" for="input_18_1">Email<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_1" id="input_18_1" type="text" value="" class="medium" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_18_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_5"><label class="gfield_label" for="input_18_5">Select Campus<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_5" id="input_18_5" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select Campus</option>
<option value="Discovery Cube Los Angeles">Discovery Cube Los Angeles</option>
<option value="Discovery Cube Orange County">Discovery Cube Orange County</option>
<option value="All Sites">All Sites</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_18" class="gform_button button" value="Sign Up" onclick="if(window["gf_submitting_18"]){return false;} window["gf_submitting_18"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_18"]){return false;} window["gf_submitting_18"]=true; jQuery("#gform_18").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_18" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="18">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_18" value="WyJbXSIsIjVlZjJmZGFmNzkzY2E5MWE5NjBmYzIxYTJkNzM4YTdmIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_18" id="gform_target_page_number_18" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_18" id="gform_source_page_number_18" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_12" name="ak_js" value="1673222306131">
<script>
document.getElementById("ak_js_12").setAttribute("value", (new Date()).getTime());
</script>
</p>
</form>POST /
<form method="post" enctype="multipart/form-data" id="gform_43" action="/">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":true,"openpopup_id":241828}">
<div class="gform_body gform-body">
<div id="gform_fields_43" class="gform_fields top_label form_sublabel_below description_below">
<fieldset id="field_43_1" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_43_1">
<legend class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_43_1">
<span id="input_43_1_3_container" class="name_first">
<input type="text" name="input_1.3" id="input_43_1_3" value="" aria-required="true" placeholder="First">
<label for="input_43_1_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_43_1_6_container" class="name_last">
<input type="text" name="input_1.6" id="input_43_1_6" value="" aria-required="true" placeholder="Last">
<label for="input_43_1_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</fieldset>
<fieldset id="field_43_2" class="gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_43_2">
<legend class="gfield_label gfield_label_before_complex">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container_email" id="input_43_2_container">
<span id="input_43_2_1_container" class="ginput_left">
<input class="" type="text" name="input_2" id="input_43_2" value="" placeholder="Enter Email" aria-required="true" aria-invalid="false">
<label for="input_43_2" class="hidden_sub_label screen-reader-text">Enter Email</label>
</span>
<span id="input_43_2_2_container" class="ginput_right">
<input class="" type="text" name="input_2_2" id="input_43_2_2" value="" placeholder="Confirm Email" aria-required="true" aria-invalid="false">
<label for="input_43_2_2" class="hidden_sub_label screen-reader-text">Confirm Email</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<fieldset id="field_43_20" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_20">
<legend class="gfield_label gfield_label_before_complex">Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address" id="input_43_20">
<span class="ginput_full address_line_1 ginput_address_line_1" id="input_43_20_1_container">
<input type="text" name="input_20.1" id="input_43_20_1" value="" aria-required="true">
<label for="input_43_20_1" id="input_43_20_1_label">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_43_20_2_container">
<input type="text" name="input_20.2" id="input_43_20_2" value="" aria-required="false">
<label for="input_43_20_2" id="input_43_20_2_label">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city" id="input_43_20_3_container">
<input type="text" name="input_20.3" id="input_43_20_3" value="" aria-required="true">
<label for="input_43_20_3" id="input_43_20_3_label">City</label>
</span><span class="ginput_right address_state ginput_address_state" id="input_43_20_4_container">
<input type="text" name="input_20.4" id="input_43_20_4" value="" aria-required="true">
<label for="input_43_20_4" id="input_43_20_4_label">State / Province / Region</label>
</span><span class="ginput_left address_zip ginput_address_zip" id="input_43_20_5_container">
<input type="text" name="input_20.5" id="input_43_20_5" value="" aria-required="true">
<label for="input_43_20_5" id="input_43_20_5_label">ZIP / Postal Code</label>
</span><span class="ginput_right address_country ginput_address_country" id="input_43_20_6_container">
<select name="input_20.6" id="input_43_20_6" aria-required="true">
<option value=""></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="Antarctica">Antarctica</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="Bahamas">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="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</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 Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</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="Eswatini">Eswatini</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 Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">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="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</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="Isle of Man">Isle of Man</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="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</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="Macao">Macao</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="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</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="North Macedonia">North Macedonia</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</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">Pitcairn</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="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</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="Sint Maarten">Sint Maarten</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="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</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 and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</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="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</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="United States" selected="selected">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</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="Åland Islands">Åland Islands</option>
</select>
<label for="input_43_20_6" id="input_43_20_6_label">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_43_21" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_21"><label class="gfield_label" for="input_43_21">Phone<span
class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_21" id="input_43_21" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<div id="field_43_13" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_13"><label class="gfield_label" for="input_43_13">In Honor Of</label>
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_43_13" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_43_12" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_12"><label class="gfield_label" for="input_43_12">Comment</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_43_12" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<div id="field_43_19" class="gfield gfield--width-full gfield_price gfield_price_43_19 gfield_product_43_19 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_19"><label class="gfield_label"
for="input_43_19">Donation Amount</label>
<div class="ginput_container ginput_container_select"><select name="input_19" id="input_43_19" class="large gfield_select" aria-invalid="false">
<option value="50|50">$50</option>
<option value="25|25">$25</option>
<option value="100|100">$100</option>
<option value="500|500">$500</option>
<option value="1000|1000">$1,000</option>
<option value="1500|1500">$1,500</option>
<option value="2500|2500">$2,500</option>
<option value="5000|5000">$5,000</option>
<option value="10000|10000">$10,000</option>
<option value="0|0">Other Amount</option>
</select></div>
</div>
<div id="field_43_4" class="gfield gfield--width-full gfield_price gfield_price_43_4 gfield_product_43_4 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_4" style="display: none;"><label
class="gfield_label" for="input_43_4">Other Amount</label>
<div class="ginput_container ginput_container_product_price">
<input name="input_4" id="input_43_4" type="text" value="" class="medium ginput_amount" placeholder="Other amount" aria-invalid="false" disabled="disabled">
</div>
</div>
<fieldset id="field_43_16" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_16">
<legend class="gfield_label">Campus<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_43_16">
<div class="gchoice gchoice_43_16_0">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520000" id="choice_43_16_0" onchange="gformToggleRadioOther( this )">
<label for="choice_43_16_0" id="label_43_16_0">Discovery Cube OC</label>
</div>
<div class="gchoice gchoice_43_16_1">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520001" id="choice_43_16_1" onchange="gformToggleRadioOther( this )">
<label for="choice_43_16_1" id="label_43_16_1">Discovery Cube LA</label>
</div>
</div>
</div>
</fieldset>
<div id="field_43_5" class="gfield gfield--width-full gfield_price gfield_price_43_ gfield_total gfield_total_43_ field_sublabel_below field_description_below gfield_visibility_visible" aria-atomic="true" aria-live="polite"
data-js-reload="field_43_5"><label class="gfield_label" for="input_43_5">Total</label>
<div class="ginput_container ginput_container_total">
<input readonly="" name="input_5" id="input_43_5" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_43">
</div>
</div>
<div id="field_43_15" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_15"><label class="gfield_label gfield_label_before_complex"
for="input_43_15_1">Enter Credit Card<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard" id="input_43_15">
<div class="ginput_full" id="input_43_15_1_container">
<div id="input_43_15_1" class="StripeElement StripeElement--empty">
<div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
<iframe name="__privateStripeFrame0366" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-a9aced728a05f6181299044ffc6450b8.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=false&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51GNpC9KsDEvBIzPqIvKaQAvm9lBwbfuj8fdFcnbT9eidXAZhuTMXyAdxAcJCyGPGoHtxc1PZ1Cpt3XPu7cHRmYEN008AeiqKzD&referrer=https%3A%2F%2Fwww.discoverycube.org%2F&controllerId=__privateStripeController0361"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div><label for="input_43_15_1" id="input_43_15_1_label">Card Details</label>
</div><!-- .ginput_full -->
<div class="ginput_full" id="input_43_15_5_container">
<input type="text" name="input_15.5" id="input_43_15_5" value="">
<label for="input_43_15_5" id="input_43_15_5_label">Cardholder Name</label>
</div>
</div><!-- .ginput_container -->
</div>
<div id="field_43_14" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_43_14">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_43_14">Payment Type</label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_43_14" type="text" value="839690005" class="large" aria-invalid="false"> </div>
</div>
<div id="field_43_18" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_43_18">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_43_18">Source</label>
<div class="ginput_container ginput_container_text"><input name="input_18" id="input_43_18" type="text" value="Website" class="large" aria-invalid="false"> </div>
</div>
<div id="field_43_11" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_11"><label class="gfield_label" for="input_43_11">CAPTCHA</label>
<div id="input_43_11" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S&co=aHR0cHM6Ly93d3cuZGlzY292ZXJ5Y3ViZS5vcmc6NDQz&hl=en&v=5qcenVbrhOy8zihcc2aHOWD4&theme=light&size=normal&cb=hc8rfw2xt38j"
width="304" height="78" role="presentation" name="a-bkgcit3tq5uv" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
<div id="field_43_22" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_43_22"><label class="gfield_label" for="input_43_22">Comments</label>
<div class="ginput_container"><input name="input_22" id="input_43_22" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_43_22">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_43" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_43"]){return false;} window["gf_submitting_43"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_43"]){return false;} window["gf_submitting_43"]=true; jQuery("#gform_43").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_43" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="43">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_43"
value="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">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_43" id="gform_target_page_number_43" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_43" id="gform_source_page_number_43" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_1" name="ak_js" value="1673222306230">
<script>
document.getElementById("ak_js_1").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="241828">
</form>POST /#gf_38
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_38" id="gform_38" action="/#gf_38">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<div id="gform_fields_38" class="gform_fields top_label form_sublabel_above description_above">
<fieldset id="field_38_1" class="gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_38_1">
<legend class="gfield_label gfield_label_before_complex">Member Name<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_38_1">
<span id="input_38_1_3_container" class="name_first">
<label for="input_38_1_3">First</label>
<input type="text" name="input_1.3" id="input_38_1_3" value="" aria-required="true">
</span>
<span id="input_38_1_6_container" class="name_last">
<label for="input_38_1_6">Last</label>
<input type="text" name="input_1.6" id="input_38_1_6" value="" aria-required="true">
</span>
</div>
</fieldset>
<fieldset id="field_38_3" class="gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_38_3">
<legend class="gfield_label gfield_label_before_complex">Email<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="gfield_description" id="gfield_description_38_3">You will receive an email confirmation at this address.</div>
<div class="ginput_complex ginput_container ginput_container_email" id="input_38_3_container">
<span id="input_38_3_1_container" class="ginput_left">
<label for="input_38_3">Enter Email</label>
<input class="" type="text" name="input_3" id="input_38_3" value="" aria-required="true" aria-invalid="false" aria-describedby="gfield_description_38_3">
</span>
<span id="input_38_3_2_container" class="ginput_right">
<label for="input_38_3_2">Confirm Email</label>
<input class="" type="text" name="input_3_2" id="input_38_3_2" value="" aria-required="true" aria-invalid="false" aria-describedby="gfield_description_38_3">
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<fieldset id="field_38_4" class="gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_38_4">
<legend class="gfield_label">Select event date & location<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></legend>
<div class="gfield_description" id="gfield_description_38_4">RSVP for both events by submitting two registration forms - one per campus.</div>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_38_4">
<div class="gchoice gchoice_38_4_0">
<input class="gfield-choice-input" name="input_4" type="radio" value="9163c485-41e4-ec11-bb3d-0022480a34cc" checked="checked" id="choice_38_4_0" onchange="gformToggleRadioOther( this )" aria-describedby="gfield_description_38_4">
<label for="choice_38_4_0" id="label_38_4_0">Friday, June 24 in Orange County at 6:00pm</label>
</div>
<div class="gchoice gchoice_38_4_1">
<input class="gfield-choice-input" name="input_4" type="radio" value="e0b340bd-bee5-ec11-bb3c-000d3a33c928" id="choice_38_4_1" onchange="gformToggleRadioOther( this )">
<label for="choice_38_4_1" id="label_38_4_1">Saturday, June 25 in Los Angeles at 5:30pm</label>
</div>
</div>
</div>
</fieldset>
<div id="field_38_6" class="gfield gfield_contains_required field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_38_6"><label class="gfield_label" for="input_38_6">Number of Members attending the
event<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="gfield_description" id="gfield_description_38_6">Guests attending must be named on your membership at the time of visit. You may purchase 4 companion tickets ($10 each) the evening of the event should you wish to invite family and
friends. A valid Discovery Cube membership card is required for entry. Dual members are allowed 2 guests.</div>
<div class="ginput_container ginput_container_select"><select name="input_6" id="input_38_6" class="large gfield_select" aria-describedby="gfield_description_38_6" aria-required="true" aria-invalid="false">
<option value="1" selected="selected">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
</select></div>
</div>
<div id="field_38_7" class="gfield field_sublabel_above field_description_above gfield_visibility_visible" data-js-reload="field_38_7"><label class="gfield_label" for="input_38_7">Number of paid companion tickets</label>
<div class="gfield_description" id="gfield_description_38_7">You will be able to pay for companion tickets the night of the event. </div>
<div class="ginput_container ginput_container_select"><select name="input_7" id="input_38_7" class="large gfield_select" aria-describedby="gfield_description_38_7" aria-invalid="false">
<option value="1">1</option>
<option value="2">2</option>
<option value="3">3</option>
<option value="4">4</option>
</select></div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_38" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_38"]){return false;} window["gf_submitting_38"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_38"]){return false;} window["gf_submitting_38"]=true; jQuery("#gform_38").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=38&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_38" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="38">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_38" value="WyJ7XCI0XCI6W1wiYTE3NzAwZTk5ODdkZjM4ZTdhN2IxNTc1ODQ1YmUwNDJcIixcImEwMzNiYWQ3ZWIwMTdmOGJlMzQ2ZDE5MjUwMzA3ZjdiXCJdfSIsImYzN2E4MzI5NDJjZTQ3M2EyYzZlMmIzNTJlZDAwYTA2Il0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_38" id="gform_target_page_number_38" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_38" id="gform_source_page_number_38" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_2" name="ak_js" value="1673222306231">
<script>
document.getElementById("ak_js_2").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="35429">
</form>POST /#gf_37
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_37" id="gform_37" action="/#gf_37">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<div id="gform_fields_37" class="gform_fields top_label form_sublabel_below description_below">
<fieldset id="field_37_1" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_37_1">
<legend class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_37_1">
<span id="input_37_1_3_container" class="name_first">
<input type="text" name="input_1.3" id="input_37_1_3" value="" aria-required="true" placeholder="First">
<label for="input_37_1_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_37_1_6_container" class="name_last">
<input type="text" name="input_1.6" id="input_37_1_6" value="" aria-required="true" placeholder="Last">
<label for="input_37_1_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</fieldset>
<fieldset id="field_37_2" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_37_2">
<legend class="gfield_label gfield_label_before_complex">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container_email" id="input_37_2_container">
<span id="input_37_2_1_container" class="ginput_left">
<input class="" type="text" name="input_2" id="input_37_2" value="" placeholder="Enter Email" aria-required="true" aria-invalid="false">
<label for="input_37_2" class="hidden_sub_label screen-reader-text">Enter Email</label>
</span>
<span id="input_37_2_2_container" class="ginput_right">
<input class="" type="text" name="input_2_2" id="input_37_2_2" value="" placeholder="Confirm Email" aria-required="true" aria-invalid="false">
<label for="input_37_2_2" class="hidden_sub_label screen-reader-text">Confirm Email</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_37_12" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_37_12"><label class="gfield_label" for="input_37_12">Comment</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_37_12" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<div id="field_37_19" class="gfield gfield--width-full gfield_price gfield_price_37_19 gfield_product_37_19 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_37_19"><label class="gfield_label"
for="input_37_19">Payment Amount</label>
<div class="ginput_container ginput_container_select"><select name="input_19" id="input_37_19" class="large gfield_select" aria-invalid="false">
<option value="1500|1500">$1,500</option>
<option value="5000|5000">$5,000</option>
<option value="6500|6500">$6,500</option>
<option value="0|0">Other Amount</option>
</select></div>
</div>
<div id="field_37_25" class="gfield gfield--width-full gfield_price gfield_price_37_25 gfield_product_37_25 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_37_25" style="display: none;"><label
class="gfield_label" for="input_37_25">Other Amount</label>
<div class="ginput_container ginput_container_product_price">
<input name="input_25" id="input_37_25" type="text" value="" class="medium ginput_amount" aria-invalid="false" disabled="disabled">
</div>
</div>
<fieldset id="field_37_16" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_37_16">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div>
<legend class="gfield_label">Campus<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_37_16">
<div class="gchoice gchoice_37_16_0">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520000" checked="checked" id="choice_37_16_0" onchange="gformToggleRadioOther( this )">
<label for="choice_37_16_0" id="label_37_16_0">Discovery Cube OC</label>
</div>
<div class="gchoice gchoice_37_16_1">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520001" id="choice_37_16_1" onchange="gformToggleRadioOther( this )">
<label for="choice_37_16_1" id="label_37_16_1">Discovery Cube LA</label>
</div>
</div>
</div>
</fieldset>
<div id="field_37_5" class="gfield gfield--width-full gfield_price gfield_price_37_ gfield_total gfield_total_37_ field_sublabel_below field_description_below gfield_visibility_visible" aria-atomic="true" aria-live="polite"
data-js-reload="field_37_5"><label class="gfield_label" for="input_37_5">Total</label>
<div class="ginput_container ginput_container_total">
<input readonly="" name="input_5" id="input_37_5" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_37">
</div>
</div>
<div id="field_37_15" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_37_15"><label class="gfield_label gfield_label_before_complex"
for="input_37_15_1">Enter Credit Card<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard" id="input_37_15">
<div class="ginput_full" id="input_37_15_1_container">
<div id="input_37_15_1" class="StripeElement StripeElement--empty">
<div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
<iframe name="__privateStripeFrame03612" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-a9aced728a05f6181299044ffc6450b8.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=false&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51GNpC9KsDEvBIzPqIvKaQAvm9lBwbfuj8fdFcnbT9eidXAZhuTMXyAdxAcJCyGPGoHtxc1PZ1Cpt3XPu7cHRmYEN008AeiqKzD&referrer=https%3A%2F%2Fwww.discoverycube.org%2F&controllerId=__privateStripeController0367"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div><label for="input_37_15_1" id="input_37_15_1_label">Card Details</label>
</div><!-- .ginput_full -->
<div class="ginput_full" id="input_37_15_5_container">
<input type="text" name="input_15.5" id="input_37_15_5" value="">
<label for="input_37_15_5" id="input_37_15_5_label">Cardholder Name</label>
</div>
</div><!-- .ginput_container -->
</div>
<div id="field_37_14" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_37_14">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_37_14">Payment Type</label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_37_14" type="text" value="839690005" class="large" aria-invalid="false"> </div>
</div>
<div id="field_37_18" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_37_18">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_37_18">Source</label>
<div class="ginput_container ginput_container_text"><input name="input_18" id="input_37_18" type="text" value="Website" class="large" aria-invalid="false"> </div>
</div>
<div id="field_37_11" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_37_11"><label class="gfield_label" for="input_37_11">CAPTCHA</label>
<div id="input_37_11" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S&co=aHR0cHM6Ly93d3cuZGlzY292ZXJ5Y3ViZS5vcmc6NDQz&hl=en&v=5qcenVbrhOy8zihcc2aHOWD4&theme=light&size=normal&cb=213hs13wigqu"
width="304" height="78" role="presentation" name="a-io1bd7k66ux4" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response-1" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
<div id="field_37_26" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_37_26"><label class="gfield_label" for="input_37_26">Name</label>
<div class="ginput_container"><input name="input_26" id="input_37_26" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_37_26">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_37" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_37"]){return false;} window["gf_submitting_37"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_37"]){return false;} window["gf_submitting_37"]=true; jQuery("#gform_37").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=37&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_37" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="37">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_37"
value="WyJ7XCIxOVwiOltcIjIzM2NlMmY3NDE2OTQyZDA5ZWQzYzhmNGY2M2RmODllXCIsXCI4ZjgzYTFmMWI4Nzg1ODUxN2U3OWNkM2Q1NzFmNTIzZlwiLFwiZDJjOTc5NTNiNDQzNDA5MzZlNmEzN2E4NGViNDVmZjBcIixcIjVhZWUxNjZkZDRlZGVmNzQyMTRiOTYwZThkYTc1ZjgwXCJdLFwiMTZcIjpbXCIxZTEwZDE1YjViOTNmNjg2ZDI0NzRiZWJhNDg3NDQwNVwiLFwiYjkyZGFhYzNiYzY4ZjM0MDUwZGJhZDk1N2UzMDE0ZjhcIl19IiwiNzg0ZjMyMDcwYmVmNjU5ZDMyMTkwYWU3MTE3MmYwOWEiXQ==">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_37" id="gform_target_page_number_37" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_37" id="gform_source_page_number_37" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_3" name="ak_js" value="1673222306303">
<script>
document.getElementById("ak_js_3").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="240796">
</form>POST /
<form method="post" enctype="multipart/form-data" id="gform_32" action="/">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<div id="gform_fields_32" class="gform_fields top_label form_sublabel_below description_below">
<fieldset id="field_32_1" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_32_1">
<legend class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_32_1">
<span id="input_32_1_3_container" class="name_first">
<input type="text" name="input_1.3" id="input_32_1_3" value="" aria-required="true" placeholder="First">
<label for="input_32_1_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_32_1_6_container" class="name_last">
<input type="text" name="input_1.6" id="input_32_1_6" value="" aria-required="true" placeholder="Last">
<label for="input_32_1_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</fieldset>
<fieldset id="field_32_28" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_28">
<legend class="gfield_label gfield_label_before_complex">Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address" id="input_32_28">
<span class="ginput_full address_line_1 ginput_address_line_1" id="input_32_28_1_container">
<input type="text" name="input_28.1" id="input_32_28_1" value="" aria-required="true">
<label for="input_32_28_1" id="input_32_28_1_label">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_32_28_2_container">
<input type="text" name="input_28.2" id="input_32_28_2" value="" aria-required="false">
<label for="input_32_28_2" id="input_32_28_2_label">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city" id="input_32_28_3_container">
<input type="text" name="input_28.3" id="input_32_28_3" value="" aria-required="true">
<label for="input_32_28_3" id="input_32_28_3_label">City</label>
</span><span class="ginput_right address_state ginput_address_state" id="input_32_28_4_container">
<input type="text" name="input_28.4" id="input_32_28_4" value="" aria-required="true">
<label for="input_32_28_4" id="input_32_28_4_label">State / Province / Region</label>
</span><span class="ginput_left address_zip ginput_address_zip" id="input_32_28_5_container">
<input type="text" name="input_28.5" id="input_32_28_5" value="" aria-required="true">
<label for="input_32_28_5" id="input_32_28_5_label">ZIP / Postal Code</label>
</span><span class="ginput_right address_country ginput_address_country" id="input_32_28_6_container">
<select name="input_28.6" id="input_32_28_6" aria-required="true">
<option value=""></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="Antarctica">Antarctica</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="Bahamas">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="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</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 Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</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="Eswatini">Eswatini</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 Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">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="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</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="Isle of Man">Isle of Man</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="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</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="Macao">Macao</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="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</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="North Macedonia">North Macedonia</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</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">Pitcairn</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="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</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="Sint Maarten">Sint Maarten</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="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</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 and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</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="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</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="United States" selected="selected">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</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="Åland Islands">Åland Islands</option>
</select>
<label for="input_32_28_6" id="input_32_28_6_label">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<fieldset id="field_32_2" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_32_2">
<legend class="gfield_label gfield_label_before_complex">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container_email" id="input_32_2_container">
<span id="input_32_2_1_container" class="ginput_left">
<input class="" type="text" name="input_2" id="input_32_2" value="" placeholder="Enter Email" aria-required="true" aria-invalid="false">
<label for="input_32_2" class="hidden_sub_label screen-reader-text">Enter Email</label>
</span>
<span id="input_32_2_2_container" class="ginput_right">
<input class="" type="text" name="input_2_2" id="input_32_2_2" value="" placeholder="Confirm Email" aria-required="true" aria-invalid="false">
<label for="input_32_2_2" class="hidden_sub_label screen-reader-text">Confirm Email</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_32_25" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_25"><label class="gfield_label" for="input_32_25">Phone<span
class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_25" id="input_32_25" type="text" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<fieldset id="field_32_27" class="gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_above gfield_visibility_visible" data-js-reload="field_32_27">
<legend class="gfield_label gfield_label_before_complex">Secondary Name*<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="gfield_description" id="gfield_description_32_27">*Secondary card holder must reside at same address</div>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_32_27">
<span id="input_32_27_3_container" class="name_first">
<input type="text" name="input_27.3" id="input_32_27_3" value="" aria-required="true" placeholder="First" aria-describedby="gfield_description_32_27">
<label for="input_32_27_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_32_27_6_container" class="name_last">
<input type="text" name="input_27.6" id="input_32_27_6" value="" aria-required="true" placeholder="Last">
<label for="input_32_27_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</fieldset>
<div id="field_32_17" class="gfield gfield--width-full gfield_price gfield_price_32_3 gfield_quantity gfield_quantity_32_3 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"
data-js-reload="field_32_17"><label class="gfield_label" for="input_32_17">Campus<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_17" id="input_32_17" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select Campus</option>
<option value="428520000">Discovery Cube Orange County</option>
<option value="428520001">Discovery Cube Los Angeles</option>
</select></div>
</div>
<fieldset id="field_32_19" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_19">
<legend class="gfield_label">Purchase Type<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_32_19">
<div class="gchoice gchoice_32_19_0">
<input class="gfield-choice-input" name="input_19" type="radio" value="New Innovator" id="choice_32_19_0" onchange="gformToggleRadioOther( this )">
<label for="choice_32_19_0" id="label_32_19_0">New Innovator</label>
</div>
<div class="gchoice gchoice_32_19_1">
<input class="gfield-choice-input" name="input_19" type="radio" value="Renewal Innovator" id="choice_32_19_1" onchange="gformToggleRadioOther( this )">
<label for="choice_32_19_1" id="label_32_19_1">Renewal Innovator</label>
</div>
</div>
</div>
</fieldset>
<div id="field_32_21" class="gfield gfield--width-full gfield_price gfield_price_32_21 gfield_product_32_21 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_21"><label class="gfield_label"
for="input_32_21">Membership Level</label>
<div class="ginput_container ginput_container_select"><select name="input_21" id="input_32_21" class="large gfield_select" aria-invalid="false">
<option value="500|500">Emerging Innovator ($500)</option>
<option value="1500|1500">Copper Innovator ($1,500)</option>
<option value="5000|5000">Silver Innovator ($5,000)</option>
<option value="10000|10000">Gold Innovator ($10,000)</option>
</select></div>
</div>
<div id="field_32_12" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_12"><label class="gfield_label" for="input_32_12">Comment</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_32_12" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<div id="field_32_5" class="gfield gfield--width-full gfield_price gfield_price_32_ gfield_total gfield_total_32_ field_sublabel_below field_description_below gfield_visibility_visible" aria-atomic="true" aria-live="polite"
data-js-reload="field_32_5"><label class="gfield_label" for="input_32_5">Total</label>
<div class="ginput_container ginput_container_total">
<input readonly="" name="input_5" id="input_32_5" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_32">
</div>
</div>
<div id="field_32_15" class="gfield gfield--width-half gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_32_15"><label class="gfield_label gfield_label_before_complex"
for="input_32_15_1">Enter Credit Card<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard" id="input_32_15">
<div class="ginput_full" id="input_32_15_1_container">
<div id="input_32_15_1" class="StripeElement StripeElement--empty">
<div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
<iframe name="__privateStripeFrame03618" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-a9aced728a05f6181299044ffc6450b8.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=false&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51GNpC9KsDEvBIzPqIvKaQAvm9lBwbfuj8fdFcnbT9eidXAZhuTMXyAdxAcJCyGPGoHtxc1PZ1Cpt3XPu7cHRmYEN008AeiqKzD&referrer=https%3A%2F%2Fwww.discoverycube.org%2F&controllerId=__privateStripeController03613"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div><label for="input_32_15_1" id="input_32_15_1_label" class="hidden_sub_label screen-reader-text">Card Details</label>
</div><!-- .ginput_full -->
<div class="ginput_full" id="input_32_15_5_container">
<input type="text" name="input_15.5" id="input_32_15_5" value="" placeholder="Cardholder Name">
<label for="input_32_15_5" id="input_32_15_5_label" class="hidden_sub_label screen-reader-text">Cardholder Name</label>
</div>
</div><!-- .ginput_container -->
</div>
<div id="field_32_20" class="gfield gfield--width-half gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_20"><label class="gfield_label" for="input_32_20">Billing Zip
Code<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_20" id="input_32_20" type="text" value="" class="large" aria-required="true" aria-invalid="false"> </div>
</div>
<div id="field_32_14" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_32_14">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_32_14">Payment Type</label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_32_14" type="text" value="839690005" class="large" aria-invalid="false"> </div>
</div>
<div id="field_32_23" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_32_23">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_32_23">Source</label>
<div class="ginput_container ginput_container_text"><input name="input_23" id="input_32_23" type="text" value="Website" class="large" aria-invalid="false"> </div>
</div>
<div id="field_32_11" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_11"><label class="gfield_label" for="input_32_11">CAPTCHA</label>
<div id="input_32_11" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S&co=aHR0cHM6Ly93d3cuZGlzY292ZXJ5Y3ViZS5vcmc6NDQz&hl=en&v=5qcenVbrhOy8zihcc2aHOWD4&theme=light&size=normal&cb=kulpeootujd4"
width="304" height="78" role="presentation" name="a-sm78frdbqzyt" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response-2" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
<div id="field_32_24" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_24"><label class="gfield_label" for="input_32_24">Phone</label>
<div class="ginput_container ginput_container_phone"><input name="input_24" id="input_32_24" type="text" value="" class="large" aria-invalid="false"></div>
</div>
<div id="field_32_29" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_32_29"><label class="gfield_label" for="input_32_29">Phone</label>
<div class="ginput_container"><input name="input_29" id="input_32_29" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_32_29">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_32" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_32"]){return false;} window["gf_submitting_32"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_32"]){return false;} window["gf_submitting_32"]=true; jQuery("#gform_32").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_32" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="32">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_32"
value="WyJ7XCIxN1wiOltcIjFlMTBkMTViNWI5M2Y2ODZkMjQ3NGJlYmE0ODc0NDA1XCIsXCJiOTJkYWFjM2JjNjhmMzQwNTBkYmFkOTU3ZTMwMTRmOFwiXSxcIjE5XCI6W1wiNjhlZDEyYTA3OWExMWM2MTY4ZDgwNjQ2MmU1ZDc5OWVcIixcIjc4M2Q1NzcxMmM3OTk2MjYyNGQwZTVlZmRmNTMzODM1XCJdLFwiMjFcIjpbXCJlZTM4NTQyNDU3MmI4ZWQ5NmYwMjMzZTI2ZDE3NGU4OFwiLFwiMjMzY2UyZjc0MTY5NDJkMDllZDNjOGY0ZjYzZGY4OWVcIixcIjhmODNhMWYxYjg3ODU4NTE3ZTc5Y2QzZDU3MWY1MjNmXCIsXCIyYTU4ZDRhYmU0N2FkNzBiODkxMjdlNGU5Njk1ZjJkN1wiXX0iLCIxNWJkYTQyZDliOTFiNDFjZDVkYzQ3NDBjNDIxYTBmMCJd">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_32" id="gform_target_page_number_32" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_32" id="gform_source_page_number_32" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_4" name="ak_js" value="1673222306340">
<script>
document.getElementById("ak_js_4").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="239951">
</form>POST /
<form method="post" enctype="multipart/form-data" id="gform_27" action="/">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<div id="gform_fields_27" class="gform_fields top_label form_sublabel_below description_below">
<fieldset id="field_27_1" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_27_1">
<legend class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_27_1">
<span id="input_27_1_3_container" class="name_first">
<input type="text" name="input_1.3" id="input_27_1_3" value="" aria-required="true" placeholder="First">
<label for="input_27_1_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_27_1_6_container" class="name_last">
<input type="text" name="input_1.6" id="input_27_1_6" value="" aria-required="true" placeholder="Last">
<label for="input_27_1_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</fieldset>
<fieldset id="field_27_2" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_27_2">
<legend class="gfield_label gfield_label_before_complex">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container_email" id="input_27_2_container">
<span id="input_27_2_1_container" class="ginput_left">
<input class="" type="text" name="input_2" id="input_27_2" value="" placeholder="Enter Email" aria-required="true" aria-invalid="false">
<label for="input_27_2" class="hidden_sub_label screen-reader-text">Enter Email</label>
</span>
<span id="input_27_2_2_container" class="ginput_right">
<input class="" type="text" name="input_2_2" id="input_27_2_2" value="" placeholder="Confirm Email" aria-required="true" aria-invalid="false">
<label for="input_27_2_2" class="hidden_sub_label screen-reader-text">Confirm Email</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<fieldset id="field_27_20" class="gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_27_20">
<legend class="gfield_label gfield_label_before_complex">Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address" id="input_27_20">
<span class="ginput_full address_line_1 ginput_address_line_1" id="input_27_20_1_container">
<input type="text" name="input_20.1" id="input_27_20_1" value="" placeholder="Street Address" aria-required="true">
<label for="input_27_20_1" id="input_27_20_1_label" class="hidden_sub_label screen-reader-text">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_27_20_2_container">
<input type="text" name="input_20.2" id="input_27_20_2" value="" placeholder="Address Line 2" aria-required="false">
<label for="input_27_20_2" id="input_27_20_2_label" class="hidden_sub_label screen-reader-text">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city" id="input_27_20_3_container">
<input type="text" name="input_20.3" id="input_27_20_3" value="" placeholder="City" aria-required="true">
<label for="input_27_20_3" id="input_27_20_3_label" class="hidden_sub_label screen-reader-text">City</label>
</span><span class="ginput_right address_state ginput_address_state" id="input_27_20_4_container">
<input type="text" name="input_20.4" id="input_27_20_4" value="" placeholder="State / Province" aria-required="true">
<label for="input_27_20_4" id="input_27_20_4_label" class="hidden_sub_label screen-reader-text">State / Province / Region</label>
</span><span class="ginput_left address_zip ginput_address_zip" id="input_27_20_5_container">
<input type="text" name="input_20.5" id="input_27_20_5" value="" placeholder="ZIP / Postal Code" aria-required="true">
<label for="input_27_20_5" id="input_27_20_5_label" class="hidden_sub_label screen-reader-text">ZIP / Postal Code</label>
</span><span class="ginput_right address_country ginput_address_country" id="input_27_20_6_container">
<select name="input_20.6" id="input_27_20_6" aria-required="true">
<option value="">Country</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="Antarctica">Antarctica</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="Bahamas">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="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</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 Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</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="Eswatini">Eswatini</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 Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">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="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</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="Isle of Man">Isle of Man</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="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</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="Macao">Macao</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="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</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="North Macedonia">North Macedonia</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</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">Pitcairn</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="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</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="Sint Maarten">Sint Maarten</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="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</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 and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</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="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</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="United States" selected="selected">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</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="Åland Islands">Åland Islands</option>
</select>
<label for="input_27_20_6" id="input_27_20_6_label" class="hidden_sub_label screen-reader-text">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_27_13" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_13"><label class="gfield_label" for="input_27_13">In Honor Of (First Name )</label>
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_27_13" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_21" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_21"><label class="gfield_label" for="input_27_21">In Honor Of (Last Name)</label>
<div class="ginput_container ginput_container_text"><input name="input_21" id="input_27_21" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_12" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_12"><label class="gfield_label" for="input_27_12">Comment</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_27_12" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<div id="field_27_19" class="gfield gfield--width-full gfield_price gfield_price_27_19 gfield_product_27_19 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_19"><label class="gfield_label"
for="input_27_19">Donation Amount</label>
<div class="ginput_container ginput_container_select"><select name="input_19" id="input_27_19" class="large gfield_select" aria-invalid="false">
<option value="100|100">$100</option>
<option value="25|25">$25</option>
<option value="500|500">$500</option>
<option value="1000|1000">$1,000</option>
<option value="1500|1500">$1,500</option>
<option value="2500|2500">$2,500</option>
<option value="5000|5000">$5,000</option>
<option value="10000|10000">$10,000</option>
<option value="0|0">Other Amount</option>
</select></div>
</div>
<div id="field_27_4" class="gfield gfield--width-full gfield_price gfield_price_27_4 gfield_product_27_4 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_4" style="display: none;"><label
class="gfield_label" for="input_27_4">Other Amount</label>
<div class="ginput_container ginput_container_product_price">
<input name="input_4" id="input_27_4" type="text" value="" class="medium ginput_amount" placeholder="Other amount" aria-invalid="false" disabled="disabled">
</div>
</div>
<fieldset id="field_27_16" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_16">
<legend class="gfield_label">Campus<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_27_16">
<div class="gchoice gchoice_27_16_0">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520000" id="choice_27_16_0" onchange="gformToggleRadioOther( this )">
<label for="choice_27_16_0" id="label_27_16_0">Discovery Cube OC</label>
</div>
<div class="gchoice gchoice_27_16_1">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520001" id="choice_27_16_1" onchange="gformToggleRadioOther( this )">
<label for="choice_27_16_1" id="label_27_16_1">Discovery Cube LA</label>
</div>
</div>
</div>
</fieldset>
<div id="field_27_23" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_23"><label class="gfield_label" for="input_27_23">Donation Type</label>
<div class="ginput_container ginput_container_select"><select name="input_23" id="input_27_23" class="large gfield_select" aria-invalid="false">
<option value="839690009">Donation</option>
<option value="839690005">Auction</option>
<option value="839690006">Silent Auction</option>
<option value="839690002">Sponsorships</option>
<option value="839690008">Raise The Paddle</option>
<option value="839690003">Underwriting</option>
</select></div>
</div>
<div id="field_27_5" class="gfield gfield--width-full gfield_price gfield_price_27_ gfield_total gfield_total_27_ field_sublabel_below field_description_below gfield_visibility_visible" aria-atomic="true" aria-live="polite"
data-js-reload="field_27_5"><label class="gfield_label" for="input_27_5">Total</label>
<div class="ginput_container ginput_container_total">
<input readonly="" name="input_5" id="input_27_5" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_27">
</div>
</div>
<div id="field_27_15" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_15"><label class="gfield_label gfield_label_before_complex"
for="input_27_15_1">Enter Credit Card<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard" id="input_27_15">
<div class="ginput_full" id="input_27_15_1_container">
<div id="input_27_15_1" class="StripeElement StripeElement--empty">
<div class="__PrivateStripeElement" style="margin: 0px !important; padding: 0px !important; border: none !important; display: block !important; background: transparent !important; position: relative !important; opacity: 1 !important;">
<iframe name="__privateStripeFrame03624" frameborder="0" allowtransparency="true" scrolling="no" role="presentation" allow="payment *"
src="https://js.stripe.com/v3/elements-inner-card-a9aced728a05f6181299044ffc6450b8.html#wait=false&mids[guid]=NA&mids[muid]=NA&mids[sid]=NA&hidePostalCode=false&rtl=false&componentName=card&keyMode=live&apiKey=pk_live_51GNpC9KsDEvBIzPqIvKaQAvm9lBwbfuj8fdFcnbT9eidXAZhuTMXyAdxAcJCyGPGoHtxc1PZ1Cpt3XPu7cHRmYEN008AeiqKzD&referrer=https%3A%2F%2Fwww.discoverycube.org%2F&controllerId=__privateStripeController03619"
title="Secure card payment input frame"
style="border: none !important; margin: 0px !important; padding: 0px !important; width: 1px !important; min-width: 100% !important; overflow: hidden !important; display: block !important; user-select: none !important; transform: translate(0px) !important; color-scheme: light only !important; height: 16.8px;"></iframe><input
class="__PrivateStripeElement-input" aria-hidden="true" aria-label=" " autocomplete="false" maxlength="1"
style="border: none !important; display: block !important; position: absolute !important; height: 1px !important; top: -1px !important; left: 0px !important; padding: 0px !important; margin: 0px !important; width: 100% !important; opacity: 0 !important; background: transparent !important; pointer-events: none !important; font-size: 16px !important;">
</div>
</div><label for="input_27_15_1" id="input_27_15_1_label">Card Details</label>
</div><!-- .ginput_full -->
<div class="ginput_full" id="input_27_15_5_container">
<input type="text" name="input_15.5" id="input_27_15_5" value="">
<label for="input_27_15_5" id="input_27_15_5_label">Cardholder Name</label>
</div>
</div><!-- .ginput_container -->
</div>
<div id="field_27_14" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_27_14">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_27_14">Payment Type</label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_27_14" type="text" value="839690005" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_18" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_27_18">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_27_18">Source</label>
<div class="ginput_container ginput_container_text"><input name="input_18" id="input_27_18" type="text" value="Website" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_11" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_11"><label class="gfield_label" for="input_27_11">CAPTCHA</label>
<div id="input_27_11" class="ginput_container ginput_recaptcha gform-initialized" data-sitekey="6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S" data-theme="light" data-tabindex="0" data-badge="">
<div style="width: 304px; height: 78px;">
<div><iframe title="reCAPTCHA"
src="https://www.google.com/recaptcha/api2/anchor?ar=1&k=6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S&co=aHR0cHM6Ly93d3cuZGlzY292ZXJ5Y3ViZS5vcmc6NDQz&hl=en&v=5qcenVbrhOy8zihcc2aHOWD4&theme=light&size=normal&cb=l8cxqe70erbq"
width="304" height="78" role="presentation" name="a-81kreoqefi3s" frameborder="0" scrolling="no"
sandbox="allow-forms allow-popups allow-same-origin allow-scripts allow-top-navigation allow-modals allow-popups-to-escape-sandbox"></iframe></div><textarea id="g-recaptcha-response-3" name="g-recaptcha-response"
class="g-recaptcha-response" style="width: 250px; height: 40px; border: 1px solid rgb(193, 193, 193); margin: 10px 25px; padding: 0px; resize: none; display: none;"></textarea>
</div>
</div>
</div>
<div id="field_27_24" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_24"><label class="gfield_label" for="input_27_24">Name</label>
<div class="ginput_container"><input name="input_24" id="input_27_24" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_27_24">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_27" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_27"]){return false;} window["gf_submitting_27"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_27"]){return false;} window["gf_submitting_27"]=true; jQuery("#gform_27").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_27" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="27">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_27"
value="WyJ7XCIxOVwiOltcImVmNjM0ZjQxZTJiNDNiODE1ODQxZDI5YTYxNWJjZGZjXCIsXCJhOTdmYjE0MDQ1ZjVjMjgyNGZhZDgyYTI1OTdkMmVkZlwiLFwiZWUzODU0MjQ1NzJiOGVkOTZmMDIzM2UyNmQxNzRlODhcIixcIjFjYTdlNTQ0ZDRkODZhM2ZlODFjZDM1MzU2YWE3NTE3XCIsXCIyMzNjZTJmNzQxNjk0MmQwOWVkM2M4ZjRmNjNkZjg5ZVwiLFwiZDUyODdmNjlhOWI2NzQ4OTRkOTk2Zjk3MTllZGMzNjFcIixcIjhmODNhMWYxYjg3ODU4NTE3ZTc5Y2QzZDU3MWY1MjNmXCIsXCIyYTU4ZDRhYmU0N2FkNzBiODkxMjdlNGU5Njk1ZjJkN1wiLFwiNWFlZTE2NmRkNGVkZWY3NDIxNGI5NjBlOGRhNzVmODBcIl0sXCIxNlwiOltcIjFlMTBkMTViNWI5M2Y2ODZkMjQ3NGJlYmE0ODc0NDA1XCIsXCJiOTJkYWFjM2JjNjhmMzQwNTBkYmFkOTU3ZTMwMTRmOFwiXX0iLCIyN2MwOGYxZTJkOTYyYmQwNjA4MGViMmM5YzhhZGE4MiJd">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_27" id="gform_target_page_number_27" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_27" id="gform_source_page_number_27" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_5" name="ak_js" value="1673222306401">
<script>
document.getElementById("ak_js_5").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="239866">
</form>POST /#gf_27
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_27" id="gform_27" action="/#gf_27">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<div id="gform_fields_27" class="gform_fields top_label form_sublabel_below description_below">
<fieldset id="field_27_1" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_27_1">
<legend class="gfield_label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_27_1">
<span id="input_27_1_3_container" class="name_first">
<input type="text" name="input_1.3" id="input_27_1_3" value="" aria-required="true" placeholder="First">
<label for="input_27_1_3" class="hidden_sub_label screen-reader-text">First</label>
</span>
<span id="input_27_1_6_container" class="name_last">
<input type="text" name="input_1.6" id="input_27_1_6" value="" aria-required="true" placeholder="Last">
<label for="input_27_1_6" class="hidden_sub_label screen-reader-text">Last</label>
</span>
</div>
</fieldset>
<fieldset id="field_27_2" class="gfield gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_27_2">
<legend class="gfield_label gfield_label_before_complex">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container_email" id="input_27_2_container">
<span id="input_27_2_1_container" class="ginput_left">
<input class="" type="text" name="input_2" id="input_27_2" value="" placeholder="Enter Email" aria-required="true" aria-invalid="false">
<label for="input_27_2" class="hidden_sub_label screen-reader-text">Enter Email</label>
</span>
<span id="input_27_2_2_container" class="ginput_right">
<input class="" type="text" name="input_2_2" id="input_27_2_2" value="" placeholder="Confirm Email" aria-required="true" aria-invalid="false">
<label for="input_27_2_2" class="hidden_sub_label screen-reader-text">Confirm Email</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<fieldset id="field_27_20" class="gfield gfield--width-full gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible" data-js-reload="field_27_20">
<legend class="gfield_label gfield_label_before_complex">Address<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address" id="input_27_20">
<span class="ginput_full address_line_1 ginput_address_line_1" id="input_27_20_1_container">
<input type="text" name="input_20.1" id="input_27_20_1" value="" placeholder="Street Address" aria-required="true">
<label for="input_27_20_1" id="input_27_20_1_label" class="hidden_sub_label screen-reader-text">Street Address</label>
</span><span class="ginput_full address_line_2 ginput_address_line_2" id="input_27_20_2_container">
<input type="text" name="input_20.2" id="input_27_20_2" value="" placeholder="Address Line 2" aria-required="false">
<label for="input_27_20_2" id="input_27_20_2_label" class="hidden_sub_label screen-reader-text">Address Line 2</label>
</span><span class="ginput_left address_city ginput_address_city" id="input_27_20_3_container">
<input type="text" name="input_20.3" id="input_27_20_3" value="" placeholder="City" aria-required="true">
<label for="input_27_20_3" id="input_27_20_3_label" class="hidden_sub_label screen-reader-text">City</label>
</span><span class="ginput_right address_state ginput_address_state" id="input_27_20_4_container">
<input type="text" name="input_20.4" id="input_27_20_4" value="" placeholder="State / Province" aria-required="true">
<label for="input_27_20_4" id="input_27_20_4_label" class="hidden_sub_label screen-reader-text">State / Province / Region</label>
</span><span class="ginput_left address_zip ginput_address_zip" id="input_27_20_5_container">
<input type="text" name="input_20.5" id="input_27_20_5" value="" placeholder="ZIP / Postal Code" aria-required="true">
<label for="input_27_20_5" id="input_27_20_5_label" class="hidden_sub_label screen-reader-text">ZIP / Postal Code</label>
</span><span class="ginput_right address_country ginput_address_country" id="input_27_20_6_container">
<select name="input_20.6" id="input_27_20_6" aria-required="true">
<option value="">Country</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="Antarctica">Antarctica</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="Bahamas">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="Bonaire, Sint Eustatius and Saba">Bonaire, Sint Eustatius and Saba</option>
<option value="Bosnia and Herzegovina">Bosnia and Herzegovina</option>
<option value="Botswana">Botswana</option>
<option value="Bouvet Island">Bouvet Island</option>
<option value="Brazil">Brazil</option>
<option value="British Indian Ocean Territory">British Indian Ocean Territory</option>
<option value="Brunei Darussalam">Brunei Darussalam</option>
<option value="Bulgaria">Bulgaria</option>
<option value="Burkina Faso">Burkina Faso</option>
<option value="Burundi">Burundi</option>
<option value="Cabo Verde">Cabo Verde</option>
<option value="Cambodia">Cambodia</option>
<option value="Cameroon">Cameroon</option>
<option value="Canada">Canada</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 Islands">Cocos Islands</option>
<option value="Colombia">Colombia</option>
<option value="Comoros">Comoros</option>
<option value="Congo">Congo</option>
<option value="Congo, Democratic Republic of the">Congo, Democratic Republic of the</option>
<option value="Cook Islands">Cook Islands</option>
<option value="Costa Rica">Costa Rica</option>
<option value="Croatia">Croatia</option>
<option value="Cuba">Cuba</option>
<option value="Curaçao">Curaçao</option>
<option value="Cyprus">Cyprus</option>
<option value="Czechia">Czechia</option>
<option value="Côte d'Ivoire">Côte d'Ivoire</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="Eswatini">Eswatini</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 Guiana">French Guiana</option>
<option value="French Polynesia">French Polynesia</option>
<option value="French Southern Territories">French Southern Territories</option>
<option value="Gabon">Gabon</option>
<option value="Gambia">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="Heard Island and McDonald Islands">Heard Island and McDonald Islands</option>
<option value="Holy See">Holy See</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="Isle of Man">Isle of Man</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="Korea, Democratic People's Republic of">Korea, Democratic People's Republic of</option>
<option value="Korea, Republic of">Korea, Republic of</option>
<option value="Kuwait">Kuwait</option>
<option value="Kyrgyzstan">Kyrgyzstan</option>
<option value="Lao People's Democratic Republic">Lao People's Democratic Republic</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="Macao">Macao</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="Namibia">Namibia</option>
<option value="Nauru">Nauru</option>
<option value="Nepal">Nepal</option>
<option value="Netherlands">Netherlands</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="North Macedonia">North Macedonia</option>
<option value="Northern Mariana Islands">Northern Mariana Islands</option>
<option value="Norway">Norway</option>
<option value="Oman">Oman</option>
<option value="Pakistan">Pakistan</option>
<option value="Palau">Palau</option>
<option value="Palestine, State of">Palestine, State of</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">Pitcairn</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="Romania">Romania</option>
<option value="Russian Federation">Russian Federation</option>
<option value="Rwanda">Rwanda</option>
<option value="Réunion">Réunion</option>
<option value="Saint Barthélemy">Saint Barthélemy</option>
<option value="Saint Helena, Ascension and Tristan da Cunha">Saint Helena, Ascension and Tristan da Cunha</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="Sint Maarten">Sint Maarten</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="South Africa">South Africa</option>
<option value="South Georgia and the South Sandwich Islands">South Georgia and the South Sandwich Islands</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 and Jan Mayen">Svalbard and Jan Mayen</option>
<option value="Sweden">Sweden</option>
<option value="Switzerland">Switzerland</option>
<option value="Syria Arab Republic">Syria Arab Republic</option>
<option value="Taiwan">Taiwan</option>
<option value="Tajikistan">Tajikistan</option>
<option value="Tanzania, the United Republic of">Tanzania, the United Republic of</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="Trinidad and Tobago">Trinidad and Tobago</option>
<option value="Tunisia">Tunisia</option>
<option value="Turkmenistan">Turkmenistan</option>
<option value="Turks and Caicos Islands">Turks and Caicos Islands</option>
<option value="Tuvalu">Tuvalu</option>
<option value="Türkiye">Türkiye</option>
<option value="US Minor Outlying Islands">US Minor Outlying Islands</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="United States" selected="selected">United States</option>
<option value="Uruguay">Uruguay</option>
<option value="Uzbekistan">Uzbekistan</option>
<option value="Vanuatu">Vanuatu</option>
<option value="Venezuela">Venezuela</option>
<option value="Viet Nam">Viet Nam</option>
<option value="Virgin Islands, British">Virgin Islands, British</option>
<option value="Virgin Islands, U.S.">Virgin Islands, U.S.</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="Åland Islands">Åland Islands</option>
</select>
<label for="input_27_20_6" id="input_27_20_6_label" class="hidden_sub_label screen-reader-text">Country</label>
</span>
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_27_13" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_13"><label class="gfield_label" for="input_27_13">In Honor Of (First Name )</label>
<div class="ginput_container ginput_container_text"><input name="input_13" id="input_27_13" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_21" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_21"><label class="gfield_label" for="input_27_21">In Honor Of (Last Name)</label>
<div class="ginput_container ginput_container_text"><input name="input_21" id="input_27_21" type="text" value="" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_12" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_12"><label class="gfield_label" for="input_27_12">Comment</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_12" id="input_27_12" class="textarea small" aria-invalid="false" rows="10" cols="50"></textarea></div>
</div>
<div id="field_27_19" class="gfield gfield--width-full gfield_price gfield_price_27_19 gfield_product_27_19 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_19"><label class="gfield_label"
for="input_27_19">Donation Amount</label>
<div class="ginput_container ginput_container_select"><select name="input_19" id="input_27_19" class="large gfield_select" aria-invalid="false">
<option value="100|100">$100</option>
<option value="25|25">$25</option>
<option value="500|500">$500</option>
<option value="1000|1000">$1,000</option>
<option value="1500|1500">$1,500</option>
<option value="2500|2500">$2,500</option>
<option value="5000|5000">$5,000</option>
<option value="10000|10000">$10,000</option>
<option value="0|0">Other Amount</option>
</select></div>
</div>
<div id="field_27_4" class="gfield gfield--width-full gfield_price gfield_price_27_4 gfield_product_27_4 field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_4"><label class="gfield_label"
for="input_27_4">Other Amount</label>
<div class="ginput_container ginput_container_product_price">
<input name="input_4" id="input_27_4" type="text" value="" class="medium ginput_amount" placeholder="Other amount" aria-invalid="false">
</div>
</div>
<fieldset id="field_27_16" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_16">
<legend class="gfield_label">Campus<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_container ginput_container_radio">
<div class="gfield_radio" id="input_27_16">
<div class="gchoice gchoice_27_16_0">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520000" id="choice_27_16_0" onchange="gformToggleRadioOther( this )">
<label for="choice_27_16_0" id="label_27_16_0">Discovery Cube OC</label>
</div>
<div class="gchoice gchoice_27_16_1">
<input class="gfield-choice-input" name="input_16" type="radio" value="428520001" id="choice_27_16_1" onchange="gformToggleRadioOther( this )">
<label for="choice_27_16_1" id="label_27_16_1">Discovery Cube LA</label>
</div>
</div>
</div>
</fieldset>
<div id="field_27_23" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_23"><label class="gfield_label" for="input_27_23">Donation Type</label>
<div class="ginput_container ginput_container_select"><select name="input_23" id="input_27_23" class="large gfield_select" aria-invalid="false">
<option value="839690009">Donation</option>
<option value="839690005">Auction</option>
<option value="839690006">Silent Auction</option>
<option value="839690002">Sponsorships</option>
<option value="839690008">Raise The Paddle</option>
<option value="839690003">Underwriting</option>
</select></div>
</div>
<div id="field_27_5" class="gfield gfield--width-full gfield_price gfield_price_27_ gfield_total gfield_total_27_ field_sublabel_below field_description_below gfield_visibility_visible" aria-atomic="true" aria-live="polite"
data-js-reload="field_27_5"><label class="gfield_label" for="input_27_5">Total</label>
<div class="ginput_container ginput_container_total">
<input readonly="" name="input_5" id="input_27_5" value="$0.00" class="gform-text-input-reset ginput_total ginput_total_27">
</div>
</div>
<div id="field_27_15" class="gfield gfield--width-full gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_15"><label class="gfield_label gfield_label_before_complex"
for="input_27_15_1">Enter Credit Card<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_complex ginput_container ginput_container_creditcard ginput_stripe_creditcard" id="input_27_15">
<div class="ginput_full" id="input_27_15_1_container">
<div id="input_27_15_1"></div><label for="input_27_15_1" id="input_27_15_1_label">Card Details</label>
</div><!-- .ginput_full -->
<div class="ginput_full" id="input_27_15_5_container">
<input type="text" name="input_15.5" id="input_27_15_5" value="">
<label for="input_27_15_5" id="input_27_15_5_label">Cardholder Name</label>
</div>
</div><!-- .ginput_container -->
</div>
<div id="field_27_14" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_27_14">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_27_14">Payment Type</label>
<div class="ginput_container ginput_container_text"><input name="input_14" id="input_27_14" type="text" value="839690005" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_18" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_hidden" data-js-reload="field_27_18">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_27_18">Source</label>
<div class="ginput_container ginput_container_text"><input name="input_18" id="input_27_18" type="text" value="Website" class="large" aria-invalid="false"> </div>
</div>
<div id="field_27_11" class="gfield gfield--width-full field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_11"><label class="gfield_label" for="input_27_11">CAPTCHA</label>
<div id="input_27_11" class="ginput_container ginput_recaptcha" data-sitekey="6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S" data-theme="light" data-tabindex="0" data-badge=""></div>
</div>
<div id="field_27_24" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_27_24"><label class="gfield_label" for="input_27_24">Comments</label>
<div class="ginput_container"><input name="input_24" id="input_27_24" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_27_24">This field is for validation purposes and should be left unchanged.</div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_27" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_27"]){return false;} window["gf_submitting_27"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_27"]){return false;} window["gf_submitting_27"]=true; jQuery("#gform_27").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=27&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_27" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="27">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_27"
value="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">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_27" id="gform_target_page_number_27" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_27" id="gform_source_page_number_27" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_6" name="ak_js" value="1673222306419">
<script>
document.getElementById("ak_js_6").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="239586">
</form>POST /
<form method="post" enctype="multipart/form-data" id="gform_20" class="hide-label gform_legacy_markup" action="/">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":true,"openpopup_id":32111}">
<div class="gform_body gform-body">
<ul id="gform_fields_20" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_20_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_1"><label class="gfield_label" for="input_20_1">First Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_20_1" type="text" value="" class="medium" placeholder="First Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_20_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_2"><label class="gfield_label" for="input_20_2">Last Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_20_2" type="text" value="" class="medium" placeholder="Last Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_20_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_3"><label class="gfield_label" for="input_20_3">Email<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_20_3" type="text" value="" class="medium" placeholder="Email" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_20_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_6"><label class="gfield_label" for="input_20_6">Campus<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_6" id="input_20_6" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Campus</option>
<option value="428520000">Discovery Cube OC</option>
<option value="428520001">Discovery Cube LA</option>
</select></div>
</li>
<li id="field_20_8" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_8"><label class="gfield_label" for="input_20_8">Purpose<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_8" id="input_20_8" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Purpose</option>
<option value="Accounts Payable / Receivable">Accounts Payable / Receivable</option>
<option value="Birthday Party">Birthday Party</option>
<option value="Bubblefest">Bubblefest</option>
<option value="General Information">General Information</option>
<option value="Group Reservations (Field Trips, After School,etc.)">Group Reservations (Field Trips, After School,etc.)</option>
<option value="Lost & Found">Lost & Found</option>
<option value="Marketing / Public Relations">Marketing / Public Relations</option>
<option value="Membership">Membership</option>
<option value="Retail Store">Retail Store</option>
<option value="Volunteers">Volunteers</option>
</select></div>
</li>
<li id="field_20_4" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_4"><label class="gfield_label" for="input_20_4">Questions/Comments</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_4" id="input_20_4" class="textarea large" maxlength="1500" placeholder="Questions/Comments" aria-invalid="false" rows="10" cols="50"></textarea>
<div class="charleft ginput_counter" aria-live="polite">0 of 1500 max characters</div>
</div>
</li>
<li id="field_20_9" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_hidden" data-js-reload="field_20_9">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_20_9">Origin</label>
<div class="ginput_container ginput_container_select"><select name="input_9" id="input_20_9" class="medium gfield_select" aria-invalid="false">
<option value="3" selected="selected">Web</option>
</select></div>
</li>
<li id="field_20_7" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_7"><label class="gfield_label" for="input_20_7">CAPTCHA</label>
<div id="input_20_7" class="ginput_container ginput_recaptcha" data-sitekey="6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S" data-theme="light" data-tabindex="0" data-badge=""></div>
</li>
<li id="field_20_10" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_20_10"><label class="gfield_label" for="input_20_10">Phone</label>
<div class="ginput_container"><input name="input_10" id="input_20_10" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_20_10">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_20" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_20"]){return false;} window["gf_submitting_20"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_20"]){return false;} window["gf_submitting_20"]=true; jQuery("#gform_20").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_20" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="20">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_20" value="WyJbXSIsIjVlZjJmZGFmNzkzY2E5MWE5NjBmYzIxYTJkNzM4YTdmIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_20" id="gform_target_page_number_20" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_20" id="gform_source_page_number_20" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_7" name="ak_js" value="1673222306438">
<script>
document.getElementById("ak_js_7").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="32111">
</form>POST /#gf_18
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_18" id="gform_18" action="/#gf_18">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":true,"openpopup_id":239591}">
<div class="gform_body gform-body">
<ul id="gform_fields_18" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_18_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_6"><label class="gfield_label" for="input_18_6">First Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_6" id="input_18_6" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_18_7" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_7"><label class="gfield_label" for="input_18_7">Last Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_18_7" type="text" value="" class="medium" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_18_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_1"><label class="gfield_label" for="input_18_1">Email<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_1" id="input_18_1" type="text" value="" class="medium" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_18_5" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_18_5"><label class="gfield_label" for="input_18_5">Select Campus<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_5" id="input_18_5" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select Campus</option>
<option value="Discovery Cube Los Angeles">Discovery Cube Los Angeles</option>
<option value="Discovery Cube Orange County">Discovery Cube Orange County</option>
<option value="All Sites">All Sites</option>
</select></div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_18" class="gform_button button" value="Sign Up" onclick="if(window["gf_submitting_18"]){return false;} window["gf_submitting_18"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_18"]){return false;} window["gf_submitting_18"]=true; jQuery("#gform_18").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=18&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_18" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="18">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_18" value="WyJbXSIsIjVlZjJmZGFmNzkzY2E5MWE5NjBmYzIxYTJkNzM4YTdmIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_18" id="gform_target_page_number_18" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_18" id="gform_source_page_number_18" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_8" name="ak_js" value="1673222306445">
<script>
document.getElementById("ak_js_8").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="239591">
</form>POST /#gf_15
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_15" id="gform_15" action="/#gf_15">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<ul id="gform_fields_15" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_15_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_6"><label class="gfield_label" for="input_15_6">School Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_6" id="input_15_6" type="text" value="" class="medium" placeholder="School Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_15_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_1"><label class="gfield_label" for="input_15_1">First Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_15_1" type="text" value="" class="medium" placeholder="First Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_15_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_2"><label class="gfield_label" for="input_15_2">Last Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_15_2" type="text" value="" class="medium" placeholder="Last Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_15_12" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_12"><label class="gfield_label" for="input_15_12">Job Title<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_12" id="input_15_12" type="text" value="" class="medium" placeholder="Job Title" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_15_13" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_13"><label class="gfield_label" for="input_15_13">Best Contact Number<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_13" id="input_15_13" type="text" value="" class="medium" placeholder="Best Phone Number to Reach You" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_15_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_3"><label class="gfield_label" for="input_15_3">Email<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_15_3" type="text" value="" class="medium" placeholder="Email" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_15_16" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_16"><label class="gfield_label" for="input_15_16">Number of Students</label>
<div class="ginput_container ginput_container_number"><input name="input_16" id="input_15_16" type="text" value="" class="medium" placeholder="Number of Students" aria-invalid="false" aria-describedby="gfield_description_15_16"></div>
<div class="gfield_description" id="gfield_description_15_16">Estimated number of students</div>
</li>
<li id="field_15_31" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_31"><label class="gfield_label" for="input_15_31">Campus<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_31" id="input_15_31" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="428520000">Discovery Cube OC</option>
<option value="428520001">Discovery Cube LA</option>
</select></div>
</li>
<li id="field_15_30" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_30"><label class="gfield_label" for="input_15_30">Comment</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_30" id="input_15_30" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_15_32" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_15_32"><label class="gfield_label" for="input_15_32">Phone</label>
<div class="ginput_container"><input name="input_32" id="input_15_32" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_15_32">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_15" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_15"]){return false;} window["gf_submitting_15"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_15"]){return false;} window["gf_submitting_15"]=true; jQuery("#gform_15").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=15&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_15" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="15">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_15" value="WyJbXSIsIjVlZjJmZGFmNzkzY2E5MWE5NjBmYzIxYTJkNzM4YTdmIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_15" id="gform_target_page_number_15" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_15" id="gform_source_page_number_15" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_9" name="ak_js" value="1673222306456">
<script>
document.getElementById("ak_js_9").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="31945">
</form>POST /#gf_24
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_24" id="gform_24" class="hide-label gform_legacy_markup" action="/#gf_24">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<ul id="gform_fields_24" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_24_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_1"><label class="gfield_label" for="input_24_1">First Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_24_1" type="text" value="" class="medium" placeholder="First Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_24_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_2"><label class="gfield_label" for="input_24_2">Last Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_24_2" type="text" value="" class="medium" placeholder="Last Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_24_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_3"><label class="gfield_label" for="input_24_3">Email<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_24_3" type="text" value="" class="medium" placeholder="Email" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_24_6" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_6"><label class="gfield_label" for="input_24_6">Campus closest to you<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_6" id="input_24_6" class="medium gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Campus</option>
<option value="428520000">Discovery Cube OC</option>
<option value="428520001">Discovery Cube LA</option>
</select></div>
</li>
<li id="field_24_11" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_11"><label class="gfield_label" for="input_24_11">Interests (Hold Shift Key for
multiple selection)<span class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_multiselect"><select multiple="multiple" size="7" name="input_11[]" id="input_24_11" class="medium gfield_select" aria-invalid="false" aria-required="true">
<option value="Cube Talks" selected="selected">Cube Talks</option>
<option value="Fundraiser Events">Fundraiser Events</option>
<option value="Exhibit Preview">Exhibit Preview</option>
<option value="Innovator Membership">Innovator Membership</option>
</select></div>
</li>
<li id="field_24_4" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_4"><label class="gfield_label" for="input_24_4">Questions/Comments</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_4" id="input_24_4" class="textarea large" placeholder="Questions/Comments" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_24_9" class="gfield field_sublabel_below field_description_below hidden_label gfield_visibility_hidden" data-js-reload="field_24_9">
<div class="admin-hidden-markup"><i class="gform-icon gform-icon--hidden"></i><span>Hidden</span></div><label class="gfield_label" for="input_24_9">Origin</label>
<div class="ginput_container ginput_container_select"><select name="input_9" id="input_24_9" class="medium gfield_select" aria-invalid="false">
<option value="3" selected="selected">Web</option>
</select></div>
</li>
<li id="field_24_7" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_7"><label class="gfield_label" for="input_24_7">CAPTCHA</label>
<div id="input_24_7" class="ginput_container ginput_recaptcha" data-sitekey="6LdvibcUAAAAAIn6o-Sfi5T-JRrz--3BjnajvC6S" data-theme="light" data-tabindex="0" data-badge=""></div>
</li>
<li id="field_24_12" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_24_12"><label class="gfield_label" for="input_24_12">Name</label>
<div class="ginput_container"><input name="input_12" id="input_24_12" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_24_12">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_24" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_24"]){return false;} window["gf_submitting_24"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_24"]){return false;} window["gf_submitting_24"]=true; jQuery("#gform_24").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=24&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_24" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="24">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_24" value="WyJbXSIsIjVlZjJmZGFmNzkzY2E5MWE5NjBmYzIxYTJkNzM4YTdmIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_24" id="gform_target_page_number_24" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_24" id="gform_source_page_number_24" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_10" name="ak_js" value="1673222306496">
<script>
document.getElementById("ak_js_10").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="32713">
</form>POST /#gf_22
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_22" id="gform_22" action="/#gf_22">
<input type="hidden" class="gforms-pum" value="{"closepopup":false,"closedelay":0,"openpopup":false,"openpopup_id":0}">
<div class="gform_body gform-body">
<ul id="gform_fields_22" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_22_32" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_22_32"><label class="gfield_label" for="input_22_32">Campus</label>
<div class="ginput_container ginput_container_select"><select name="input_32" id="input_22_32" class="medium gfield_select" aria-invalid="false">
<option value="Discovery Cube Orange County">Discovery Cube Orange County</option>
<option value="Discovery Cube Los Angeles">Discovery Cube Los Angeles</option>
</select></div>
</li>
<li id="field_22_1" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_22_1"><label class="gfield_label" for="input_22_1">First Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_1" id="input_22_1" type="text" value="" class="medium" placeholder="First Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_22_2" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_22_2"><label class="gfield_label" for="input_22_2">Last Name<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_2" id="input_22_2" type="text" value="" class="medium" placeholder="Last Name" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_22_13" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_22_13"><label class="gfield_label" for="input_22_13">Best Contact Number<span
class="gfield_required"><span class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_13" id="input_22_13" type="text" value="" class="medium" placeholder="Best Phone Number to Reach You" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_22_3" class="gfield gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_22_3"><label class="gfield_label" for="input_22_3">Email<span class="gfield_required"><span
class="gfield_required gfield_required_asterisk">*</span></span></label>
<div class="ginput_container ginput_container_text"><input name="input_3" id="input_22_3" type="text" value="" class="medium" placeholder="Email" aria-required="true" aria-invalid="false"> </div>
</li>
<li id="field_22_35" class="gfield field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_22_35"><label class="gfield_label" for="input_22_35">Comments</label>
<div class="ginput_container ginput_container_textarea"><textarea name="input_35" id="input_22_35" class="textarea medium" aria-invalid="false" rows="10" cols="50"></textarea></div>
</li>
<li id="field_22_36" class="gfield gform_validation_container field_sublabel_below field_description_below gfield_visibility_visible" data-js-reload="field_22_36"><label class="gfield_label" for="input_22_36">Email</label>
<div class="ginput_container"><input name="input_36" id="input_22_36" type="text" value=""></div>
<div class="gfield_description" id="gfield_description_22_36">This field is for validation purposes and should be left unchanged.</div>
</li>
</ul>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_22" class="gform_button button" value="Submit" onclick="if(window["gf_submitting_22"]){return false;} window["gf_submitting_22"]=true; "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_22"]){return false;} window["gf_submitting_22"]=true; jQuery("#gform_22").trigger("submit",[true]); }"> <input type="hidden"
name="gform_ajax" value="form_id=22&title=1&description=1&tabindex=0">
<input type="hidden" class="gform_hidden" name="is_submit_22" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="22">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_22" value="WyJbXSIsIjVlZjJmZGFmNzkzY2E5MWE5NjBmYzIxYTJkNzM4YTdmIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_22" id="gform_target_page_number_22" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_22" id="gform_source_page_number_22" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
<p style="display: none !important;"><label>Δ<textarea name="ak_hp_textarea" cols="45" rows="8" maxlength="100"></textarea></label><input type="hidden" id="ak_js_11" name="ak_js" value="1673222306512">
<script>
document.getElementById("ak_js_11").setAttribute("value", (new Date()).getTime());
</script>
</p><input type="hidden" name="pum_form_popup_id" value="32074">
</form>Text Content
* Plan Your Visit * Buy Tickets * Discovery Cube Membership Benefits * Gift Membership * Field Trips * Birthday Parties * Promotions * Exhibits * FAQ * Bean Sprouts Cafe * Contact Us * Events * Discovery Cube Orange County * Discovery Cube Los Angeles * OC: Winter Lights * LA: Thomas & Friends * Education * Education Programs * Discovery Cube Connect * Support the Cube * Who We Are * End of Year Giving * Individual Giving * Innovator * Legacy Giving * Corporate Giving * Donor Events * Individual Donors * Corporate Donors * Volunteer * Buy Tickets * Memberships * Donate * Plan Your Visit * Buy Tickets * Discovery Cube Membership Benefits * Gift Membership * Field Trips * Birthday Parties * Promotions * Exhibits * FAQ * Bean Sprouts Cafe * Contact Us * Events * Discovery Cube Orange County * Discovery Cube Los Angeles * OC: Winter Lights * LA: Thomas & Friends * Education * Education Programs * Discovery Cube Connect * Support the Cube * Who We Are * End of Year Giving * Individual Giving * Innovator * Legacy Giving * Corporate Giving * Donor Events * Individual Donors * Corporate Donors * Volunteer * * * * OC Winter Lights Thomas PAW Patrol Birthday Parties Become a Discovery Cube Member OC Winter Lights Thomas Paw Patrol Birthday Parties Unlimited Admission For A Year OPEN DAILY: 10AM – 5PM 2500 N Main Street, Santa Ana, CA 92705 Visit Discovery Cube Orange County OPEN DAILY: 10AM – 5PM 11800 Foothill Blvd, Sylmar, CA 91342 Visit Discovery Cube Los Angeles WINTER LIGHTS FESTIVAL & MUSICAL CLOSES JANUARY 8 Visit Today WHAT'S NEW AT THE CUBE: OC: WINTER LIGHTS Learn More THOMAS & FRIENDS: EXPLORE THE RAILS Closes January 16 PARTY AT THE CUBE See Birthday Packages OUR MISSION IS TO INSPIRE AND EDUCATE YOUNG MINDS THROUGH ENGAGING SCIENCE-BASED PROGRAMS AND EXHIBITS THEREFORE CREATING A MEANINGFUL IMPACT ON THE COMMUNITIES WE SERVE. NEWSLETTER SIGN UP * First Name* * Last Name* * Email* * Select Campus* Select CampusDiscovery Cube Los AngelesDiscovery Cube Orange CountyAll Sites Δ ABOUT US Our Story Employment Volunteer Opportunities Press Room Privacy Policy Contact Us HOURS OF OPERATIONS Discovery Cube Orange County OPEN Monday – Sunday: 10 am – 5 pm 2500 N Main Street, Santa Ana, CA 92705 Discovery Cube Los Angeles OPEN Monday – Sunday: 10 am – 5 pm 11800 Foothill Blvd, Sylmar, CA 91342 -------------------------------------------------------------------------------- * Instagram * Facebook * Twitter * YouTube © 2022 Discovery Cube DONATION FORM - END OF YEAR GIVING Name(Required) First Last Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required) In Honor Of Comment Donation Amount $50$25$100$500$1,000$1,500$2,500$5,000$10,000Other Amount Other Amount Campus(Required) Discovery Cube OC Discovery Cube LA Total Enter Credit Card(Required) Card Details Cardholder Name Hidden Payment Type Hidden Source CAPTCHA Comments This field is for validation purposes and should be left unchanged. Δ CLOSE MEMBER EVENT REGISTRATION FORM: SCIENCE NIGHT LIVE "*" indicates required fields Member Name* First Last Email* You will receive an email confirmation at this address. Enter Email Confirm Email Select event date & location* RSVP for both events by submitting two registration forms - one per campus. Friday, June 24 in Orange County at 6:00pm Saturday, June 25 in Los Angeles at 5:30pm Number of Members attending the event* Guests attending must be named on your membership at the time of visit. You may purchase 4 companion tickets ($10 each) the evening of the event should you wish to invite family and friends. A valid Discovery Cube membership card is required for entry. Dual members are allowed 2 guests. 1234 Number of paid companion tickets You will be able to pay for companion tickets the night of the event. 1234 Δ × CUBE INVITATIONAL PAYMENT Name(Required) First Last Email(Required) Enter Email Confirm Email Comment Payment Amount $1,500$5,000$6,500Other Amount Other Amount Hidden Campus(Required) Discovery Cube OC Discovery Cube LA Total Enter Credit Card(Required) Card Details Cardholder Name Hidden Payment Type Hidden Source CAPTCHA Name This field is for validation purposes and should be left unchanged. Δ × INNOVATOR MEMBERSHIPS Name(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Enter Email Confirm Email Phone(Required) Secondary Name*(Required) *Secondary card holder must reside at same address First Last Campus(Required) Select CampusDiscovery Cube Orange CountyDiscovery Cube Los Angeles Purchase Type(Required) New Innovator Renewal Innovator Membership Level Emerging Innovator ($500)Copper Innovator ($1,500)Silver Innovator ($5,000)Gold Innovator ($10,000) Comment Total Enter Credit Card(Required) Card Details Cardholder Name Billing Zip Code(Required) Hidden Payment Type Hidden Source CAPTCHA Phone Phone This field is for validation purposes and should be left unchanged. Δ CLOSE DONATION FORM Name(Required) First Last Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country In Honor Of (First Name ) In Honor Of (Last Name) Comment Donation Amount $100$25$500$1,000$1,500$2,500$5,000$10,000Other Amount Other Amount Campus(Required) Discovery Cube OC Discovery Cube LA Donation Type DonationAuctionSilent AuctionSponsorshipsRaise The PaddleUnderwriting Total Enter Credit Card(Required) Card Details Cardholder Name Hidden Payment Type Hidden Source CAPTCHA Name This field is for validation purposes and should be left unchanged. Δ CLOSE DONATION FORM Name(Required) First Last Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country In Honor Of (First Name ) In Honor Of (Last Name) Comment Donation Amount $100$25$500$1,000$1,500$2,500$5,000$10,000Other Amount Other Amount Campus(Required) Discovery Cube OC Discovery Cube LA Donation Type DonationAuctionSilent AuctionSponsorshipsRaise The PaddleUnderwriting Total Enter Credit Card(Required) Card Details Cardholder Name Hidden Payment Type Hidden Source CAPTCHA Comments This field is for validation purposes and should be left unchanged. Δ × CONTACT US FORM * First Name* * Last Name* * Email* * Campus* CampusDiscovery Cube OCDiscovery Cube LA * Purpose* PurposeAccounts Payable / ReceivableBirthday PartyBubblefestGeneral InformationGroup Reservations (Field Trips, After School,etc.)Lost & FoundMarketing / Public RelationsMembershipRetail StoreVolunteers * Questions/Comments 0 of 1500 max characters * Hidden Origin Web * CAPTCHA * Phone This field is for validation purposes and should be left unchanged. Δ × SIGN UP FOR NEWSLETTER Stay up to date and sign up to Discovery Cube's Newsletter! * First Name* * Last Name* * Email* * Select Campus* Select CampusDiscovery Cube Los AngelesDiscovery Cube Orange CountyAll Sites Δ × EDUCATION INQUIRY * School Name* * First Name* * Last Name* * Job Title* * Best Contact Number* * Email* * Number of Students Estimated number of students * Campus* Discovery Cube OCDiscovery Cube LA * Comment * Phone This field is for validation purposes and should be left unchanged. Δ × DEVELOPMENT COMMUNICATION INTEREST FORM * First Name* * Last Name* * Email* * Campus closest to you* CampusDiscovery Cube OCDiscovery Cube LA * Interests (Hold Shift Key for multiple selection)* Cube TalksFundraiser EventsExhibit PreviewInnovator Membership * Questions/Comments * Hidden Origin Web * CAPTCHA * Name This field is for validation purposes and should be left unchanged. Δ CLOSE CLOSE VOLUNTEER INQUIRY FORM * Campus Discovery Cube Orange CountyDiscovery Cube Los Angeles * First Name* * Last Name* * Best Contact Number* * Email* * Comments * Email This field is for validation purposes and should be left unchanged. Δ CLOSE Notifications