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trpassessment.com Open in urlscan Pro
13.32.27.84  Public Scan

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URL: https://trpassessment.com/
Submission: On July 08 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form id="login_frm">
  <div class="login_form">
    <input id="cg_fist_name" name="cg_fist_name" class="text caregiver-inputs" type="text" value="" placeholder="Caregiver's First Name" required="">
    <input id="cg_last_name" name="cg_last_name" class="text caregiver-inputs" type="text" value="" placeholder="Caregiver's Last Name" required="">
    <input id="cg_email" name="cg_email" class="text caregiver-inputs" type="text" value="" placeholder="Caregiver's Email Address" required="">
    <input id="cg_num" name="cg_num" class="text caregiver-inputs" type="text" value="" placeholder="Caregiver's Phone Number" required="">
    <input id="fist_name" name="fist_name" class="text child-inputs input-hidden" type="text" value="" placeholder="Child's First Name" required="">
    <input id="last_name" name="last_name" class="text child-inputs input-hidden" type="text" value="" placeholder="Child's Last Name" required="">
    <select id="child_grade" name="child_grade" class="text child-inputs input-hidden" required="">
      <option value="" disabled="" selected="">Child's grade</option>
      <option value="PK">Pre Kindergarten</option>
      <option value="JK">Junior Kindergarten</option>
      <option value="SK">Senior Kindergarten</option>
      <option value="1">Grade 1</option>
      <option value="2">Grade 2</option>
      <option value="Other">Other</option>
    </select>
    <input id="dob" name="dob" class="text child-inputs input-hidden hasDatepicker" type="text" value="" placeholder="Child's Birthday" autocomplete="off" required="">
    <select id="partnerName" name="partnerName" class="text child-inputs input-hidden last" required="">
      <option value="" disabled="" selected="">Program host</option>
      <option value="122">RPP | Register Here! - Spring 2024</option>
    </select>
  </div>
  <button id="nextButton"> <img src="img\Arrow-next-blue.svg" alt="Next">
  </button>
  <div class="login_btn input-hidden">
    <button id="btn_login" style="display: block;">
      <div style="width: 100%;">
        <img src="Assets\Elements\arrow_next_purple.svg" alt="login icon">
      </div>
    </button>
  </div>
  <button id="backButton" style="display: none;"><img src="img\backButtonBlue.svg" alt="back"></button>
</form>

Text Content

Hi, let's get to know you!

Enter your information below:

Child's grade Pre Kindergarten Junior Kindergarten Senior Kindergarten Grade 1
Grade 2 Other Program host RPP | Register Here! - Spring 2024




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