3dmhillsborough.com
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192.124.249.39
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Submitted URL: http://3dmhillsborough.com/
Effective URL: https://3dmhillsborough.com/
Submission: On February 26 via api from US — Scanned from US
Effective URL: https://3dmhillsborough.com/
Submission: On February 26 via api from US — Scanned from US
Form analysis 42 forms found in the DOM
Name: cp_appbooking_pform_1 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_1" id="cp_appbooking_pform_1" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_1(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_1"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="2"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_1" id="form_structure_1" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-02-2023 Lanier Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-02-2023 Lanier Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-02","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-02"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_1" id="refpage_1" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_1">
<div id="formheader_1">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_1" fcount_tags="1" fnum="_1" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_1-0">
<div id="fieldname8_1" class="dfield"><b>03-02-2023 Lanier Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_1-2"><label for="fieldname1_1"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_1" name="fieldname1_1" type="hidden" value="" summary="usedSlots"><input id="fieldname1_1_services" name="fieldname1_1_services"
type="hidden" value="0"><input id="fieldname1_1_capacity" name="fieldname1_1_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_1" name="tcostfieldname1_1" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_1"><select class="ahbfield_service">
<option value="10">03-02-2023 Lanier Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_1 notranslate hasDatepicker" id="dp1677401943085">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" 2023-03-02 d2023-03-02 ahb_booked4 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="2">2</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_1">
<div class="slots" d="2023-03-02"><span>03/02/2023</span><br>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div s="0" h1="8" m1="10" h2="8" m2="20" style="display:none" class="htmlUsed approved old"><a>08:10 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="0" h2="9" m2="10" style="display:none" class="htmlUsed approved old"><a>09:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="30" h2="9" m2="40" style="display:none" class="htmlUsed approved old"><a>09:30 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="0" h2="10" m2="10" style="display:none" class="htmlUsed approved old"><a>10:00 AM</a></div>
<div s="0" h1="10" m1="10" h2="10" m2="20" style="display:none" class="htmlUsed approved old"><a>10:10 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_1"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_1-4"><label for="fieldname2_1">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_1" name="fieldname2_1" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_1-5"><label for="fieldname3_1">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_1" name="fieldname3_1" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_1-6"><label for="fieldname4_1">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_1" name="fieldname4_1" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_1 cff-phone-field" id="field_1-7"><label for="fieldname11_1">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_1" name="fieldname11_1" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_1_0" name="fieldname11_1_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_1_1" name="fieldname11_1_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_1_2" name="fieldname11_1_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_1-8"><label for="email_1">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_1" name="email_1" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_1" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_1" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_2 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_2" id="cp_appbooking_pform_2" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_2(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_2"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="7"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_2" id="form_structure_2" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-02-2023 Monroe Middle Magnet<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"3-02-2023 Monroe Middle Magnet","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-02","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-02"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_2" id="refpage_2" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_2">
<div id="formheader_2">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_2" fcount_tags="2" fnum="_2" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_2-0">
<div id="fieldname8_2" class="dfield"><b>03-02-2023 Monroe Middle Magnet</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_2-2"><label for="fieldname1_2"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_2" name="fieldname1_2" type="hidden" value="" summary="usedSlots"><input id="fieldname1_2_services" name="fieldname1_2_services"
type="hidden" value="0"><input id="fieldname1_2_capacity" name="fieldname1_2_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_2" name="tcostfieldname1_2" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_2"><select class="ahbfield_service">
<option value="10">3-02-2023 Monroe Middle Magnet</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_2 notranslate hasDatepicker" id="dp1677401943086">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" 2023-03-02 d2023-03-02 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="2">2</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_2">
<div class="slots" d="2023-03-02"><span>03/02/2023</span><br>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="20" h2="12" m2="30" style="display:none" class="htmlUsed approved old"><a>12:20 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="40" h2="12" m2="50" style="display:none" class="htmlUsed approved old"><a>12:40 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="14" m1="10" h2="14" m2="20" style="display:none" class="htmlUsed approved old"><a>02:10 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-02" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_2"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_2-4"><label for="fieldname2_2">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_2" name="fieldname2_2" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_2-5"><label for="fieldname3_2">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_2" name="fieldname3_2" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_2-6"><label for="fieldname4_2">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_2" name="fieldname4_2" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_2 cff-phone-field" id="field_2-7"><label for="fieldname11_2">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_2" name="fieldname11_2" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_2_0" name="fieldname11_2_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_2_1" name="fieldname11_2_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_2_2" name="fieldname11_2_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_2-8"><label for="email_2">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_2" name="email_2" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_2-9"><label for="fieldname7_2">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_2" id="fieldname7_2" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_2" id="fieldname7_2" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_2-10" style="display: none;"><label for="fieldname5_2">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_2" name="fieldname5_2" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_2-11" style="display: none;"><label for="fieldname6_2">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_2" name="fieldname6_2" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_2" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_2" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_3 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_3" id="cp_appbooking_pform_3" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_3(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_3"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="3"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_3" id="form_structure_3" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-03-2023 Schmidt Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"3-3-2023 Schmidt Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-03","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-03"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_3" id="refpage_3" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_3">
<div id="formheader_3">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_3" fcount_tags="3" fnum="_3" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_3-0">
<div id="fieldname8_3" class="dfield"><b>03-03-2023 Schmidt Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_3-2"><label for="fieldname1_3"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_3" name="fieldname1_3" type="hidden" value="" summary="usedSlots"><input id="fieldname1_3_services" name="fieldname1_3_services"
type="hidden" value="0"><input id="fieldname1_3_capacity" name="fieldname1_3_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_3" name="tcostfieldname1_3" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_3"><select class="ahbfield_service">
<option value="10">3-3-2023 Schmidt Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_3 notranslate hasDatepicker" id="dp1677401943087">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" 2023-03-03 d2023-03-03 ahb_booked6 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="3">3</a></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_3">
<div class="slots" d="2023-03-03"><span>03/03/2023</span><br>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div s="0" h1="8" m1="10" h2="8" m2="20" style="display:none" class="htmlUsed approved old"><a>08:10 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="30" h2="8" m2="40" style="display:none" class="htmlUsed approved old"><a>08:30 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="50" h2="9" m2="0" style="display:none" class="htmlUsed approved old"><a>08:50 AM</a></div>
<div s="0" h1="9" m1="0" h2="9" m2="10" style="display:none" class="htmlUsed approved old"><a>09:00 AM</a></div>
<div s="0" h1="9" m1="10" h2="9" m2="20" style="display:none" class="htmlUsed approved old"><a>09:10 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="50" h2="10" m2="0" style="display:none" class="htmlUsed approved old"><a>09:50 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="10" h2="10" m2="20" style="display:none" class="htmlUsed approved old"><a>10:10 AM</a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_3"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_3-4"><label for="fieldname2_3">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_3" name="fieldname2_3" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_3-5"><label for="fieldname3_3">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_3" name="fieldname3_3" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_3-6"><label for="fieldname4_3">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_3" name="fieldname4_3" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_3 cff-phone-field" id="field_3-7"><label for="fieldname11_3">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_3" name="fieldname11_3" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_3_0" name="fieldname11_3_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_3_1" name="fieldname11_3_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_3_2" name="fieldname11_3_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_3-8"><label for="email_3">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_3" name="email_3" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_3-9"><label for="fieldname7_3">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_3" id="fieldname7_3" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_3" id="fieldname7_3" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_3-10" style="display: none;"><label for="fieldname5_3">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_3" name="fieldname5_3" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_3-11" style="display: none;"><label for="fieldname6_3">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_3" name="fieldname6_3" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_3" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_3" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_4 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_4" id="cp_appbooking_pform_4" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_4(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_4"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="4"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_4" id="form_structure_4" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-03-2023 McLane Middle<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"3-3-2023 McLane Middle","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-03","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-03"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_4" id="refpage_4" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_4">
<div id="formheader_4">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_4" fcount_tags="4" fnum="_4" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_4-0">
<div id="fieldname8_4" class="dfield"><b>03-03-2023 McLane Middle</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_4-2"><label for="fieldname1_4"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_4" name="fieldname1_4" type="hidden" value="" summary="usedSlots"><input id="fieldname1_4_services" name="fieldname1_4_services"
type="hidden" value="0"><input id="fieldname1_4_capacity" name="fieldname1_4_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_4" name="tcostfieldname1_4" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_4"><select class="ahbfield_service">
<option value="10">3-3-2023 McLane Middle</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_4 notranslate hasDatepicker" id="dp1677401943088">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" 2023-03-03 d2023-03-03 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="3">3</a></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_4">
<div class="slots" d="2023-03-03"><span>03/03/2023</span><br>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div s="0" h1="12" m1="10" h2="12" m2="20" style="display:none" class="htmlUsed approved old"><a>12:10 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="40" h2="13" m2="50" style="display:none" class="htmlUsed approved old"><a>01:40 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="14" m1="0" h2="14" m2="10" style="display:none" class="htmlUsed approved old"><a>02:00 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-03" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_4"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_4-4"><label for="fieldname2_4">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_4" name="fieldname2_4" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_4-5"><label for="fieldname3_4">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_4" name="fieldname3_4" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_4-6"><label for="fieldname4_4">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_4" name="fieldname4_4" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_4 cff-phone-field" id="field_4-7"><label for="fieldname11_4">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_4" name="fieldname11_4" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_4_0" name="fieldname11_4_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_4_1" name="fieldname11_4_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_4_2" name="fieldname11_4_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_4-8"><label for="email_4">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_4" name="email_4" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_4-9"><label for="fieldname7_4">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_4" id="fieldname7_4" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_4" id="fieldname7_4" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_4-10" style="display: none;"><label for="fieldname5_4">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_4" name="fieldname5_4" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_4-11" style="display: none;"><label for="fieldname6_4">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_4" name="fieldname6_4" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_4" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_4" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_5 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_5" id="cp_appbooking_pform_5" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_5(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_5"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="5"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_5" id="form_structure_5" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-08-2023 Bevis Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"3-08-2023 Bevis Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-08","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-08"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_5" id="refpage_5" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_5">
<div id="formheader_5">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_5" fcount_tags="5" fnum="_5" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_5-0">
<div id="fieldname8_5" class="dfield"><b>03-08-2023 Bevis Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_5-2"><label for="fieldname1_5"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_5" name="fieldname1_5" type="hidden" value="" summary="usedSlots"><input id="fieldname1_5_services" name="fieldname1_5_services"
type="hidden" value="0"><input id="fieldname1_5_capacity" name="fieldname1_5_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_5" name="tcostfieldname1_5" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_5"><select class="ahbfield_service">
<option value="10">3-08-2023 Bevis Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_5 notranslate hasDatepicker" id="dp1677401943089">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" 2023-03-08 d2023-03-08 ahb_booked3 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="8">8</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_5">
<div class="slots" d="2023-03-08"><span>03/08/2023</span><br>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div s="0" h1="8" m1="10" h2="8" m2="20" style="display:none" class="htmlUsed approved old"><a>08:10 AM</a></div>
<div s="0" h1="8" m1="20" h2="8" m2="30" style="display:none" class="htmlUsed approved old"><a>08:20 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="50" h2="10" m2="0" style="display:none" class="htmlUsed approved old"><a>09:50 AM</a></div>
<div s="0" h1="10" m1="0" h2="10" m2="10" style="display:none" class="htmlUsed approved old"><a>10:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_5"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_5-4"><label for="fieldname2_5">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_5" name="fieldname2_5" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_5-5"><label for="fieldname3_5">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_5" name="fieldname3_5" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_5-6"><label for="fieldname4_5">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_5" name="fieldname4_5" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_5 cff-phone-field" id="field_5-7"><label for="fieldname11_5">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_5" name="fieldname11_5" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_5_0" name="fieldname11_5_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_5_1" name="fieldname11_5_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_5_2" name="fieldname11_5_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_5-8"><label for="email_5">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_5" name="email_5" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_5-9"><label for="fieldname7_5">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_5" id="fieldname7_5" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_5" id="fieldname7_5" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_5-10" style="display: none;"><label for="fieldname5_5">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_5" name="fieldname5_5" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_5-11" style="display: none;"><label for="fieldname6_5">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_5" name="fieldname6_5" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_5" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_5" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_6 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_6" id="cp_appbooking_pform_6" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_6(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_6"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="8"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_6" id="form_structure_6" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-08-2023 Rodgers Middle Magnet <\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"3-08-2023 Rodgers Middle Magnet","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-08","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-08"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_6" id="refpage_6" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_6">
<div id="formheader_6">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_6" fcount_tags="6" fnum="_6" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_6-0">
<div id="fieldname8_6" class="dfield"><b>03-08-2023 Rodgers Middle Magnet </b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_6-2"><label for="fieldname1_6"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_6" name="fieldname1_6" type="hidden" value="" summary="usedSlots"><input id="fieldname1_6_services" name="fieldname1_6_services"
type="hidden" value="0"><input id="fieldname1_6_capacity" name="fieldname1_6_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_6" name="tcostfieldname1_6" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_6"><select class="ahbfield_service">
<option value="10">3-08-2023 Rodgers Middle Magnet</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_6 notranslate hasDatepicker" id="dp1677401943090">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" 2023-03-08 d2023-03-08 ahb_booked8 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="8">8</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_6">
<div class="slots" d="2023-03-08"><span>03/08/2023</span><br>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div s="0" h1="12" m1="10" h2="12" m2="20" style="display:none" class="htmlUsed approved old"><a>12:10 PM</a></div>
<div s="0" h1="12" m1="20" h2="12" m2="30" style="display:none" class="htmlUsed approved old"><a>12:20 PM</a></div>
<div s="0" h1="12" m1="30" h2="12" m2="40" style="display:none" class="htmlUsed approved old"><a>12:30 PM</a></div>
<div s="0" h1="12" m1="40" h2="12" m2="50" style="display:none" class="htmlUsed approved old"><a>12:40 PM</a></div>
<div s="0" h1="12" m1="50" h2="13" m2="0" style="display:none" class="htmlUsed approved old"><a>12:50 PM</a></div>
<div s="0" h1="13" m1="0" h2="13" m2="10" style="display:none" class="htmlUsed approved old"><a>01:00 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="20" h2="13" m2="30" style="display:none" class="htmlUsed approved old"><a>01:20 PM</a></div>
<div s="0" h1="13" m1="30" h2="13" m2="40" style="display:none" class="htmlUsed approved old"><a>01:30 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-08" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="50" h2="14" m2="0" style="display:none" class="htmlUsed approved old"><a>01:50 PM</a></div>
<div s="0" h1="14" m1="0" h2="14" m2="10" style="display:none" class="htmlUsed approved old"><a>02:00 PM</a></div>
<div s="0" h1="14" m1="10" h2="14" m2="20" style="display:none" class="htmlUsed approved old"><a>02:10 PM</a></div>
<div s="0" h1="14" m1="20" h2="14" m2="30" style="display:none" class="htmlUsed approved old"><a>02:20 PM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_6"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_6-4"><label for="fieldname2_6">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_6" name="fieldname2_6" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_6-5"><label for="fieldname3_6">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_6" name="fieldname3_6" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_6-6"><label for="fieldname4_6">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_6" name="fieldname4_6" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_6 cff-phone-field" id="field_6-7"><label for="fieldname11_6">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_6" name="fieldname11_6" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_6_0" name="fieldname11_6_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_6_1" name="fieldname11_6_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_6_2" name="fieldname11_6_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_6-8"><label for="email_6">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_6" name="email_6" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_6-9"><label for="fieldname7_6">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_6" id="fieldname7_6" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_6" id="fieldname7_6" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_6-10" style="display: none;"><label for="fieldname5_6">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_6" name="fieldname5_6" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_6-11" style="display: none;"><label for="fieldname6_6">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_6" name="fieldname6_6" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_6" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_6" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_7 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_7" id="cp_appbooking_pform_7" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_7(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_7"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="6"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_7" id="form_structure_7" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-09-2023 Ippolito Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"3-9-2023 Ippolito Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-09","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-09"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_7" id="refpage_7" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_7">
<div id="formheader_7">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_7" fcount_tags="7" fnum="_7" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_7-0">
<div id="fieldname8_7" class="dfield"><b>03-09-2023 Ippolito Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_7-2"><label for="fieldname1_7"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_7" name="fieldname1_7" type="hidden" value="" summary="usedSlots"><input id="fieldname1_7_services" name="fieldname1_7_services"
type="hidden" value="0"><input id="fieldname1_7_capacity" name="fieldname1_7_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_7" name="tcostfieldname1_7" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_7"><select class="ahbfield_service">
<option value="10">3-9-2023 Ippolito Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_7 notranslate hasDatepicker" id="dp1677401943091">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" 2023-03-09 d2023-03-09 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="9">9</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_7">
<div class="slots" d="2023-03-09"><span>03/09/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="10" h2="9" m2="20" style="display:none" class="htmlUsed approved old"><a>09:10 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="0" h2="10" m2="10" style="display:none" class="htmlUsed approved old"><a>10:00 AM</a></div>
<div s="0" h1="10" m1="10" h2="10" m2="20" style="display:none" class="htmlUsed approved old"><a>10:10 AM</a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_7"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_7-4"><label for="fieldname2_7">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_7" name="fieldname2_7" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_7-5"><label for="fieldname3_7">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_7" name="fieldname3_7" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_7-6"><label for="fieldname4_7">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_7" name="fieldname4_7" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_7 cff-phone-field" id="field_7-7"><label for="fieldname11_7">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_7" name="fieldname11_7" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_7_0" name="fieldname11_7_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_7_1" name="fieldname11_7_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_7_2" name="fieldname11_7_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_7-8"><label for="email_7">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_7" name="email_7" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_7-9"><label for="fieldname7_7">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_7" id="fieldname7_7" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_7" id="fieldname7_7" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_7-10" style="display: none;"><label for="fieldname5_7">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_7" name="fieldname5_7" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_7-11" style="display: none;"><label for="fieldname6_7">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_7" name="fieldname6_7" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_7" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_7" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_8 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_8" id="cp_appbooking_pform_8" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_8(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_8"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="9"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_8" id="form_structure_8" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-09-3023 Spoto High<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"3-09-2023 Spoto High","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-09","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-09"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_8" id="refpage_8" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_8">
<div id="formheader_8">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_8" fcount_tags="8" fnum="_8" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_8-0">
<div id="fieldname8_8" class="dfield"><b>03-09-3023 Spoto High</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_8-2"><label for="fieldname1_8"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_8" name="fieldname1_8" type="hidden" value="" summary="usedSlots"><input id="fieldname1_8_services" name="fieldname1_8_services"
type="hidden" value="0"><input id="fieldname1_8_capacity" name="fieldname1_8_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_8" name="tcostfieldname1_8" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_8"><select class="ahbfield_service">
<option value="10">3-09-2023 Spoto High</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_8 notranslate hasDatepicker" id="dp1677401943092">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" 2023-03-09 d2023-03-09 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="9">9</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_8">
<div class="slots" d="2023-03-09"><span>03/09/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-09" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_8"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_8-4"><label for="fieldname2_8">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_8" name="fieldname2_8" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_8-5"><label for="fieldname3_8">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_8" name="fieldname3_8" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_8-6"><label for="fieldname4_8">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_8" name="fieldname4_8" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_8 cff-phone-field" id="field_8-7"><label for="fieldname11_8">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_8" name="fieldname11_8" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_8_0" name="fieldname11_8_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_8_1" name="fieldname11_8_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_8_2" name="fieldname11_8_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_8-8"><label for="email_8">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_8" name="email_8" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_8-9"><label for="fieldname7_8">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_8" id="fieldname7_8" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_8" id="fieldname7_8" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_8-10" style="display: none;"><label for="fieldname5_8">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_8" name="fieldname5_8" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_8-11" style="display: none;"><label for="fieldname6_8">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_8" name="fieldname6_8" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_8" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_8" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_9 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_9" id="cp_appbooking_pform_9" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_9(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_9"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="10"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_9" id="form_structure_9" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-10-2023 McDonald Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-10-2023 McDonald Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-10","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-10"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_9" id="refpage_9" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_9">
<div id="formheader_9">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_9" fcount_tags="9" fnum="_9" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_9-0">
<div id="fieldname8_9" class="dfield"><b>03-10-2023 McDonald Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_9-2"><label for="fieldname1_9"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_9" name="fieldname1_9" type="hidden" value="" summary="usedSlots"><input id="fieldname1_9_services" name="fieldname1_9_services"
type="hidden" value="0"><input id="fieldname1_9_capacity" name="fieldname1_9_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_9" name="tcostfieldname1_9" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_9"><select class="ahbfield_service">
<option value="10">03-10-2023 McDonald Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_9 notranslate hasDatepicker" id="dp1677401943093">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" 2023-03-10 d2023-03-10 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="10">10</a></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_9">
<div class="slots" d="2023-03-10"><span>03/10/2023</span><br>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="50" h2="9" m2="0" style="display:none" class="htmlUsed approved old"><a>08:50 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="20" h2="9" m2="30" style="display:none" class="htmlUsed approved old"><a>09:20 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_9"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_9-4"><label for="fieldname2_9">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_9" name="fieldname2_9" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_9-5"><label for="fieldname3_9">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_9" name="fieldname3_9" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_9-6"><label for="fieldname4_9">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_9" name="fieldname4_9" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_9 cff-phone-field" id="field_9-7"><label for="fieldname11_9">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_9" name="fieldname11_9" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_9_0" name="fieldname11_9_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_9_1" name="fieldname11_9_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_9_2" name="fieldname11_9_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_9-8"><label for="email_9">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_9" name="email_9" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_9-9"><label for="fieldname7_9">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_9" id="fieldname7_9" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_9" id="fieldname7_9" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_9-10" style="display: none;"><label for="fieldname5_9">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_9" name="fieldname5_9" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_9-11" style="display: none;"><label for="fieldname6_9">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_9" name="fieldname6_9" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_9" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_9" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_10 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_10" id="cp_appbooking_pform_10" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_10(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_10"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="11"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_10" id="form_structure_10" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-10-2023 Armwood Senior High<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-10-2023 Armwood Senior High","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-10","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-10"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_10" id="refpage_10" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_10">
<div id="formheader_10">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_10" fcount_tags="10" fnum="_10" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_10-0">
<div id="fieldname8_10" class="dfield"><b>03-10-2023 Armwood Senior High</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_10-2"><label for="fieldname1_10"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_10" name="fieldname1_10" type="hidden" value="" summary="usedSlots"><input id="fieldname1_10_services" name="fieldname1_10_services"
type="hidden" value="0"><input id="fieldname1_10_capacity" name="fieldname1_10_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_10" name="tcostfieldname1_10" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_10"><select class="ahbfield_service">
<option value="10">03-10-2023 Armwood Senior High</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_10 notranslate hasDatepicker" id="dp1677401943094">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" 2023-03-10 d2023-03-10 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="10">10</a></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_10">
<div class="slots" d="2023-03-10"><span>03/10/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-10" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_10"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_10-4"><label for="fieldname2_10">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_10" name="fieldname2_10" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_10-5"><label for="fieldname3_10">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_10" name="fieldname3_10" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_10-6"><label for="fieldname4_10">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_10" name="fieldname4_10" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_10 cff-phone-field" id="field_10-7"><label for="fieldname11_10">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_10" name="fieldname11_10" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_10_0" name="fieldname11_10_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_10_1" name="fieldname11_10_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_10_2" name="fieldname11_10_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_10-8"><label for="email_10">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_10" name="email_10" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_10-9"><label for="fieldname7_10">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_10" id="fieldname7_10" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_10" id="fieldname7_10" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_10-10" style="display: none;"><label for="fieldname5_10">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_10" name="fieldname5_10" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_10-11" style="display: none;"><label for="fieldname6_10">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_10" name="fieldname6_10" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_10" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_10" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_11 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_11" id="cp_appbooking_pform_11" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_11(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_11"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="12"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_11" id="form_structure_11" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-20-2023 Brooker Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-20-2023 Brooker Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-20","h1":"7","m1":"30","h2":"10","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-20"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_11" id="refpage_11" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_11">
<div id="formheader_11">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_11" fcount_tags="11" fnum="_11" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_11-0">
<div id="fieldname8_11" class="dfield"><b>03-20-2023 Brooker Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_11-2"><label for="fieldname1_11"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_11" name="fieldname1_11" type="hidden" value="" summary="usedSlots"><input id="fieldname1_11_services" name="fieldname1_11_services"
type="hidden" value="0"><input id="fieldname1_11_capacity" name="fieldname1_11_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_11" name="tcostfieldname1_11" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_11"><select class="ahbfield_service">
<option value="10">03-20-2023 Brooker Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_11 notranslate hasDatepicker" id="dp1677401943095">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" 2023-03-20 d2023-03-20 ahb_booked5 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="20">20</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_11">
<div class="slots" d="2023-03-20"><span>03/20/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-20" h1="7" m1="30" h2="7" m2="40">07:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-20" h1="7" m1="40" h2="7" m2="50">07:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="7" m1="50" h2="8" m2="0" style="display:none" class="htmlUsed approved old"><a>07:50 AM</a></div>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div s="0" h1="8" m1="10" h2="8" m2="20" style="display:none" class="htmlUsed approved old"><a>08:10 AM</a></div>
<div s="0" h1="8" m1="20" h2="8" m2="30" style="display:none" class="htmlUsed approved old"><a>08:20 AM</a></div>
<div s="0" h1="8" m1="30" h2="8" m2="40" style="display:none" class="htmlUsed approved old"><a>08:30 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-20" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="50" h2="9" m2="0" style="display:none" class="htmlUsed approved old"><a>08:50 AM</a></div>
<div s="0" h1="9" m1="0" h2="9" m2="10" style="display:none" class="htmlUsed approved old"><a>09:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-20" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="20" h2="9" m2="30" style="display:none" class="htmlUsed approved old"><a>09:20 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-20" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-20" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-20" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_11"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_11-4"><label for="fieldname2_11">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_11" name="fieldname2_11" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_11-5"><label for="fieldname3_11">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_11" name="fieldname3_11" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_11-6"><label for="fieldname4_11">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_11" name="fieldname4_11" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_11 cff-phone-field" id="field_11-7"><label for="fieldname11_11">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_11" name="fieldname11_11" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_11_0" name="fieldname11_11_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_11_1" name="fieldname11_11_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_11_2" name="fieldname11_11_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_11-8"><label for="email_11">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_11" name="email_11" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_11-9"><label for="fieldname7_11">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_11" id="fieldname7_11" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_11" id="fieldname7_11" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_11-10" style="display: none;"><label for="fieldname5_11">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_11" name="fieldname5_11" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_11-11" style="display: none;"><label for="fieldname6_11">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_11" name="fieldname6_11" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_11" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_11" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_12 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_12" id="cp_appbooking_pform_12" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_12(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_12"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="13"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_12" id="form_structure_12" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-21-2023 Wilson Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-21-2023 Wilson Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-21","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-21"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_12" id="refpage_12" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_12">
<div id="formheader_12">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_12" fcount_tags="12" fnum="_12" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_12-0">
<div id="fieldname8_12" class="dfield"><b>03-21-2023 Wilson Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_12-2"><label for="fieldname1_12"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_12" name="fieldname1_12" type="hidden" value="" summary="usedSlots"><input id="fieldname1_12_services" name="fieldname1_12_services"
type="hidden" value="0"><input id="fieldname1_12_capacity" name="fieldname1_12_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_12" name="tcostfieldname1_12" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_12"><select class="ahbfield_service">
<option value="10">03-21-2023 Wilson Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_12 notranslate hasDatepicker" id="dp1677401943096">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" 2023-03-21 d2023-03-21 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="21">21</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_12">
<div class="slots" d="2023-03-21"><span>03/21/2023</span><br>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="20" h2="8" m2="30" style="display:none" class="htmlUsed approved old"><a>08:20 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="20" h2="9" m2="30" style="display:none" class="htmlUsed approved old"><a>09:20 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_12"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_12-4"><label for="fieldname2_12">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_12" name="fieldname2_12" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_12-5"><label for="fieldname3_12">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_12" name="fieldname3_12" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_12-6"><label for="fieldname4_12">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_12" name="fieldname4_12" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_12 cff-phone-field" id="field_12-7"><label for="fieldname11_12">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_12" name="fieldname11_12" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_12_0" name="fieldname11_12_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_12_1" name="fieldname11_12_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_12_2" name="fieldname11_12_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_12-8"><label for="email_12">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_12" name="email_12" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_12-9"><label for="fieldname7_12">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_12" id="fieldname7_12" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_12" id="fieldname7_12" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_12-10" style="display: none;"><label for="fieldname5_12">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_12" name="fieldname5_12" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_12-11" style="display: none;"><label for="fieldname6_12">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_12" name="fieldname6_12" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_12" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_12" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_13 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_13" id="cp_appbooking_pform_13" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_13(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_13"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="14"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_13" id="form_structure_13" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-21-2023 Migrant Education Service Center<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-21-2023 Migrant Education Service Center","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-21","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-21"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_13" id="refpage_13" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_13">
<div id="formheader_13">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_13" fcount_tags="13" fnum="_13" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_13-0">
<div id="fieldname8_13" class="dfield"><b>03-21-2023 Migrant Education Service Center</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_13-2"><label for="fieldname1_13"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_13" name="fieldname1_13" type="hidden" value="" summary="usedSlots"><input id="fieldname1_13_services" name="fieldname1_13_services"
type="hidden" value="0"><input id="fieldname1_13_capacity" name="fieldname1_13_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_13" name="tcostfieldname1_13" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_13"><select class="ahbfield_service">
<option value="10">03-21-2023 Migrant Education Service Center</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_13 notranslate hasDatepicker" id="dp1677401943097">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" 2023-03-21 d2023-03-21 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="21">21</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_13">
<div class="slots" d="2023-03-21"><span>03/21/2023</span><br>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div s="0" h1="12" m1="10" h2="12" m2="20" style="display:none" class="htmlUsed approved old"><a>12:10 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="30" h2="12" m2="40" style="display:none" class="htmlUsed approved old"><a>12:30 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-21" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_13"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_13-4"><label for="fieldname2_13">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_13" name="fieldname2_13" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_13-5"><label for="fieldname3_13">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_13" name="fieldname3_13" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_13-6"><label for="fieldname4_13">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_13" name="fieldname4_13" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_13 cff-phone-field" id="field_13-7"><label for="fieldname11_13">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_13" name="fieldname11_13" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_13_0" name="fieldname11_13_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_13_1" name="fieldname11_13_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_13_2" name="fieldname11_13_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_13-8"><label for="email_13">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_13" name="email_13" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_13-9"><label for="fieldname7_13">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_13" id="fieldname7_13" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_13" id="fieldname7_13" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_13-10" style="display: none;"><label for="fieldname5_13">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_13" name="fieldname5_13" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_13-11" style="display: none;"><label for="fieldname6_13">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_13" name="fieldname6_13" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_13" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_13" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_14 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_14" id="cp_appbooking_pform_14" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_14(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_14"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="15"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_14" id="form_structure_14" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-22-2023 Jackson Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-22-2023 Jackson Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-22","h1":"7","m1":"30","h2":"10","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-22"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_14" id="refpage_14" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_14">
<div id="formheader_14">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_14" fcount_tags="14" fnum="_14" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_14-0">
<div id="fieldname8_14" class="dfield"><b>03-22-2023 Jackson Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_14-2"><label for="fieldname1_14"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_14" name="fieldname1_14" type="hidden" value="" summary="usedSlots"><input id="fieldname1_14_services" name="fieldname1_14_services"
type="hidden" value="0"><input id="fieldname1_14_capacity" name="fieldname1_14_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_14" name="tcostfieldname1_14" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_14"><select class="ahbfield_service">
<option value="10">03-22-2023 Jackson Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_14 notranslate hasDatepicker" id="dp1677401943098">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" 2023-03-22 d2023-03-22 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="22">22</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_14">
<div class="slots" d="2023-03-22"><span>03/22/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="7" m1="30" h2="7" m2="40">07:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="7" m1="40" h2="7" m2="50">07:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="7" m1="50" h2="8" m2="0">07:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_14"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_14-4"><label for="fieldname2_14">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_14" name="fieldname2_14" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_14-5"><label for="fieldname3_14">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_14" name="fieldname3_14" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_14-6"><label for="fieldname4_14">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_14" name="fieldname4_14" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_14 cff-phone-field" id="field_14-7"><label for="fieldname11_14">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_14" name="fieldname11_14" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_14_0" name="fieldname11_14_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_14_1" name="fieldname11_14_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_14_2" name="fieldname11_14_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_14-8"><label for="email_14">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_14" name="email_14" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_14-9"><label for="fieldname7_14">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_14" id="fieldname7_14" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_14" id="fieldname7_14" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_14-10" style="display: none;"><label for="fieldname5_14">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_14" name="fieldname5_14" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_14-11" style="display: none;"><label for="fieldname6_14">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_14" name="fieldname6_14" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_14" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_14" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_15 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_15" id="cp_appbooking_pform_15" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_15(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_15"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="16"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_15" id="form_structure_15" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-22-2023 Bryan Plant City Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-22-3023 Bryan Plant City Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-22","h1":"11","m1":"30","h2":"14","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-22"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_15" id="refpage_15" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_15">
<div id="formheader_15">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_15" fcount_tags="15" fnum="_15" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_15-0">
<div id="fieldname8_15" class="dfield"><b>03-22-2023 Bryan Plant City Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_15-2"><label for="fieldname1_15"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_15" name="fieldname1_15" type="hidden" value="" summary="usedSlots"><input id="fieldname1_15_services" name="fieldname1_15_services"
type="hidden" value="0"><input id="fieldname1_15_capacity" name="fieldname1_15_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_15" name="tcostfieldname1_15" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_15"><select class="ahbfield_service">
<option value="10">03-22-3023 Bryan Plant City Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_15 notranslate hasDatepicker" id="dp1677401943099">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" 2023-03-22 d2023-03-22 ahb_booked4 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="22">22</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_15">
<div class="slots" d="2023-03-22"><span>03/22/2023</span><br>
<div s="0" h1="11" m1="30" h2="11" m2="40" style="display:none" class="htmlUsed approved old"><a>11:30 AM</a></div>
<div s="0" h1="11" m1="40" h2="11" m2="50" style="display:none" class="htmlUsed approved old"><a>11:40 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="11" m1="50" h2="12" m2="0">11:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="10" h2="12" m2="20" style="display:none" class="htmlUsed approved old"><a>12:10 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="40" h2="12" m2="50" style="display:none" class="htmlUsed approved old"><a>12:40 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="0" h2="13" m2="10" style="display:none" class="htmlUsed approved old"><a>01:00 PM</a></div>
<div s="0" h1="13" m1="10" h2="13" m2="20" style="display:none" class="htmlUsed approved old"><a>01:10 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-22" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_15"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_15-4"><label for="fieldname2_15">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_15" name="fieldname2_15" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_15-5"><label for="fieldname3_15">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_15" name="fieldname3_15" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_15-6"><label for="fieldname4_15">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_15" name="fieldname4_15" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_15 cff-phone-field" id="field_15-7"><label for="fieldname11_15">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_15" name="fieldname11_15" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_15_0" name="fieldname11_15_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_15_1" name="fieldname11_15_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_15_2" name="fieldname11_15_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_15-8"><label for="email_15">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_15" name="email_15" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_15-9"><label for="fieldname7_15">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_15" id="fieldname7_15" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_15" id="fieldname7_15" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_15-10" style="display: none;"><label for="fieldname5_15">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_15" name="fieldname5_15" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_15-11" style="display: none;"><label for="fieldname6_15">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_15" name="fieldname6_15" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_15" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_15" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_16 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_16" id="cp_appbooking_pform_16" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_16(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_16"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="17"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_16" id="form_structure_16" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-23-2023 Robinson Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-23-2023 Robinson Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-23","h1":"7","m1":"30","h2":"10","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-23"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_16" id="refpage_16" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_16">
<div id="formheader_16">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_16" fcount_tags="16" fnum="_16" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_16-0">
<div id="fieldname8_16" class="dfield"><b>03-23-2023 Robinson Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_16-2"><label for="fieldname1_16"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_16" name="fieldname1_16" type="hidden" value="" summary="usedSlots"><input id="fieldname1_16_services" name="fieldname1_16_services"
type="hidden" value="0"><input id="fieldname1_16_capacity" name="fieldname1_16_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_16" name="tcostfieldname1_16" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_16"><select class="ahbfield_service">
<option value="10">03-23-2023 Robinson Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_16 notranslate hasDatepicker" id="dp1677401943100">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" 2023-03-23 d2023-03-23 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="23">23</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_16">
<div class="slots" d="2023-03-23"><span>03/23/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="7" m1="30" h2="7" m2="40">07:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="7" m1="40" h2="7" m2="50">07:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="7" m1="50" h2="8" m2="0">07:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_16"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_16-4"><label for="fieldname2_16">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_16" name="fieldname2_16" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_16-5"><label for="fieldname3_16">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_16" name="fieldname3_16" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_16-6"><label for="fieldname4_16">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_16" name="fieldname4_16" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_16 cff-phone-field" id="field_16-7"><label for="fieldname11_16">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_16" name="fieldname11_16" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_16_0" name="fieldname11_16_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_16_1" name="fieldname11_16_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_16_2" name="fieldname11_16_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_16-8"><label for="email_16">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_16" name="email_16" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_16-9"><label for="fieldname7_16">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_16" id="fieldname7_16" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_16" id="fieldname7_16" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_16-10" style="display: none;"><label for="fieldname5_16">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_16" name="fieldname5_16" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_16-11" style="display: none;"><label for="fieldname6_16">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_16" name="fieldname6_16" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_16" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_16" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_17 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_17" id="cp_appbooking_pform_17" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_17(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_17"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="18"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_17" id="form_structure_17" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-23-2023 Walden Lake Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-23-2023 Walden Lake Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-23","h1":"11","m1":"30","h2":"14","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-23"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_17" id="refpage_17" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_17">
<div id="formheader_17">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_17" fcount_tags="17" fnum="_17" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_17-0">
<div id="fieldname8_17" class="dfield"><b>03-23-2023 Walden Lake Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_17-2"><label for="fieldname1_17"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_17" name="fieldname1_17" type="hidden" value="" summary="usedSlots"><input id="fieldname1_17_services" name="fieldname1_17_services"
type="hidden" value="0"><input id="fieldname1_17_capacity" name="fieldname1_17_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_17" name="tcostfieldname1_17" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_17"><select class="ahbfield_service">
<option value="10">03-23-2023 Walden Lake Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_17 notranslate hasDatepicker" id="dp1677401943101">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" 2023-03-23 d2023-03-23 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="23">23</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_17">
<div class="slots" d="2023-03-23"><span>03/23/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="11" m1="30" h2="11" m2="40">11:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="11" m1="40" h2="11" m2="50">11:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="11" m1="50" h2="12" m2="0">11:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-23" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_17"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_17-4"><label for="fieldname2_17">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_17" name="fieldname2_17" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_17-5"><label for="fieldname3_17">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_17" name="fieldname3_17" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_17-6"><label for="fieldname4_17">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_17" name="fieldname4_17" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_17 cff-phone-field" id="field_17-7"><label for="fieldname11_17">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_17" name="fieldname11_17" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_17_0" name="fieldname11_17_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_17_1" name="fieldname11_17_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_17_2" name="fieldname11_17_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_17-8"><label for="email_17">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_17" name="email_17" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_17-9"><label for="fieldname7_17">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_17" id="fieldname7_17" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_17" id="fieldname7_17" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_17-10" style="display: none;"><label for="fieldname5_17">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_17" name="fieldname5_17" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_17-11" style="display: none;"><label for="fieldname6_17">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_17" name="fieldname6_17" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_17" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_17" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_18 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_18" id="cp_appbooking_pform_18" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_18(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_18"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="19"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_18" id="form_structure_18" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-27-2023 Bailey Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-27-2023 Bailey Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-27","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-27"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_18" id="refpage_18" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_18">
<div id="formheader_18">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_18" fcount_tags="18" fnum="_18" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_18-0">
<div id="fieldname8_18" class="dfield"><b>03-27-2023 Bailey Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_18-2"><label for="fieldname1_18"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_18" name="fieldname1_18" type="hidden" value="" summary="usedSlots"><input id="fieldname1_18_services" name="fieldname1_18_services"
type="hidden" value="0"><input id="fieldname1_18_capacity" name="fieldname1_18_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_18" name="tcostfieldname1_18" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_18"><select class="ahbfield_service">
<option value="10">03-27-2023 Bailey Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_18 notranslate hasDatepicker" id="dp1677401943102">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" 2023-03-27 d2023-03-27 ahb_booked4 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="27">27</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_18">
<div class="slots" d="2023-03-27"><span>03/27/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="10" h2="8" m2="20" style="display:none" class="htmlUsed approved old"><a>08:10 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="0" h2="9" m2="10" style="display:none" class="htmlUsed approved old"><a>09:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="50" h2="10" m2="0" style="display:none" class="htmlUsed approved old"><a>09:50 AM</a></div>
<div s="0" h1="10" m1="0" h2="10" m2="10" style="display:none" class="htmlUsed approved old"><a>10:00 AM</a></div>
<div s="0" h1="10" m1="10" h2="10" m2="20" style="display:none" class="htmlUsed approved old"><a>10:10 AM</a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_18"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_18-4"><label for="fieldname2_18">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_18" name="fieldname2_18" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_18-5"><label for="fieldname3_18">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_18" name="fieldname3_18" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_18-6"><label for="fieldname4_18">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_18" name="fieldname4_18" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_18 cff-phone-field" id="field_18-7"><label for="fieldname11_18">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_18" name="fieldname11_18" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_18_0" name="fieldname11_18_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_18_1" name="fieldname11_18_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_18_2" name="fieldname11_18_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_18-8"><label for="email_18">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_18" name="email_18" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_18-9"><label for="fieldname7_18">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_18" id="fieldname7_18" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_18" id="fieldname7_18" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_18-10" style="display: none;"><label for="fieldname5_18">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_18" name="fieldname5_18" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_18-11" style="display: none;"><label for="fieldname6_18">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_18" name="fieldname6_18" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_18" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_18" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_19 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_19" id="cp_appbooking_pform_19" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_19(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_19"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="20"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_19" id="form_structure_19" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-27-2023 Tomlin Middle Schooly<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-27-2023 Tomlin Middle School","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-27","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-27"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_19" id="refpage_19" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_19">
<div id="formheader_19">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_19" fcount_tags="19" fnum="_19" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_19-0">
<div id="fieldname8_19" class="dfield"><b>03-27-2023 Tomlin Middle Schooly</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_19-2"><label for="fieldname1_19"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_19" name="fieldname1_19" type="hidden" value="" summary="usedSlots"><input id="fieldname1_19_services" name="fieldname1_19_services"
type="hidden" value="0"><input id="fieldname1_19_capacity" name="fieldname1_19_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_19" name="tcostfieldname1_19" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_19"><select class="ahbfield_service">
<option value="10">03-27-2023 Tomlin Middle School</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_19 notranslate hasDatepicker" id="dp1677401943103">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" 2023-03-27 d2023-03-27 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="27">27</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_19">
<div class="slots" d="2023-03-27"><span>03/27/2023</span><br>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div s="0" h1="12" m1="10" h2="12" m2="20" style="display:none" class="htmlUsed approved old"><a>12:10 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="40" h2="12" m2="50" style="display:none" class="htmlUsed approved old"><a>12:40 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="14" m1="0" h2="14" m2="10" style="display:none" class="htmlUsed approved old"><a>02:00 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-27" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_19"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_19-4"><label for="fieldname2_19">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_19" name="fieldname2_19" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_19-5"><label for="fieldname3_19">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_19" name="fieldname3_19" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_19-6"><label for="fieldname4_19">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_19" name="fieldname4_19" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_19 cff-phone-field" id="field_19-7"><label for="fieldname11_19">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_19" name="fieldname11_19" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_19_0" name="fieldname11_19_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_19_1" name="fieldname11_19_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_19_2" name="fieldname11_19_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_19-8"><label for="email_19">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_19" name="email_19" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_19-9"><label for="fieldname7_19">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_19" id="fieldname7_19" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_19" id="fieldname7_19" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_19-10" style="display: none;"><label for="fieldname5_19">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_19" name="fieldname5_19" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_19-11" style="display: none;"><label for="fieldname6_19">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_19" name="fieldname6_19" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_19" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_19" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_20 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_20" id="cp_appbooking_pform_20" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_20(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_20"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="21"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_20" id="form_structure_20" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-29-2023 Apollo Beach Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-29-2023 Apollo Beach Elementary ","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-29","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-29"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_20" id="refpage_20" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_20">
<div id="formheader_20">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_20" fcount_tags="20" fnum="_20" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_20-0">
<div id="fieldname8_20" class="dfield"><b>03-29-2023 Apollo Beach Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_20-2"><label for="fieldname1_20"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_20" name="fieldname1_20" type="hidden" value="" summary="usedSlots"><input id="fieldname1_20_services" name="fieldname1_20_services"
type="hidden" value="0"><input id="fieldname1_20_capacity" name="fieldname1_20_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_20" name="tcostfieldname1_20" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_20"><select class="ahbfield_service">
<option value="10">03-29-2023 Apollo Beach Elementary </option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_20 notranslate hasDatepicker" id="dp1677401943104">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" 2023-03-29 d2023-03-29 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="29">29</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_20">
<div class="slots" d="2023-03-29"><span>03/29/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_20"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_20-4"><label for="fieldname2_20">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_20" name="fieldname2_20" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_20-5"><label for="fieldname3_20">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_20" name="fieldname3_20" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_20-6"><label for="fieldname4_20">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_20" name="fieldname4_20" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_20 cff-phone-field" id="field_20-7"><label for="fieldname11_20">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_20" name="fieldname11_20" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_20_0" name="fieldname11_20_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_20_1" name="fieldname11_20_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_20_2" name="fieldname11_20_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_20-8"><label for="email_20">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_20" name="email_20" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_20-9"><label for="fieldname7_20">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_20" id="fieldname7_20" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_20" id="fieldname7_20" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_20-10" style="display: none;"><label for="fieldname5_20">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_20" name="fieldname5_20" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_20-11" style="display: none;"><label for="fieldname6_20">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_20" name="fieldname6_20" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_20" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_20" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_21 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_21" id="cp_appbooking_pform_21" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_21(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_21"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="22"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_21" id="form_structure_21" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-29-2023 Progress Village Middle Magnet<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-29-2023 Progress Village Middle Magnet","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-29","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-29"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_21" id="refpage_21" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_21">
<div id="formheader_21">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_21" fcount_tags="21" fnum="_21" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_21-0">
<div id="fieldname8_21" class="dfield"><b>03-29-2023 Progress Village Middle Magnet</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_21-2"><label for="fieldname1_21"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_21" name="fieldname1_21" type="hidden" value="" summary="usedSlots"><input id="fieldname1_21_services" name="fieldname1_21_services"
type="hidden" value="0"><input id="fieldname1_21_capacity" name="fieldname1_21_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_21" name="tcostfieldname1_21" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_21"><select class="ahbfield_service">
<option value="10">03-29-2023 Progress Village Middle Magnet</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_21 notranslate hasDatepicker" id="dp1677401943105">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" 2023-03-29 d2023-03-29 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="29">29</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-31 d2023-03-31 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">31</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_21">
<div class="slots" d="2023-03-29"><span>03/29/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-29" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_21"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_21-4"><label for="fieldname2_21">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_21" name="fieldname2_21" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_21-5"><label for="fieldname3_21">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_21" name="fieldname3_21" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_21-6"><label for="fieldname4_21">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_21" name="fieldname4_21" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_21 cff-phone-field" id="field_21-7"><label for="fieldname11_21">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_21" name="fieldname11_21" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_21_0" name="fieldname11_21_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_21_1" name="fieldname11_21_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_21_2" name="fieldname11_21_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_21-8"><label for="email_21">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_21" name="email_21" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_21-9"><label for="fieldname7_21">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_21" id="fieldname7_21" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_21" id="fieldname7_21" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_21-10" style="display: none;"><label for="fieldname5_21">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_21" name="fieldname5_21" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_21-11" style="display: none;"><label for="fieldname6_21">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_21" name="fieldname6_21" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_21" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_21" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_22 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_22" id="cp_appbooking_pform_22" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_22(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_22"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="23"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_22" id="form_structure_22" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-31-2023 Mitchell Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-31-2023 Mitchell Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-31","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-31"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_22" id="refpage_22" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_22">
<div id="formheader_22">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_22" fcount_tags="22" fnum="_22" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_22-0">
<div id="fieldname8_22" class="dfield"><b>03-31-2023 Mitchell Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_22-2"><label for="fieldname1_22"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_22" name="fieldname1_22" type="hidden" value="" summary="usedSlots"><input id="fieldname1_22_services" name="fieldname1_22_services"
type="hidden" value="0"><input id="fieldname1_22_capacity" name="fieldname1_22_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_22" name="tcostfieldname1_22" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_22"><select class="ahbfield_service">
<option value="10">03-31-2023 Mitchell Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_22 notranslate hasDatepicker" id="dp1677401943106">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" 2023-03-31 d2023-03-31 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="31">31</a></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_22">
<div class="slots" d="2023-03-31"><span>03/31/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_22"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_22-4"><label for="fieldname2_22">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_22" name="fieldname2_22" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_22-5"><label for="fieldname3_22">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_22" name="fieldname3_22" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_22-6"><label for="fieldname4_22">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_22" name="fieldname4_22" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_22 cff-phone-field" id="field_22-7"><label for="fieldname11_22">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_22" name="fieldname11_22" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_22_0" name="fieldname11_22_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_22_1" name="fieldname11_22_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_22_2" name="fieldname11_22_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_22-8"><label for="email_22">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_22" name="email_22" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_22-9"><label for="fieldname7_22">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_22" id="fieldname7_22" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_22" id="fieldname7_22" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_22-10" style="display: none;"><label for="fieldname5_22">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_22" name="fieldname5_22" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_22-11" style="display: none;"><label for="fieldname6_22">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_22" name="fieldname6_22" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_22" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_22" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_23 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_23" id="cp_appbooking_pform_23" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_23(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_23"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="24"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_23" id="form_structure_23" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>03-31-2023 Chamberlain George D Senior High<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"03-31-2023 Chamberlain George D Senior High","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-03-31","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-03-31"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_23" id="refpage_23" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_23">
<div id="formheader_23">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_23" fcount_tags="23" fnum="_23" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_23-0">
<div id="fieldname8_23" class="dfield"><b>03-31-2023 Chamberlain George D Senior High</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_23-2"><label for="fieldname1_23"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_23" name="fieldname1_23" type="hidden" value="" summary="usedSlots"><input id="fieldname1_23_services" name="fieldname1_23_services"
type="hidden" value="0"><input id="fieldname1_23_capacity" name="fieldname1_23_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_23" name="tcostfieldname1_23" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_23"><select class="ahbfield_service">
<option value="10">03-31-2023 Chamberlain George D Senior High</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_23 notranslate hasDatepicker" id="dp1677401943107">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">March</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-01 d2023-03-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-02 d2023-03-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-03 d2023-03-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-04 d2023-03-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-05 d2023-03-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-06 d2023-03-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-07 d2023-03-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-08 d2023-03-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-09 d2023-03-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-10 d2023-03-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-11 d2023-03-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-12 d2023-03-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-13 d2023-03-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-14 d2023-03-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-15 d2023-03-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-16 d2023-03-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-17 d2023-03-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-18 d2023-03-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-19 d2023-03-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-20 d2023-03-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-21 d2023-03-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-22 d2023-03-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-23 d2023-03-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-24 d2023-03-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-25 d2023-03-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-03-26 d2023-03-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-27 d2023-03-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-28 d2023-03-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-29 d2023-03-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-03-30 d2023-03-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" 2023-03-31 d2023-03-31 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="2" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="31">31</a></td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_23">
<div class="slots" d="2023-03-31"><span>03/31/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="40" h2="13" m2="50" style="display:none" class="htmlUsed approved old"><a>01:40 PM</a></div>
<div s="0" h1="13" m1="50" h2="14" m2="0" style="display:none" class="htmlUsed approved old"><a>01:50 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-03-31" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="14" m1="20" h2="14" m2="30" style="display:none" class="htmlUsed approved old"><a>02:20 PM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_23"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_23-4"><label for="fieldname2_23">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_23" name="fieldname2_23" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_23-5"><label for="fieldname3_23">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_23" name="fieldname3_23" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_23-6"><label for="fieldname4_23">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_23" name="fieldname4_23" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_23 cff-phone-field" id="field_23-7"><label for="fieldname11_23">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_23" name="fieldname11_23" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_23_0" name="fieldname11_23_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_23_1" name="fieldname11_23_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_23_2" name="fieldname11_23_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_23-8"><label for="email_23">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_23" name="email_23" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_23-9"><label for="fieldname7_23">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_23" id="fieldname7_23" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_23" id="fieldname7_23" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_23-10" style="display: none;"><label for="fieldname5_23">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_23" name="fieldname5_23" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_23-11" style="display: none;"><label for="fieldname6_23">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_23" name="fieldname6_23" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_23" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_23" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_24 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_24" id="cp_appbooking_pform_24" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_24(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_24"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="25"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_24" id="form_structure_24" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-03-2023 Lowry Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-03-2023 Lowry Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-03","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-03"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_24" id="refpage_24" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_24">
<div id="formheader_24">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_24" fcount_tags="24" fnum="_24" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_24-0">
<div id="fieldname8_24" class="dfield"><b>04-03-2023 Lowry Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_24-2"><label for="fieldname1_24"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_24" name="fieldname1_24" type="hidden" value="" summary="usedSlots"><input id="fieldname1_24_services" name="fieldname1_24_services"
type="hidden" value="0"><input id="fieldname1_24_capacity" name="fieldname1_24_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_24" name="tcostfieldname1_24" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_24"><select class="ahbfield_service">
<option value="10">04-03-2023 Lowry Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_24 notranslate hasDatepicker" id="dp1677401943108">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" 2023-04-03 d2023-04-03 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="3">3</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_24">
<div class="slots" d="2023-04-03"><span>04/03/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_24"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_24-4"><label for="fieldname2_24">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_24" name="fieldname2_24" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_24-5"><label for="fieldname3_24">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_24" name="fieldname3_24" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_24-6"><label for="fieldname4_24">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_24" name="fieldname4_24" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_24 cff-phone-field" id="field_24-7"><label for="fieldname11_24">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_24" name="fieldname11_24" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_24_0" name="fieldname11_24_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_24_1" name="fieldname11_24_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_24_2" name="fieldname11_24_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_24-8"><label for="email_24">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_24" name="email_24" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_24-9"><label for="fieldname7_24">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_24" id="fieldname7_24" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_24" id="fieldname7_24" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_24-10" style="display: none;"><label for="fieldname5_24">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_24" name="fieldname5_24" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_24-11" style="display: none;"><label for="fieldname6_24">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_24" name="fieldname6_24" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_24" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_24" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_25 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_25" id="cp_appbooking_pform_25" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_25(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_25"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="26"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_25" id="form_structure_25" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-03-2023 Farnell Middle<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-03-2023 Farnell Middle","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-03","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-03"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_25" id="refpage_25" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_25">
<div id="formheader_25">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_25" fcount_tags="25" fnum="_25" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_25-0">
<div id="fieldname8_25" class="dfield"><b>04-03-2023 Farnell Middle</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_25-2"><label for="fieldname1_25"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_25" name="fieldname1_25" type="hidden" value="" summary="usedSlots"><input id="fieldname1_25_services" name="fieldname1_25_services"
type="hidden" value="0"><input id="fieldname1_25_capacity" name="fieldname1_25_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_25" name="tcostfieldname1_25" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_25"><select class="ahbfield_service">
<option value="10">04-03-2023 Farnell Middle</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_25 notranslate hasDatepicker" id="dp1677401943109">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" 2023-04-03 d2023-04-03 ahb_booked1 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="3">3</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_25">
<div class="slots" d="2023-04-03"><span>04/03/2023</span><br>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="40" h2="12" m2="50" style="display:none" class="htmlUsed approved old"><a>12:40 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-03" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_25"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_25-4"><label for="fieldname2_25">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_25" name="fieldname2_25" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_25-5"><label for="fieldname3_25">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_25" name="fieldname3_25" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_25-6"><label for="fieldname4_25">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_25" name="fieldname4_25" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_25 cff-phone-field" id="field_25-7"><label for="fieldname11_25">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_25" name="fieldname11_25" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_25_0" name="fieldname11_25_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_25_1" name="fieldname11_25_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_25_2" name="fieldname11_25_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_25-8"><label for="email_25">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_25" name="email_25" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_25-9"><label for="fieldname7_25">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_25" id="fieldname7_25" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_25" id="fieldname7_25" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_25-10" style="display: none;"><label for="fieldname5_25">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_25" name="fieldname5_25" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_25-11" style="display: none;"><label for="fieldname6_25">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_25" name="fieldname6_25" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_25" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_25" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_26 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_26" id="cp_appbooking_pform_26" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_26(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_26"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="27"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_26" id="form_structure_26" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-04-2023 Cannella Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-04-2023 Cannella Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-04","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-04"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_26" id="refpage_26" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_26">
<div id="formheader_26">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_26" fcount_tags="26" fnum="_26" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_26-0">
<div id="fieldname8_26" class="dfield"><b>04-04-2023 Cannella Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_26-2"><label for="fieldname1_26"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_26" name="fieldname1_26" type="hidden" value="" summary="usedSlots"><input id="fieldname1_26_services" name="fieldname1_26_services"
type="hidden" value="0"><input id="fieldname1_26_capacity" name="fieldname1_26_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_26" name="tcostfieldname1_26" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_26"><select class="ahbfield_service">
<option value="10">04-04-2023 Cannella Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_26 notranslate hasDatepicker" id="dp1677401943110">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" 2023-04-04 d2023-04-04 ahb_booked4 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="4">4</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_26">
<div class="slots" d="2023-04-04"><span>04/04/2023</span><br>
<div s="0" h1="8" m1="0" h2="8" m2="10" style="display:none" class="htmlUsed approved old"><a>08:00 AM</a></div>
<div s="0" h1="8" m1="10" h2="8" m2="20" style="display:none" class="htmlUsed approved old"><a>08:10 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="30" h2="8" m2="40" style="display:none" class="htmlUsed approved old"><a>08:30 AM</a></div>
<div s="0" h1="8" m1="40" h2="8" m2="50" style="display:none" class="htmlUsed approved old"><a>08:40 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="40" h2="9" m2="50" style="display:none" class="htmlUsed approved old"><a>09:40 AM</a></div>
<div s="0" h1="9" m1="50" h2="10" m2="0" style="display:none" class="htmlUsed approved old"><a>09:50 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_26"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_26-4"><label for="fieldname2_26">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_26" name="fieldname2_26" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_26-5"><label for="fieldname3_26">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_26" name="fieldname3_26" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_26-6"><label for="fieldname4_26">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_26" name="fieldname4_26" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_26 cff-phone-field" id="field_26-7"><label for="fieldname11_26">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_26" name="fieldname11_26" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_26_0" name="fieldname11_26_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_26_1" name="fieldname11_26_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_26_2" name="fieldname11_26_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_26-8"><label for="email_26">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_26" name="email_26" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_26-9"><label for="fieldname7_26">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_26" id="fieldname7_26" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_26" id="fieldname7_26" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_26-10" style="display: none;"><label for="fieldname5_26">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_26" name="fieldname5_26" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_26-11" style="display: none;"><label for="fieldname6_26">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_26" name="fieldname6_26" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_26" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_26" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_27 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_27" id="cp_appbooking_pform_27" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_27(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_27"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="28"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_27" id="form_structure_27" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-04-2023 Caminiti Exceptional Center<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-04-2023 Caminiti Exceptional Center","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-04","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-04"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_27" id="refpage_27" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_27">
<div id="formheader_27">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_27" fcount_tags="27" fnum="_27" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_27-0">
<div id="fieldname8_27" class="dfield"><b>04-04-2023 Caminiti Exceptional Center</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_27-2"><label for="fieldname1_27"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_27" name="fieldname1_27" type="hidden" value="" summary="usedSlots"><input id="fieldname1_27_services" name="fieldname1_27_services"
type="hidden" value="0"><input id="fieldname1_27_capacity" name="fieldname1_27_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_27" name="tcostfieldname1_27" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_27"><select class="ahbfield_service">
<option value="10">04-04-2023 Caminiti Exceptional Center</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_27 notranslate hasDatepicker" id="dp1677401943111">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" 2023-04-04 d2023-04-04 ahb_booked2 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="4">4</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_27">
<div class="slots" d="2023-04-04"><span>04/04/2023</span><br>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="20" h2="12" m2="30" style="display:none" class="htmlUsed approved old"><a>12:20 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="10" h2="13" m2="20" style="display:none" class="htmlUsed approved old"><a>01:10 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-04" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="14" m1="20" h2="14" m2="30" style="display:none" class="htmlUsed approved old"><a>02:20 PM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_27"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_27-4"><label for="fieldname2_27">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_27" name="fieldname2_27" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_27-5"><label for="fieldname3_27">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_27" name="fieldname3_27" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_27-6"><label for="fieldname4_27">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_27" name="fieldname4_27" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_27 cff-phone-field" id="field_27-7"><label for="fieldname11_27">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_27" name="fieldname11_27" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_27_0" name="fieldname11_27_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_27_1" name="fieldname11_27_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_27_2" name="fieldname11_27_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_27-8"><label for="email_27">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_27" name="email_27" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_27-9"><label for="fieldname7_27">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_27" id="fieldname7_27" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_27" id="fieldname7_27" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_27-10" style="display: none;"><label for="fieldname5_27">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_27" name="fieldname5_27" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_27-11" style="display: none;"><label for="fieldname6_27">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_27" name="fieldname6_27" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_27" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_27" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_28 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_28" id="cp_appbooking_pform_28" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_28(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_28"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="29"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_28" id="form_structure_28" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-05-2023 Bay Crest Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-05-2023 Bay Crest Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-05","h1":"7","m1":"30","h2":"10","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-05"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_28" id="refpage_28" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_28">
<div id="formheader_28">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_28" fcount_tags="28" fnum="_28" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_28-0">
<div id="fieldname8_28" class="dfield"><b>04-05-2023 Bay Crest Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_28-2"><label for="fieldname1_28"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_28" name="fieldname1_28" type="hidden" value="" summary="usedSlots"><input id="fieldname1_28_services" name="fieldname1_28_services"
type="hidden" value="0"><input id="fieldname1_28_capacity" name="fieldname1_28_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_28" name="tcostfieldname1_28" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_28"><select class="ahbfield_service">
<option value="10">04-05-2023 Bay Crest Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_28 notranslate hasDatepicker" id="dp1677401943112">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" 2023-04-05 d2023-04-05 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="5">5</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_28">
<div class="slots" d="2023-04-05"><span>04/05/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="7" m1="30" h2="7" m2="40">07:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="7" m1="40" h2="7" m2="50">07:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="7" m1="50" h2="8" m2="0">07:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="30" h2="8" m2="40" style="display:none" class="htmlUsed approved old"><a>08:30 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_28"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_28-4"><label for="fieldname2_28">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_28" name="fieldname2_28" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_28-5"><label for="fieldname3_28">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_28" name="fieldname3_28" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_28-6"><label for="fieldname4_28">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_28" name="fieldname4_28" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_28 cff-phone-field" id="field_28-7"><label for="fieldname11_28">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_28" name="fieldname11_28" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_28_0" name="fieldname11_28_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_28_1" name="fieldname11_28_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_28_2" name="fieldname11_28_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_28-8"><label for="email_28">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_28" name="email_28" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_28-9"><label for="fieldname7_28">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_28" id="fieldname7_28" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_28" id="fieldname7_28" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_28-10" style="display: none;"><label for="fieldname5_28">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_28" name="fieldname5_28" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_28-11" style="display: none;"><label for="fieldname6_28">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_28" name="fieldname6_28" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_28" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_28" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_29 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_29" id="cp_appbooking_pform_29" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_29(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_29"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="30"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_29" id="form_structure_29" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-05-2023 Davis Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-05-2023 Davis Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-05","h1":"11","m1":"30","h2":"14","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":false,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-05"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname7","shortlabel":"","index":9,"ftype":"fradio","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Select a Choice","layout":"one_column","required":false,"choiceSelected":"Self Pay - Self Pay","showDep":true,"choices":["Self Pay","Insurance"],"choicesVal":["Self Pay","Insurance"],"choicesDep":[[],["fieldname5","fieldname6"]],"fBuild":{}},{"form_identifier":"","name":"fieldname5","shortlabel":"","index":10,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Carrier","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname6","shortlabel":"","index":11,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Insurance Subscriber (Member) ID","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_29" id="refpage_29" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_29">
<div id="formheader_29">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_29" fcount_tags="29" fnum="_29" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_29-0">
<div id="fieldname8_29" class="dfield"><b>04-05-2023 Davis Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_29-2"><label for="fieldname1_29"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_29" name="fieldname1_29" type="hidden" value="" summary="usedSlots"><input id="fieldname1_29_services" name="fieldname1_29_services"
type="hidden" value="0"><input id="fieldname1_29_capacity" name="fieldname1_29_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_29" name="tcostfieldname1_29" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_29"><select class="ahbfield_service">
<option value="10">04-05-2023 Davis Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_29 notranslate hasDatepicker" id="dp1677401943113">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" 2023-04-05 d2023-04-05 ahb_booked6 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="5">5</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_29">
<div class="slots" d="2023-04-05"><span>04/05/2023</span><br>
<div s="0" h1="11" m1="30" h2="11" m2="40" style="display:none" class="htmlUsed approved old"><a>11:30 AM</a></div>
<div s="0" h1="11" m1="40" h2="11" m2="50" style="display:none" class="htmlUsed approved old"><a>11:40 AM</a></div>
<div s="0" h1="11" m1="50" h2="12" m2="0" style="display:none" class="htmlUsed approved old"><a>11:50 AM</a></div>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="12" m1="20" h2="12" m2="30" style="display:none" class="htmlUsed approved old"><a>12:20 PM</a></div>
<div s="0" h1="12" m1="30" h2="12" m2="40" style="display:none" class="htmlUsed approved old"><a>12:30 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="0" h2="13" m2="10" style="display:none" class="htmlUsed approved old"><a>01:00 PM</a></div>
<div s="0" h1="13" m1="10" h2="13" m2="20" style="display:none" class="htmlUsed approved old"><a>01:10 PM</a></div>
<div s="0" h1="13" m1="20" h2="13" m2="30" style="display:none" class="htmlUsed approved old"><a>01:20 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-05" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_29"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_29-4"><label for="fieldname2_29">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_29" name="fieldname2_29" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_29-5"><label for="fieldname3_29">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_29" name="fieldname3_29" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_29-6"><label for="fieldname4_29">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_29" name="fieldname4_29" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_29 cff-phone-field" id="field_29-7"><label for="fieldname11_29">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_29" name="fieldname11_29" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_29_0" name="fieldname11_29_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_29_1" name="fieldname11_29_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_29_2" name="fieldname11_29_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_29-8"><label for="email_29">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_29" name="email_29" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_29-9"><label for="fieldname7_29">Select a Choice</label>
<div class="dfield">
<div class="one_column"><label><input name="fieldname7_29" id="fieldname7_29" class="field depItem group ignorepb" value="Self Pay" vt="Self Pay" type="radio" i="0" checked=""> Self Pay</label></div>
<div class="one_column"><label><input name="fieldname7_29" id="fieldname7_29" dep="fieldname5,fieldname6" class="field depItem group ignorepb" value="Insurance" vt="Insurance" type="radio" i="1"> Insurance</label></div><span
class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_29-10" style="display: none;"><label for="fieldname5_29">Insurance Carrier<span class="r">*</span></label>
<div class="dfield"><input id="fieldname5_29" name="fieldname5_29" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_29-11" style="display: none;"><label for="fieldname6_29">Insurance Subscriber (Member) ID<span class="r">*</span></label>
<div class="dfield"><input id="fieldname6_29" name="fieldname6_29" class="field medium required ignore ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_29" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_29" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_30 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_30" id="cp_appbooking_pform_30" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_30(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_30"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="32"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_30" id="form_structure_30" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-06-2023 Sheehy Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-06-20232 Sheehy Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-06","h1":"7","m1":"30","h2":"10","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-06"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_30" id="refpage_30" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_30">
<div id="formheader_30">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_30" fcount_tags="30" fnum="_30" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_30-0">
<div id="fieldname8_30" class="dfield"><b>04-06-2023 Sheehy Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_30-2"><label for="fieldname1_30"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_30" name="fieldname1_30" type="hidden" value="" summary="usedSlots"><input id="fieldname1_30_services" name="fieldname1_30_services"
type="hidden" value="0"><input id="fieldname1_30_capacity" name="fieldname1_30_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_30" name="tcostfieldname1_30" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_30"><select class="ahbfield_service">
<option value="10">04-06-20232 Sheehy Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_30 notranslate hasDatepicker" id="dp1677401943114">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" 2023-04-06 d2023-04-06 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="6">6</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_30">
<div class="slots" d="2023-04-06"><span>04/06/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="7" m1="30" h2="7" m2="40">07:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="7" m1="40" h2="7" m2="50">07:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="7" m1="50" h2="8" m2="0">07:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_30"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_30-4"><label for="fieldname2_30">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_30" name="fieldname2_30" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_30-5"><label for="fieldname3_30">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_30" name="fieldname3_30" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_30-6"><label for="fieldname4_30">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_30" name="fieldname4_30" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_30 cff-phone-field" id="field_30-7"><label for="fieldname11_30">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_30" name="fieldname11_30" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_30_0" name="fieldname11_30_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_30_1" name="fieldname11_30_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_30_2" name="fieldname11_30_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_30-8"><label for="email_30">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_30" name="email_30" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_30" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_30" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_31 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_31" id="cp_appbooking_pform_31" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_31(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_31"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="33"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_31" id="form_structure_31" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-06-2023 Kimbell Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-06-2023 Kimbell Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-06","h1":"11","m1":"30","h2":"14","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-06"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_31" id="refpage_31" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_31">
<div id="formheader_31">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_31" fcount_tags="31" fnum="_31" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_31-0">
<div id="fieldname8_31" class="dfield"><b>04-06-2023 Kimbell Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_31-2"><label for="fieldname1_31"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_31" name="fieldname1_31" type="hidden" value="" summary="usedSlots"><input id="fieldname1_31_services" name="fieldname1_31_services"
type="hidden" value="0"><input id="fieldname1_31_capacity" name="fieldname1_31_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_31" name="tcostfieldname1_31" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_31"><select class="ahbfield_service">
<option value="10">04-06-2023 Kimbell Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_31 notranslate hasDatepicker" id="dp1677401943115">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" 2023-04-06 d2023-04-06 ahb_booked6 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="6">6</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_31">
<div class="slots" d="2023-04-06"><span>04/06/2023</span><br>
<div s="0" h1="11" m1="30" h2="11" m2="40" style="display:none" class="htmlUsed approved old"><a>11:30 AM</a></div>
<div s="0" h1="11" m1="40" h2="11" m2="50" style="display:none" class="htmlUsed approved old"><a>11:40 AM</a></div>
<div s="0" h1="11" m1="50" h2="12" m2="0" style="display:none" class="htmlUsed approved old"><a>11:50 AM</a></div>
<div s="0" h1="12" m1="0" h2="12" m2="10" style="display:none" class="htmlUsed approved old"><a>12:00 PM</a></div>
<div s="0" h1="12" m1="10" h2="12" m2="20" style="display:none" class="htmlUsed approved old"><a>12:10 PM</a></div>
<div s="0" h1="12" m1="20" h2="12" m2="30" style="display:none" class="htmlUsed approved old"><a>12:20 PM</a></div>
<div s="0" h1="12" m1="30" h2="12" m2="40" style="display:none" class="htmlUsed approved old"><a>12:30 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="13" m1="20" h2="13" m2="30" style="display:none" class="htmlUsed approved old"><a>01:20 PM</a></div>
<div s="0" h1="13" m1="30" h2="13" m2="40" style="display:none" class="htmlUsed approved old"><a>01:30 PM</a></div>
<div s="0" h1="13" m1="40" h2="13" m2="50" style="display:none" class="htmlUsed approved old"><a>01:40 PM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-06" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_31"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_31-4"><label for="fieldname2_31">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_31" name="fieldname2_31" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_31-5"><label for="fieldname3_31">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_31" name="fieldname3_31" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_31-6"><label for="fieldname4_31">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_31" name="fieldname4_31" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_31 cff-phone-field" id="field_31-7"><label for="fieldname11_31">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_31" name="fieldname11_31" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_31_0" name="fieldname11_31_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_31_1" name="fieldname11_31_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_31_2" name="fieldname11_31_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_31-8"><label for="email_31">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_31" name="email_31" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_31" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_31" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_32 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_32" id="cp_appbooking_pform_32" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_32(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_32"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="34"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_32" id="form_structure_32" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-10-2023 Carrollwood Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-10-2023 Carrollwood Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-10","h1":"7","m1":"30","h2":"10","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-10"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_32" id="refpage_32" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_32">
<div id="formheader_32">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_32" fcount_tags="32" fnum="_32" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_32-0">
<div id="fieldname8_32" class="dfield"><b>04-10-2023 Carrollwood Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_32-2"><label for="fieldname1_32"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_32" name="fieldname1_32" type="hidden" value="" summary="usedSlots"><input id="fieldname1_32_services" name="fieldname1_32_services"
type="hidden" value="0"><input id="fieldname1_32_capacity" name="fieldname1_32_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_32" name="tcostfieldname1_32" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_32"><select class="ahbfield_service">
<option value="10">04-10-2023 Carrollwood Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_32 notranslate hasDatepicker" id="dp1677401943116">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" 2023-04-10 d2023-04-10 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="10">10</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_32">
<div class="slots" d="2023-04-10"><span>04/10/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="7" m1="30" h2="7" m2="40">07:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="7" m1="40" h2="7" m2="50">07:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="7" m1="50" h2="8" m2="0">07:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_32"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_32-4"><label for="fieldname2_32">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_32" name="fieldname2_32" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_32-5"><label for="fieldname3_32">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_32" name="fieldname3_32" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_32-6"><label for="fieldname4_32">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_32" name="fieldname4_32" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_32 cff-phone-field" id="field_32-7"><label for="fieldname11_32">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_32" name="fieldname11_32" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_32_0" name="fieldname11_32_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_32_1" name="fieldname11_32_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_32_2" name="fieldname11_32_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_32-8"><label for="email_32">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_32" name="email_32" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_32" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_32" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_33 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_33" id="cp_appbooking_pform_33" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_33(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_33"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="35"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_33" id="form_structure_33" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-10-2023 Woodbridge Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-10-2023 Woodbridge Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-10","h1":"11","m1":"30","h2":"14","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-10"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_33" id="refpage_33" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_33">
<div id="formheader_33">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_33" fcount_tags="33" fnum="_33" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_33-0">
<div id="fieldname8_33" class="dfield"><b>04-10-2023 Woodbridge Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_33-2"><label for="fieldname1_33"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_33" name="fieldname1_33" type="hidden" value="" summary="usedSlots"><input id="fieldname1_33_services" name="fieldname1_33_services"
type="hidden" value="0"><input id="fieldname1_33_capacity" name="fieldname1_33_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_33" name="tcostfieldname1_33" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_33"><select class="ahbfield_service">
<option value="10">04-10-2023 Woodbridge Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_33 notranslate hasDatepicker" id="dp1677401943117">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" 2023-04-10 d2023-04-10 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="10">10</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_33">
<div class="slots" d="2023-04-10"><span>04/10/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="11" m1="30" h2="11" m2="40">11:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="11" m1="40" h2="11" m2="50">11:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="11" m1="50" h2="12" m2="0">11:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-10" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_33"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_33-4"><label for="fieldname2_33">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_33" name="fieldname2_33" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_33-5"><label for="fieldname3_33">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_33" name="fieldname3_33" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_33-6"><label for="fieldname4_33">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_33" name="fieldname4_33" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_33 cff-phone-field" id="field_33-7"><label for="fieldname11_33">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_33" name="fieldname11_33" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_33_0" name="fieldname11_33_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_33_1" name="fieldname11_33_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_33_2" name="fieldname11_33_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_33-8"><label for="email_33">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_33" name="email_33" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_33" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_33" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_34 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_34" id="cp_appbooking_pform_34" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_34(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_34"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="36"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_34" id="form_structure_34" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-11-2023 Palm River Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-11-2023 Palm River Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-11","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-11"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_34" id="refpage_34" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_34">
<div id="formheader_34">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_34" fcount_tags="34" fnum="_34" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_34-0">
<div id="fieldname8_34" class="dfield"><b>04-11-2023 Palm River Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_34-2"><label for="fieldname1_34"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_34" name="fieldname1_34" type="hidden" value="" summary="usedSlots"><input id="fieldname1_34_services" name="fieldname1_34_services"
type="hidden" value="0"><input id="fieldname1_34_capacity" name="fieldname1_34_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_34" name="tcostfieldname1_34" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_34"><select class="ahbfield_service">
<option value="10">04-11-2023 Palm River Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_34 notranslate hasDatepicker" id="dp1677401943118">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" 2023-04-11 d2023-04-11 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="11">11</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_34">
<div class="slots" d="2023-04-11"><span>04/11/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_34"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_34-4"><label for="fieldname2_34">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_34" name="fieldname2_34" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_34-5"><label for="fieldname3_34">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_34" name="fieldname3_34" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_34-6"><label for="fieldname4_34">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_34" name="fieldname4_34" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_34 cff-phone-field" id="field_34-7"><label for="fieldname11_34">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_34" name="fieldname11_34" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_34_0" name="fieldname11_34_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_34_1" name="fieldname11_34_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_34_2" name="fieldname11_34_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_34-8"><label for="email_34">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_34" name="email_34" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_34" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_34" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_35 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_35" id="cp_appbooking_pform_35" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_35(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_35"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="37"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_35" id="form_structure_35" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-11-2023 Carver Exceptional Center<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-11-2023 Carver Exceptional Center","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-11","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-11"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_35" id="refpage_35" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_35">
<div id="formheader_35">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_35" fcount_tags="35" fnum="_35" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_35-0">
<div id="fieldname8_35" class="dfield"><b>04-11-2023 Carver Exceptional Center</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_35-2"><label for="fieldname1_35"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_35" name="fieldname1_35" type="hidden" value="" summary="usedSlots"><input id="fieldname1_35_services" name="fieldname1_35_services"
type="hidden" value="0"><input id="fieldname1_35_capacity" name="fieldname1_35_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_35" name="tcostfieldname1_35" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_35"><select class="ahbfield_service">
<option value="10">04-11-2023 Carver Exceptional Center</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_35 notranslate hasDatepicker" id="dp1677401943119">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" 2023-04-11 d2023-04-11 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="11">11</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_35">
<div class="slots" d="2023-04-11"><span>04/11/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-11" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_35"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_35-4"><label for="fieldname2_35">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_35" name="fieldname2_35" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_35-5"><label for="fieldname3_35">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_35" name="fieldname3_35" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_35-6"><label for="fieldname4_35">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_35" name="fieldname4_35" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_35 cff-phone-field" id="field_35-7"><label for="fieldname11_35">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_35" name="fieldname11_35" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_35_0" name="fieldname11_35_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_35_1" name="fieldname11_35_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_35_2" name="fieldname11_35_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_35-8"><label for="email_35">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_35" name="email_35" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_35" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_35" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_36 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_36" id="cp_appbooking_pform_36" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_36(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_36"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="38"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_36" id="form_structure_36" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-12-2023 Tampa Palms Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-12-2023 Tampa Palms Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-12","h1":"7","m1":"30","h2":"10","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-12"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_36" id="refpage_36" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_36">
<div id="formheader_36">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_36" fcount_tags="36" fnum="_36" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_36-0">
<div id="fieldname8_36" class="dfield"><b>04-12-2023 Tampa Palms Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_36-2"><label for="fieldname1_36"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_36" name="fieldname1_36" type="hidden" value="" summary="usedSlots"><input id="fieldname1_36_services" name="fieldname1_36_services"
type="hidden" value="0"><input id="fieldname1_36_capacity" name="fieldname1_36_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_36" name="tcostfieldname1_36" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_36"><select class="ahbfield_service">
<option value="10">04-12-2023 Tampa Palms Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_36 notranslate hasDatepicker" id="dp1677401943120">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" 2023-04-12 d2023-04-12 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="12">12</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_36">
<div class="slots" d="2023-04-12"><span>04/12/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="7" m1="30" h2="7" m2="40">07:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="7" m1="40" h2="7" m2="50">07:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="7" m1="50" h2="8" m2="0">07:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_36"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_36-4"><label for="fieldname2_36">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_36" name="fieldname2_36" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_36-5"><label for="fieldname3_36">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_36" name="fieldname3_36" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_36-6"><label for="fieldname4_36">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_36" name="fieldname4_36" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_36 cff-phone-field" id="field_36-7"><label for="fieldname11_36">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_36" name="fieldname11_36" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_36_0" name="fieldname11_36_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_36_1" name="fieldname11_36_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_36_2" name="fieldname11_36_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_36-8"><label for="email_36">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_36" name="email_36" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_36" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_36" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_37 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_37" id="cp_appbooking_pform_37" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_37(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_37"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="39"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_37" id="form_structure_37" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-12-2023 Graham Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-12-2023 Graham Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-12","h1":"11","m1":"30","h2":"14","m2":"0"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-12"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_37" id="refpage_37" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_37">
<div id="formheader_37">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_37" fcount_tags="37" fnum="_37" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_37-0">
<div id="fieldname8_37" class="dfield"><b>04-12-2023 Graham Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_37-2"><label for="fieldname1_37"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_37" name="fieldname1_37" type="hidden" value="" summary="usedSlots"><input id="fieldname1_37_services" name="fieldname1_37_services"
type="hidden" value="0"><input id="fieldname1_37_capacity" name="fieldname1_37_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_37" name="tcostfieldname1_37" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_37"><select class="ahbfield_service">
<option value="10">04-12-2023 Graham Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_37 notranslate hasDatepicker" id="dp1677401943121">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" 2023-04-12 d2023-04-12 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="12">12</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_37">
<div class="slots" d="2023-04-12"><span>04/12/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="11" m1="30" h2="11" m2="40">11:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="11" m1="40" h2="11" m2="50">11:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="11" m1="50" h2="12" m2="0">11:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-12" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_37"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_37-4"><label for="fieldname2_37">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_37" name="fieldname2_37" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_37-5"><label for="fieldname3_37">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_37" name="fieldname3_37" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_37-6"><label for="fieldname4_37">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_37" name="fieldname4_37" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_37 cff-phone-field" id="field_37-7"><label for="fieldname11_37">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_37" name="fieldname11_37" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_37_0" name="fieldname11_37_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_37_1" name="fieldname11_37_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_37_2" name="fieldname11_37_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_37-8"><label for="email_37">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_37" name="email_37" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_37" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_37" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_38 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_38" id="cp_appbooking_pform_38" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_38(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_38"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="40"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_38" id="form_structure_38" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-13-2023 Witter Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-13-2023 Witter Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-13","h1":"8","m1":"0","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-13"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_38" id="refpage_38" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_38">
<div id="formheader_38">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_38" fcount_tags="38" fnum="_38" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_38-0">
<div id="fieldname8_38" class="dfield"><b>04-13-2023 Witter Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_38-2"><label for="fieldname1_38"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_38" name="fieldname1_38" type="hidden" value="" summary="usedSlots"><input id="fieldname1_38_services" name="fieldname1_38_services"
type="hidden" value="0"><input id="fieldname1_38_capacity" name="fieldname1_38_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_38" name="tcostfieldname1_38" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_38"><select class="ahbfield_service">
<option value="10">04-13-2023 Witter Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_38 notranslate hasDatepicker" id="dp1677401943122">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" 2023-04-13 d2023-04-13 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="13">13</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_38">
<div class="slots" d="2023-04-13"><span>04/13/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="8" m1="0" h2="8" m2="10">08:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="8" m1="10" h2="8" m2="20">08:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="8" m1="20" h2="8" m2="30">08:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="8" m1="30" h2="8" m2="40">08:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="10" m1="20" h2="10" m2="30">10:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_38"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_38-4"><label for="fieldname2_38">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_38" name="fieldname2_38" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_38-5"><label for="fieldname3_38">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_38" name="fieldname3_38" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_38-6"><label for="fieldname4_38">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_38" name="fieldname4_38" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_38 cff-phone-field" id="field_38-7"><label for="fieldname11_38">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_38" name="fieldname11_38" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_38_0" name="fieldname11_38_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_38_1" name="fieldname11_38_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_38_2" name="fieldname11_38_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_38-8"><label for="email_38">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_38" name="email_38" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_38" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_38" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_39 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_39" id="cp_appbooking_pform_39" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_39(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_39"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="41"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_39" id="form_structure_39" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-13-2023 Jennings Middle<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-13-2023 Jennings Middle","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-13","h1":"12","m1":"0","h2":"14","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-13"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_39" id="refpage_39" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_39">
<div id="formheader_39">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_39" fcount_tags="39" fnum="_39" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_39-0">
<div id="fieldname8_39" class="dfield"><b>04-13-2023 Jennings Middle</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_39-2"><label for="fieldname1_39"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_39" name="fieldname1_39" type="hidden" value="" summary="usedSlots"><input id="fieldname1_39_services" name="fieldname1_39_services"
type="hidden" value="0"><input id="fieldname1_39_capacity" name="fieldname1_39_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_39" name="tcostfieldname1_39" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_39"><select class="ahbfield_service">
<option value="10">04-13-2023 Jennings Middle</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_39 notranslate hasDatepicker" id="dp1677401943123">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" 2023-04-13 d2023-04-13 ahb_booked0 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="13">13</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_39">
<div class="slots" d="2023-04-13"><span>04/13/2023</span><br>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="12" m1="0" h2="12" m2="10">12:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="12" m1="10" h2="12" m2="20">12:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="12" m1="20" h2="12" m2="30">12:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="12" m1="30" h2="12" m2="40">12:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="12" m1="40" h2="12" m2="50">12:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="12" m1="50" h2="13" m2="0">12:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="13" m1="0" h2="13" m2="10">01:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="13" m1="10" h2="13" m2="20">01:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="13" m1="20" h2="13" m2="30">01:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="13" m1="30" h2="13" m2="40">01:30 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="13" m1="40" h2="13" m2="50">01:40 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="13" m1="50" h2="14" m2="0">01:50 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="14" m1="0" h2="14" m2="10">02:00 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="14" m1="10" h2="14" m2="20">02:10 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-13" h1="14" m1="20" h2="14" m2="30">02:20 PM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_39"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_39-4"><label for="fieldname2_39">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_39" name="fieldname2_39" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_39-5"><label for="fieldname3_39">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_39" name="fieldname3_39" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_39-6"><label for="fieldname4_39">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_39" name="fieldname4_39" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_39 cff-phone-field" id="field_39-7"><label for="fieldname11_39">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_39" name="fieldname11_39" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_39_0" name="fieldname11_39_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_39_1" name="fieldname11_39_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_39_2" name="fieldname11_39_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_39-8"><label for="email_39">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_39" name="email_39" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_39" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_39" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_40 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_40" id="cp_appbooking_pform_40" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_40(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_40"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="42"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_40" id="form_structure_40" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-14-2023 Madison Middle<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-14-2023 Madison Middle","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-14","h1":"8","m1":"30","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-14"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_40" id="refpage_40" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_40">
<div id="formheader_40">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_40" fcount_tags="40" fnum="_40" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_40-0">
<div id="fieldname8_40" class="dfield"><b>04-14-2023 Madison Middle</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_40-2"><label for="fieldname1_40"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_40" name="fieldname1_40" type="hidden" value="" summary="usedSlots"><input id="fieldname1_40_services" name="fieldname1_40_services"
type="hidden" value="0"><input id="fieldname1_40_capacity" name="fieldname1_40_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_40" name="tcostfieldname1_40" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_40"><select class="ahbfield_service">
<option value="10">04-14-2023 Madison Middle</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_40 notranslate hasDatepicker" id="dp1677401943124">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" 2023-04-14 d2023-04-14 ahb_booked5 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="14">14</a></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_40">
<div class="slots" d="2023-04-14"><span>04/14/2023</span><br>
<div s="0" h1="8" m1="30" h2="8" m2="40" style="display:none" class="htmlUsed approved old"><a>08:30 AM</a></div>
<div s="0" h1="8" m1="40" h2="8" m2="50" style="display:none" class="htmlUsed approved old"><a>08:40 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-14" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="0" h2="9" m2="10" style="display:none" class="htmlUsed approved old"><a>09:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-14" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-14" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="30" h2="9" m2="40" style="display:none" class="htmlUsed approved old"><a>09:30 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-14" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-14" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="0" h2="10" m2="10" style="display:none" class="htmlUsed approved old"><a>10:00 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-14" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_40"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_40-4"><label for="fieldname2_40">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_40" name="fieldname2_40" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_40-5"><label for="fieldname3_40">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_40" name="fieldname3_40" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_40-6"><label for="fieldname4_40">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_40" name="fieldname4_40" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_40 cff-phone-field" id="field_40-7"><label for="fieldname11_40">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_40" name="fieldname11_40" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_40_0" name="fieldname11_40_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_40_1" name="fieldname11_40_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_40_2" name="fieldname11_40_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_40-8"><label for="email_40">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_40" name="email_40" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_40" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_40" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_41 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_41" id="cp_appbooking_pform_41" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_41(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_41"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="44"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_41" id="form_structure_41" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-17-2023 Limona Elementary<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-17-2023 Limona Elementary","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-17","h1":"8","m1":"30","h2":"11","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-17"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_41" id="refpage_41" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_41">
<div id="formheader_41">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_41" fcount_tags="41" fnum="_41" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_41-0">
<div id="fieldname8_41" class="dfield"><b>04-17-2023 Limona Elementary</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_41-2"><label for="fieldname1_41"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_41" name="fieldname1_41" type="hidden" value="" summary="usedSlots"><input id="fieldname1_41_services" name="fieldname1_41_services"
type="hidden" value="0"><input id="fieldname1_41_capacity" name="fieldname1_41_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_41" name="tcostfieldname1_41" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_41"><select class="ahbfield_service">
<option value="10">04-17-2023 Limona Elementary</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_41 notranslate hasDatepicker" id="dp1677401943125">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" 2023-04-17 d2023-04-17 ahb_booked3 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="17">17</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-18 d2023-04-18 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">18</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_41">
<div class="slots" d="2023-04-17"><span>04/17/2023</span><br>
<div s="0" h1="8" m1="30" h2="8" m2="40" style="display:none" class="htmlUsed approved old"><a>08:30 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="8" m1="40" h2="8" m2="50">08:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="8" m1="50" h2="9" m2="0" style="display:none" class="htmlUsed approved old"><a>08:50 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="9" m1="20" h2="9" m2="30">09:20 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="10" h2="10" m2="20" style="display:none" class="htmlUsed approved old"><a>10:10 AM</a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
<div s="0" h1="10" m1="30" h2="10" m2="40" style="display:none" class="htmlUsed approved old"><a>10:30 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="10" m1="40" h2="10" m2="50">10:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="10" m1="50" h2="11" m2="0">10:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="11" m1="0" h2="11" m2="10">11:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-17" h1="11" m1="10" h2="11" m2="20">11:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="11" m1="20" h2="11" m2="30" style="display:none" class="htmlUsed approved old"><a>11:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_41"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_41-4"><label for="fieldname2_41">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_41" name="fieldname2_41" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_41-5"><label for="fieldname3_41">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_41" name="fieldname3_41" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_41-6"><label for="fieldname4_41">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_41" name="fieldname4_41" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_41 cff-phone-field" id="field_41-7"><label for="fieldname11_41">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_41" name="fieldname11_41" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_41_0" name="fieldname11_41_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_41_1" name="fieldname11_41_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_41_2" name="fieldname11_41_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_41-8"><label for="email_41">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_41" name="email_41" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_41" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_41" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Name: cp_appbooking_pform_42 — POST
<form autocomplete="off" class="cpp_form" name="cp_appbooking_pform_42" id="cp_appbooking_pform_42" action="" method="post" enctype="multipart/form-data" onsubmit="return cp_appbooking_pform_doValidate_42(this);" novalidate="novalidate"><input
type="hidden" name="cp_pform_psequence" value="_42"><input type="hidden" name="cp_appbooking_pform_process" value="1"><input type="hidden" name="cp_appbooking_id" value="43"><input type="hidden" name="cp_ref_page" value=""><input type="hidden"
name="form_structure_42" id="form_structure_42" size="180"
value="[[{"form_identifier":"","name":"fieldname8","shortlabel":"","index":0,"ftype":"fhtml","userhelp":"","userhelpTooltip":false,"csslayout":"","fcontent":"<b>04-18-2023 Sulphur Springs K-8<\/b>","fBuild":{},"title":""},{"form_identifier":"","name":"fieldname9","shortlabel":"","index":1,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname1","shortlabel":"","index":2,"ftype":"fapp","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"","services":[{"name":"04-18-2023 Sulphur Springs K-8","price":0,"capacity":1,"duration":"10","pb":0,"pa":0,"ohindex":0,"idx":1}],"openhours":[],"allOH":[{"name":"Default","openhours":[{"type":"special","d":"2023-04-18","h1":"8","m1":"30","h2":"10","m2":"30"}]}],"dateFormat":"mm\/dd\/yy","showDropdown":false,"showTotalCost":false,"showTotalCostFormat":"$ {0}","showEndTime":false,"showQuantity":false,"usedSlotsCheckbox":false,"avoidOverlaping":true,"emptySelectCheckbox":false,"emptySelect":"-- Please select service --","dropdownRange":"-10:+10","working_dates":[true,true,true,true,true,true,true],"numberOfMonths":1,"maxNumberOfApp":"1","firstDay":0,"minDate":"0","maxDate":"","defaultDate":"","invalidDates":"","tmpinvalidDates":"","required":false,"bSlotsCheckbox":true,"bSlots":"10","militaryTime":"0","autonum":1,"autonumStaff":0,"fBuild":{},"special_days":["2023-04-18"],"minDateTmp":"0","getMinDate":{},"tmpinvalidDatestime":[]},{"form_identifier":"","name":"fieldname10","shortlabel":"","index":3,"ftype":"fPageBreak","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Page Break","fBuild":{}},{"form_identifier":"","name":"fieldname2","shortlabel":"","index":4,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"First Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname3","shortlabel":"","index":5,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Last Name","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname4","shortlabel":"","index":6,"ftype":"ftext","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Date of Birth (mm\/dd\/yyyy)","predefined":"","predefinedClick":false,"required":true,"size":"medium","minlength":"","maxlength":"","equalTo":"","fBuild":{}},{"form_identifier":"","name":"fieldname11","shortlabel":"","index":7,"ftype":"fPhone","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Phone","required":false,"readonly":false,"dformat":"### ### ####","predefined":"888 888 8888","predefinedClick":true,"fBuild":{}},{"form_identifier":"","name":"email","shortlabel":"","index":8,"ftype":"femail","userhelp":"","userhelpTooltip":false,"csslayout":"","title":"Email","predefined":"","predefinedClick":false,"required":true,"size":"medium","equalTo":"","fBuild":{}}],[{"title":"","description":"","formlayout":"top_aligned","formtemplate":"","evalequations":1,"autocomplete":1,"autofocus":false}]]"><input
type="hidden" name="refpage_42" id="refpage_42" value=""><input type="hidden" name="cp_appbooking_pform_status" value="0"><input name="anonce" type="hidden" value="6646f6156a">
<div id="fbuilder">
<div id="fbuilder_42">
<div id="formheader_42">
<div class="fform" id="field"></div>
</div>
<div id="fieldlist_42" fcount_tags="42" fnum="_42" class="cp_avoid_hidden top_aligned cp_v_v">
<div class="pb0 pbreak" page="0">
<fieldset>
<legend>Page 1 of 3</legend>
<div class="fields " id="field_42-0">
<div id="fieldname8_42" class="dfield"><b>04-18-2023 Sulphur Springs K-8</b></div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb1 pbreak" page="1">
<fieldset>
<legend>Page 2 of 3</legend>
<div class="fields " id="field_42-2"><label for="fieldname1_42"></label>
<div class="dfield fapp"><input class="field avoid_overlapping_before ignorepb" id="fieldname1_42" name="fieldname1_42" type="hidden" value="" summary="usedSlots"><input id="fieldname1_42_services" name="fieldname1_42_services"
type="hidden" value="0"><input id="fieldname1_42_capacity" name="fieldname1_42_capacity" type="hidden" value="1"><input class="" id="tcostfieldname1_42" name="tcostfieldname1_42" type="hidden" value="0.00">
<div class="fieldCalendarService fieldCalendarServicefieldname1_42"><select class="ahbfield_service">
<option value="10">04-18-2023 Sulphur Springs K-8</option>
</select>
<div class="ahbfield_quantity_div" style="display:none"><label class="ahbfield_quantity_label">Quantity</label><br><select class="ahbfield_quantity" autocomplete="off">
<option value="1">1</option>
</select></div>
</div>
<div class="fieldCalendar fieldCalendarfieldname1_42 notranslate hasDatepicker" id="dp1677401943126">
<div class="ui-datepicker-inline ui-datepicker ui-widget ui-widget-content ui-helper-clearfix ui-corner-all" style="display: block;">
<div class="ui-datepicker-header ui-widget-header ui-helper-clearfix ui-corner-all">
<a class="ui-datepicker-prev ui-corner-all" data-handler="prev" data-event="click" title="Prev"><span class="ui-icon ui-icon-circle-triangle-w">Prev</span></a><a class="ui-datepicker-next ui-corner-all" data-handler="next" data-event="click" title="Next"><span class="ui-icon ui-icon-circle-triangle-e">Next</span></a>
<div class="ui-datepicker-title"><span class="ui-datepicker-month">April</span> <span class="ui-datepicker-year">2023</span></div>
</div>
<table class="ui-datepicker-calendar">
<thead>
<tr>
<th scope="col" class="ui-datepicker-week-end"><span title="Sunday">Su</span></th>
<th scope="col"><span title="Monday">Mo</span></th>
<th scope="col"><span title="Tuesday">Tu</span></th>
<th scope="col"><span title="Wednesday">We</span></th>
<th scope="col"><span title="Thursday">Th</span></th>
<th scope="col"><span title="Friday">Fr</span></th>
<th scope="col" class="ui-datepicker-week-end"><span title="Saturday">Sa</span></th>
</tr>
</thead>
<tbody>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-01 d2023-04-01 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">1</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-02 d2023-04-02 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">2</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-03 d2023-04-03 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">3</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-04 d2023-04-04 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">4</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-05 d2023-04-05 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">5</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-06 d2023-04-06 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">6</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-07 d2023-04-07 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">7</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-08 d2023-04-08 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">8</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-09 d2023-04-09 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">9</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-10 d2023-04-10 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">10</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-11 d2023-04-11 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">11</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-12 d2023-04-12 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">12</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-13 d2023-04-13 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">13</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-14 d2023-04-14 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">14</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-15 d2023-04-15 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">15</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-16 d2023-04-16 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">16</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-17 d2023-04-17 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">17</span></td>
<td class=" 2023-04-18 d2023-04-18 ahb_booked3 ui-datepicker-current-day" data-handler="selectDay" data-event="click" data-month="3" data-year="2023">
<a class="ui-state-default ui-state-active" href="#" aria-current="true" data-date="18">18</a></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-19 d2023-04-19 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">19</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-20 d2023-04-20 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">20</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-21 d2023-04-21 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">21</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-22 d2023-04-22 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">22</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-23 d2023-04-23 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">23</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-24 d2023-04-24 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">24</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-25 d2023-04-25 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">25</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-26 d2023-04-26 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">26</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-27 d2023-04-27 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">27</span></td>
<td class=" ui-datepicker-unselectable ui-state-disabled 2023-04-28 d2023-04-28 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">28</span></td>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-29 d2023-04-29 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">29</span></td>
</tr>
<tr>
<td class=" ui-datepicker-week-end ui-datepicker-unselectable ui-state-disabled 2023-04-30 d2023-04-30 nonworking ui-datepicker-unselectable ui-state-disabled notavailslot"><span class="ui-state-default">30</span></td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
<td class=" ui-datepicker-week-end ui-datepicker-other-month ui-datepicker-unselectable ui-state-disabled"> </td>
</tr>
</tbody>
</table>
</div>
</div>
<div class="slotsCalendar slotsCalendarfieldname1_42">
<div class="slots" d="2023-04-18"><span>04/18/2023</span><br>
<div s="0" h1="8" m1="30" h2="8" m2="40" style="display:none" class="htmlUsed approved old"><a>08:30 AM</a></div>
<div s="0" h1="8" m1="40" h2="8" m2="50" style="display:none" class="htmlUsed approved old"><a>08:40 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="8" m1="50" h2="9" m2="0">08:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="9" m1="0" h2="9" m2="10">09:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="9" m1="10" h2="9" m2="20">09:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="9" m1="20" h2="9" m2="30" style="display:none" class="htmlUsed approved old"><a>09:20 AM</a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="9" m1="30" h2="9" m2="40">09:30 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="9" m1="40" h2="9" m2="50">09:40 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="9" m1="50" h2="10" m2="0">09:50 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="10" m1="0" h2="10" m2="10">10:00 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div class="availableslot"><a s="0" href="" d="2023-04-18" h1="10" m1="10" h2="10" m2="20">10:10 AM<span class="ahb_slot_availability"><span class="p">1</span><span class="t">1</span></span></a></div>
<div s="0" h1="10" m1="20" h2="10" m2="30" style="display:none" class="htmlUsed approved old"><a>10:20 AM</a></div>
</div>
</div>
<div class="usedSlots usedSlotsfieldname1_42"></div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div>
<div class="clearer"></div>
</fieldset>
</div>
<div class="pb2 pbreak pbEnd" page="2">
<fieldset>
<legend>Page 3 of 3</legend>
<div class="fields " id="field_42-4"><label for="fieldname2_42">First Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname2_42" name="fieldname2_42" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_42-5"><label for="fieldname3_42">Last Name<span class="r">*</span></label>
<div class="dfield"><input id="fieldname3_42" name="fieldname3_42" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_42-6"><label for="fieldname4_42">Date of Birth (mm/dd/yyyy)<span class="r">*</span></label>
<div class="dfield"><input id="fieldname4_42" name="fieldname4_42" class="field medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="fields fieldname11_42 cff-phone-field" id="field_42-7"><label for="fieldname11_42">Phone</label>
<div class="dfield"><input type="hidden" id="fieldname11_42" name="fieldname11_42" class="field ignorepb" placeholder="888 888 8888" value="">
<div class="uh_phone"><input type="text" id="fieldname11_42_0" name="fieldname11_42_0" class="field phone ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_42_1" name="fieldname11_42_1" class="field digits ignorepb" size="3" placeholder="888" maxlength="3" minlength="3">
<div class="l">###</div>
</div>
<div class="uh_phone"><input type="text" id="fieldname11_42_2" name="fieldname11_42_2" class="field digits ignorepb" size="4" placeholder="8888" maxlength="4" minlength="4">
<div class="l">####</div>
</div><span class="uh"></span>
</div>
<div class="clearer"></div>
</div>
<div class="fields " id="field_42-8"><label for="email_42">Email<span class="r">*</span></label>
<div class="dfield"><input id="email_42" name="email_42" class="field email medium required ignorepb" type="text" value=""><span class="uh"></span></div>
<div class="clearer"></div>
</div>
<div class="captcha">
<div class="fields" id="field-c0" style="display:none">
<label></label>
<div class="dfield"><!--addons-payment-options--></div>
<div class="clearer"></div>
</div><!--addons-payment-fields-->
<!-- rcadon -->
</div>
<div class="clearer"></div>
<div class="pbPrevious">Previous</div>
<div class="pbNext">Next</div><button type="button" class="pbSubmit">Submit</button>
<div class="clearer"></div>
</fieldset>
</div>
</div>
</div>
</div>
<div style="display:none">
<div id="cpcaptchalayer_42" class="cpcaptchalayer"></div>
</div>
<div id="cp_subbtn_42" class="cp_subbtn">Submit</div>
<div style="clear:both;"></div>
</form>Text Content
Skip to content 3DMM HILLSBOROUGH COUNTY SCHOOL SYSTEM * 3D Mobile Mammography * Prepare * FAQ’s * Contact Menu “AS A TEAM, WE ARE CHANGING THE CULTURE OF BREAST IMAGING FROM ‘WHAT IS’ TO ‘WHAT SHOULD BE’.” MIRANDA POLSELLI, DIRECTOR 3D Mobile Mammography is saving the lives of women by bringing advanced 3D Mammography Technology throughout Hillsborough County for the Early Detection of Breast Cancer. 3D Mobile Mammography is a service by MammoLink® 3D MOBILE MAMMOGRAPHY HILLSBOROUGH COUNTY SCHOOL SYSTEM TO SCHEDULE YOUR APPOINTMENT, CLICK ON THE LOCATION OR EVENT AND TIME, AND COMPLETE THE FORM WITH YOUR INFORMATION. ONCE COMPLETED, YOU WILL RECEIVE A CONFIRMATION EMAIL. WITHIN 30 DAYS OF YOUR APPOINTMENT, YOU WILL RECEIVE A TEXT MESSAGE AND A SECOND EMAIL WITH A LINK TO OUR PATIENT PORTAL THAT IS REQUIRED TO COMPLETE THE REGISTRATION PROCESS. COMPLETING THE REGISTRATION PROCESS WILL MAKE YOUR VISIT TO THE COACH SEAMLESS AND FAST. WE GREATLY APPRECIATE THE OPPORTUNITY TO SERVE YOU. IF YOU HAVE ANY QUESTIONS, PLEASE DON’T HESITATE TO REACH OUT. YOU CAN EMAIL INFO@3DMOBILEMAMMOGRAPHY.COM OR CALL US AT (844) 546-5871. Page 1 of 3 03-02-2023 Lanier Elementary Previous Next Page 2 of 3 03-02-2023 Lanier Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/02/2023 08:00 AM 08:10 AM 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM 09:10 AM11 09:20 AM11 09:30 AM 09:40 AM11 09:50 AM11 10:00 AM 10:10 AM 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 03-02-2023 Monroe Middle Magnet Previous Next Page 2 of 3 3-02-2023 Monroe Middle Magnet Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/02/2023 12:00 PM 12:10 PM11 12:20 PM 12:30 PM11 12:40 PM 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-03-2023 Schmidt Elementary Previous Next Page 2 of 3 3-3-2023 Schmidt Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/03/2023 08:00 AM 08:10 AM 08:20 AM11 08:30 AM 08:40 AM11 08:50 AM 09:00 AM 09:10 AM 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM 10:00 AM11 10:10 AM 10:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-03-2023 McLane Middle Previous Next Page 2 of 3 3-3-2023 McLane Middle Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/03/2023 12:00 PM 12:10 PM 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM 01:50 PM11 02:00 PM 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-08-2023 Bevis Elementary Previous Next Page 2 of 3 3-08-2023 Bevis Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/08/2023 08:00 AM 08:10 AM 08:20 AM 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM 10:00 AM 10:10 AM11 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-08-2023 Rodgers Middle Magnet Previous Next Page 2 of 3 3-08-2023 Rodgers Middle Magnet Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/08/2023 12:00 PM 12:10 PM 12:20 PM 12:30 PM 12:40 PM 12:50 PM 01:00 PM 01:10 PM11 01:20 PM 01:30 PM 01:40 PM11 01:50 PM 02:00 PM 02:10 PM 02:20 PM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-09-2023 Ippolito Elementary Previous Next Page 2 of 3 3-9-2023 Ippolito Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/09/2023 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM 10:10 AM 10:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-09-3023 Spoto High Previous Next Page 2 of 3 3-09-2023 Spoto High Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/09/2023 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-10-2023 McDonald Elementary Previous Next Page 2 of 3 03-10-2023 McDonald Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/10/2023 08:00 AM 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM 09:00 AM11 09:10 AM11 09:20 AM 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-10-2023 Armwood Senior High Previous Next Page 2 of 3 03-10-2023 Armwood Senior High Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/10/2023 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-20-2023 Brooker Elementary Previous Next Page 2 of 3 03-20-2023 Brooker Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/20/2023 07:30 AM11 07:40 AM11 07:50 AM 08:00 AM 08:10 AM 08:20 AM 08:30 AM 08:40 AM11 08:50 AM 09:00 AM 09:10 AM11 09:20 AM 09:30 AM11 09:40 AM11 09:50 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-21-2023 Wilson Elementary Previous Next Page 2 of 3 03-21-2023 Wilson Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/21/2023 08:00 AM 08:10 AM11 08:20 AM 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-21-2023 Migrant Education Service Center Previous Next Page 2 of 3 03-21-2023 Migrant Education Service Center Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/21/2023 12:00 PM 12:10 PM 12:20 PM11 12:30 PM 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-22-2023 Jackson Elementary Previous Next Page 2 of 3 03-22-2023 Jackson Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/22/2023 07:30 AM11 07:40 AM11 07:50 AM11 08:00 AM 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-22-2023 Bryan Plant City Elementary Previous Next Page 2 of 3 03-22-3023 Bryan Plant City Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/22/2023 11:30 AM 11:40 AM 11:50 AM11 12:00 PM11 12:10 PM 12:20 PM11 12:30 PM11 12:40 PM 12:50 PM11 01:00 PM 01:10 PM 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-23-2023 Robinson Elementary Previous Next Page 2 of 3 03-23-2023 Robinson Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/23/2023 07:30 AM11 07:40 AM11 07:50 AM11 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-23-2023 Walden Lake Elementary Previous Next Page 2 of 3 03-23-2023 Walden Lake Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/23/2023 11:30 AM11 11:40 AM11 11:50 AM11 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-27-2023 Bailey Elementary Previous Next Page 2 of 3 03-27-2023 Bailey Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/27/2023 08:00 AM11 08:10 AM 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM 10:00 AM 10:10 AM 10:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-27-2023 Tomlin Middle Schooly Previous Next Page 2 of 3 03-27-2023 Tomlin Middle School Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/27/2023 12:00 PM 12:10 PM 12:20 PM11 12:30 PM11 12:40 PM 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-29-2023 Apollo Beach Elementary Previous Next Page 2 of 3 03-29-2023 Apollo Beach Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/29/2023 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-29-2023 Progress Village Middle Magnet Previous Next Page 2 of 3 03-29-2023 Progress Village Middle Magnet Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/29/2023 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-31-2023 Mitchell Elementary Previous Next Page 2 of 3 03-31-2023 Mitchell Elementary Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/31/2023 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 03-31-2023 Chamberlain George D Senior High Previous Next Page 2 of 3 03-31-2023 Chamberlain George D Senior High Quantity 1 PrevNext March 2023 SuMoTuWeThFrSa 12345678910111213141516171819202122232425262728293031 03/31/2023 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM 01:50 PM 02:00 PM11 02:10 PM11 02:20 PM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 04-03-2023 Lowry Elementary Previous Next Page 2 of 3 04-03-2023 Lowry Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/03/2023 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 04-03-2023 Farnell Middle Previous Next Page 2 of 3 04-03-2023 Farnell Middle Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/03/2023 12:00 PM 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 04-04-2023 Cannella Elementary Previous Next Page 2 of 3 04-04-2023 Cannella Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/04/2023 08:00 AM 08:10 AM 08:20 AM11 08:30 AM 08:40 AM 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM 09:50 AM 10:00 AM11 10:10 AM11 10:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 04-04-2023 Caminiti Exceptional Center Previous Next Page 2 of 3 04-04-2023 Caminiti Exceptional Center Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/04/2023 12:00 PM 12:10 PM11 12:20 PM 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 04-05-2023 Bay Crest Elementary Previous Next Page 2 of 3 04-05-2023 Bay Crest Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/05/2023 07:30 AM11 07:40 AM11 07:50 AM11 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 04-05-2023 Davis Elementary Previous Next Page 2 of 3 04-05-2023 Davis Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/05/2023 11:30 AM 11:40 AM 11:50 AM 12:00 PM 12:10 PM11 12:20 PM 12:30 PM 12:40 PM11 12:50 PM11 01:00 PM 01:10 PM 01:20 PM 01:30 PM11 01:40 PM11 01:50 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Select a Choice Self Pay Insurance Insurance Carrier* Insurance Subscriber (Member) ID* Previous Next Submit Submit Page 1 of 3 04-06-2023 Sheehy Elementary Previous Next Page 2 of 3 04-06-20232 Sheehy Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/06/2023 07:30 AM11 07:40 AM11 07:50 AM11 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-06-2023 Kimbell Elementary Previous Next Page 2 of 3 04-06-2023 Kimbell Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/06/2023 11:30 AM 11:40 AM 11:50 AM 12:00 PM 12:10 PM 12:20 PM 12:30 PM 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM 01:30 PM 01:40 PM 01:50 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-10-2023 Carrollwood Elementary Previous Next Page 2 of 3 04-10-2023 Carrollwood Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/10/2023 07:30 AM11 07:40 AM11 07:50 AM11 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-10-2023 Woodbridge Elementary Previous Next Page 2 of 3 04-10-2023 Woodbridge Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/10/2023 11:30 AM11 11:40 AM11 11:50 AM11 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-11-2023 Palm River Elementary Previous Next Page 2 of 3 04-11-2023 Palm River Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/11/2023 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-11-2023 Carver Exceptional Center Previous Next Page 2 of 3 04-11-2023 Carver Exceptional Center Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/11/2023 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-12-2023 Tampa Palms Elementary Previous Next Page 2 of 3 04-12-2023 Tampa Palms Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/12/2023 07:30 AM11 07:40 AM11 07:50 AM11 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-12-2023 Graham Elementary Previous Next Page 2 of 3 04-12-2023 Graham Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/12/2023 11:30 AM11 11:40 AM11 11:50 AM11 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-13-2023 Witter Elementary Previous Next Page 2 of 3 04-13-2023 Witter Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/13/2023 08:00 AM11 08:10 AM11 08:20 AM11 08:30 AM11 08:40 AM11 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-13-2023 Jennings Middle Previous Next Page 2 of 3 04-13-2023 Jennings Middle Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/13/2023 12:00 PM11 12:10 PM11 12:20 PM11 12:30 PM11 12:40 PM11 12:50 PM11 01:00 PM11 01:10 PM11 01:20 PM11 01:30 PM11 01:40 PM11 01:50 PM11 02:00 PM11 02:10 PM11 02:20 PM11 Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-14-2023 Madison Middle Previous Next Page 2 of 3 04-14-2023 Madison Middle Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/14/2023 08:30 AM 08:40 AM 08:50 AM11 09:00 AM 09:10 AM11 09:20 AM11 09:30 AM 09:40 AM11 09:50 AM11 10:00 AM 10:10 AM11 10:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-17-2023 Limona Elementary Previous Next Page 2 of 3 04-17-2023 Limona Elementary Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/17/2023 08:30 AM 08:40 AM11 08:50 AM 09:00 AM11 09:10 AM11 09:20 AM11 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM 10:20 AM 10:30 AM 10:40 AM11 10:50 AM11 11:00 AM11 11:10 AM11 11:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit Page 1 of 3 04-18-2023 Sulphur Springs K-8 Previous Next Page 2 of 3 04-18-2023 Sulphur Springs K-8 Quantity 1 PrevNext April 2023 SuMoTuWeThFrSa 123456789101112131415161718192021222324252627282930 04/18/2023 08:30 AM 08:40 AM 08:50 AM11 09:00 AM11 09:10 AM11 09:20 AM 09:30 AM11 09:40 AM11 09:50 AM11 10:00 AM11 10:10 AM11 10:20 AM Previous Next Page 3 of 3 First Name* Last Name* Date of Birth (mm/dd/yyyy)* Phone ### ### #### Email* Previous Next Submit Submit 3D Mobile Mammography Patient Care Promise 3D Mobile Mammography uses only advanced 3D mammography technology and all mammograms and diagnostics will be interpreted by a Fellowship Trained Breast Imaging Radiologist * Providing Advanced 3D Mammograms for Hillsborough County * 3D Mobile Mammography Early Detection Saves Lives * Privacy Practice © 2023 3D Mobile Mammography a/k/a MammoLink® llc