Online Registration

[av_contact email=’shavaun@contemporarykids.ca’ title=’Online Registration’ button=’Submit’ on_send=” sent=’Your message has been sent!’ link=’manually,http://’ subject=” autorespond=” captcha=” form_align=” color=” av_uid=’av-jnybmut0′ admin_preview_bg=”]
[av_contact_field label=’Name’ type=’text’ check=’is_empty’ options=” multi_select=” av_contact_preselect=” width=” av_uid=’av-ral67′][/av_contact_field]
[av_contact_field label=’Childs Name’ type=’text’ options=” check=’is_empty’ width=”][/av_contact_field]
[av_contact_field label=’Childs Birthday’ type=’datepicker’ options=” check=’is_empty’ width=”][/av_contact_field]
[av_contact_field label=’Full Time or Part Time’ type=’select’ options=’Full Time, Part Time’ check=’is_empty’ width=”][/av_contact_field]
[av_contact_field label=’E-Mail’ type=’text’ check=’is_email’ options=” multi_select=” av_contact_preselect=” width=” av_uid=’av-jy7fb’][/av_contact_field]
[av_contact_field label=’Phone Number’ type=’text’ options=” check=” width=”][/av_contact_field]
[av_contact_field label=’Message’ type=’textarea’ check=’is_empty’ options=” multi_select=” av_contact_preselect=” width=” av_uid=’av-8isgv’][/av_contact_field]
[/av_contact]