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	<title>ICEA Dual Certified Professional (ICCE-BD) Recertification Application | The International Childbirth Education Association</title>


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                                <h1 class="pagetitle">
                                    ICEA Dual Certified Professional (ICCE-BD) Recertification Application
                                </h1>
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			<p class="form-instructions"><p>Please complete the application for recertification. Once your submission has been reviewed and approved, you will receive an invoice for payment.</p>
</p>
		

	<form action="index.cfm?id=57&popup=false" method="POST" id="iform" name="iform" enctype="multipart/form-data">
		
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					iForm.submit();
				
			
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	function validateFrm() {
		if(!sent) sent = 0;  //make sure we have this!
		if (!validForm) validForm = false;
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			var jsDesc = "Recertification Application (ICCE-BD)";
			
			
			var jsDesc = "First Name";
			
				obj = document.iform.response_2;
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			var jsDesc = "Last Name";
			
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				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
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			var jsDesc = "City";
			
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			var jsDesc = "State";
			
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				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Zip";
			
				obj = document.iform.response_7;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "Country";
			
				obj = document.iform.response_8;
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			var jsDesc = "Email";
			
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			var jsDesc = "Please attach the recertification packet; confirm that it includes the verification of 24 hours of ICEA approved continuing education credits and verification of labors or births of at least six hours.  ";
			
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				  			title: 'File types',
				  			html: true,
				  			text: 'Sorry, you can only upload files of the following types: ' + allowedUploadsList,
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				  			title: 'File types',
				  			html: true,
				  			text: 'Sorry, you can only upload files of the following types: ' + allowedUploadsList,
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						return false;
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				// Leaving this disabled since I am going to relax security checks a bit, but leaving here
				// in case we need to add specific strings to exlusion for file uploads.
				//if ( docfilename.toLowerCase().indexOf("sp_") > -1 ) {
				//	alert("Sorry, you cannot upload files that contain the string 'sp_', please rename your file before uploading it.");
				//	return false;
				//	}
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			var jsDesc = "Additional Files";
			
			
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						allowedUploadsList = allowedUploadsList.replace(/,/g, ', ');

						swal({
				  			title: 'File types',
				  			html: true,
				  			text: 'Sorry, you can only upload files of the following types: ' + allowedUploadsList,
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						return false;
					}
				// Leaving this disabled since I am going to relax security checks a bit, but leaving here
				// in case we need to add specific strings to exlusion for file uploads.
				//if ( docfilename.toLowerCase().indexOf("sp_") > -1 ) {
				//	alert("Sorry, you cannot upload files that contain the string 'sp_', please rename your file before uploading it.");
				//	return false;
				//	}
				}
			
		
			var jsDesc = "Philosophy Statement\r\n\r\n&ldquo;I support the natural process of childbirth and the right of the expectant parent to make informed decisions based on the knowledge of alternatives. As an ICEA certified educator, I will work with other healthcare professionals and consumers to promote family-centered maternity care, breastfeeding, and parent-infant bonding. I advocate parental participation in childbirth and the avoidance of medical intervention in uncomplicated labors. I accept as my primary responsibility the preparation of expectant parents, both mentally and physically, to participate in an individually satisfying pregnancy, labor, birth, and introduction to parenthood.&quot;";
			
			
			var jsDesc = "Please type your name and the date below to confirm your acceptance of the Philosophy Statement.";
			
				obj = document.iform.response_15;
				val = "";
				
				val = obj.value;
				if (obj.value == "") {
					arrReqMissing[arrReqMissing.length] = jsDesc;
				}
				
			
			var jsDesc = "\n\nOnce recertification paperwork has been submitted, our office will review your documents. If approved, the recertification fee will be billed to your account. Please allow up to 5 business days for the review process to be completed.";
			
			
		if(arrReqMissing.length > 0) {
			//errStr = "We're sorry, but the following fields are required before you can submit this form. Please click OK, then correct these entries.<br>";
			errStr = "";
			for(i=0; i<arrReqMissing.length; i++) {
				errStr += arrReqMissing[i] + "<br>";
			}
			swal({
	  			title: 'Missing required fields',
	  			html: true,
	  			text: errStr,
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			return false;
		}

		for(i=0; i<document.iform.elements.length; i++) {
		 	if (document.iform.elements[i].type == 'textarea' || document.iform.elements[i].type == 'text') {
		 		if (document.iform.elements[i].value.length > 2147483647) {
		 			swal({
			  			title: 'Maximum allowable length',
			  			html: true,
			  			text: "One or more field responses exceeds the maximum allowable length of 2147483647 characters. Please adjust your responses and re-submit.",
			  			animation: 'slide-from-top',
			  			type: 'info',
			  			confirmButtonText: 'Ok',
			  			confirmButtonColor: '#337ab7'
			  		});
		 			return false;
		 		}
		 	}
		}

		if (sent == 1) {
	          swal({
	  			title: 'Processing..',
	  			html: true,
	  			text: "Your request is processing. Please do not click Submit more than once.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		  });
	          return false;
	    }
		
			bOK = true;
		
		if (bOK) {
			var btn = $('#submitBtn');
			btn.button('loading');
			btn.prop('disabled', true);
			sent = 1;
			validForm = true;
			return true;
		}
		else {
			return false;
		}
	}

	function IsNumeric(sText) {
	   var ValidChars = "0123456789.";
	   var IsNumber=true;
	   var Char;

	   for (i = 0; i < sText.length && IsNumber == true; i++) {
	      Char = sText.charAt(i);
	      if (ValidChars.indexOf(Char) == -1) {
	         IsNumber = false;
	      }
	   }
	   return IsNumber;
	}

	function setButtonVal(el, itemID, price) {
		// first set the price attribute on the element
		el.price = price;
		// now set the value of a hidden field for the associated radio button
		document.getElementById(itemID).price = price;
		document.getElementById(itemID).value = 1;
		// now call the calcTotalFix function to recaculate the total amount due
		calcTotalFix();
	}

	function getRadioButtonValForTotal(radioName){
		var rads = document.getElementsByName(radioName);
		var selectedPrice = 0;
		for(i=0; i < rads.length; i++) {
		  if(rads[i].checked == true){
		    selectedPrice = rads[i].getAttribute('price');
		  }
		}

		selectedPrice = parseFloat(selectedPrice);
		return selectedPrice;
	}

	function calcTotalFix() {
		var priceFields = $(".calculateTotal");
		// console.log('priceFields length: ' + priceFields.length);
		var updateTotal = 0; // initialize total before looping over array
		var processedRadioButtons = [];	/// reset array every time this function is called
		for (var i=0; i < priceFields.length; i++) {
			myFieldObj = priceFields[i];
			if (myFieldObj.value == '') { myFieldObj.value = 0; }
			fieldName = myFieldObj.name;
			value = myFieldObj.value;
			fieldID = myFieldObj.getAttribute('id');
			price = myFieldObj.getAttribute('price');

			// check to see if this is a radioVal by the item id
			if(fieldID != undefined){
				var nRadioVal = fieldID.indexOf("radioVal");
				if(nRadioVal > -1){
					fieldtype = 'radioval';
				} else {
					fieldtype = 'notradioval';
				}
			} else {
				fieldtype = 'nofieldid';
			}

			// if this is just an open price field, there is no notion of quantity times price, so the price to the value of the field
			if(fieldtype === 'radioval'){
				// radio price field - use "price" attribute since we have funky stuff in the "value" attribute that we can't parse easily
				arrNum = $.inArray(fieldName, processedRadioButtons);
				if(arrNum > -1) {
					// set price and calcualted value to zero for the rest of the checkboxes in this array because don't want to keep adding to price
					price = 0;
					calculatedValue = parseFloat(0);
				} else {
					price = getRadioButtonValForTotal(fieldName);
					calculatedValue = parseFloat(price);
					// add radio button field name to array of radio fields processed so we don't check again
					processedRadioButtons.push(fieldName);
				}
				// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
			} else {
				if (price === undefined || price === null) {
				// check to see if it's a radio price field first
					// open price field - use "value" attribute
					if (!IsNumeric(value)) {
						//alert("Open Prices must be numbers only, no formatting is allowed.");
						swal({
				  			title: 'Numbers only',
				  			html: true,
				  			text: "Open Prices must be numbers only, no formatting is allowed.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					calculatedValue = parseFloat(value);
					// console.log('fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / calculatedValue: ' + calculatedValue);
				} else {
					if (!IsNumeric(value)) {
						//alert("Price fields only allow numbers.");
						swal({
				  			title: 'Price fields',
				  			html: true,
				  			text: "Price fields only allow numbers.",
				  			animation: 'slide-from-top',
				  			type: 'info',
				  			confirmButtonText: 'Ok',
				  			confirmButtonColor: '#337ab7'
				  		});
						myFieldObj.value = 0;
						return;
					}
					myVal = parseFloat(value);
					// console.log('in parseint with 10 - fieldName: ' + fieldName + ' / value: ' + value + ' fieldID: ' + fieldID + ' / price: ' + price + ' / myVal: ' + myVal);
					calculatedValue = myVal * parseFloat(price);

				}
			}


			// console.log('Field id: ' + fieldID + ' / Fieldtype: ' + fieldtype + ' / Field name: ' + fieldName + ' / value: ' + value + ' / Price: ' + price + ' / Calculated Field Total: ' + calculatedValue);
			updateTotal = updateTotal + calculatedValue;
		}

		// update hidden total amount
		if (document.iform.hiddentotal) { document.iform.hiddentotal.value = updateTotal; }
		// console.log('The updateTotal is now: ' + updateTotal);
		
		
		// update total value with formatted amount
		if (typeof(formatCurrency) == "function") { document.iform.total.value = formatCurrency(updateTotal); }
		
		if ($('#ordertotal_work').length > 0) {
            $('#ordertotal_work').val(updateTotal.toFixed(2));
        }
        
        if ($('#pmt_method').length > 0) {
        	$('#pmt_method').val('');
        }
        $('.paymentProfileRadio').prop('checked', false);
        $('.card').removeClass('active');
        
		// need to update the cc_info tag fields...
		if (typeof(checkTotal) == "function") { checkTotal(); }
	}

	/* remove after confirming ok without it - 8/8/13 CJV */
	function calcTotal(myField){
		thisVal = myField.value;
		// alert(thisVal);
		if (thisVal == '') {
			thisVal = 0;
			myField.value = 0;
			}
			if (!IsNumeric(myField.value)) {
				//alert('Please enter only numbers or decimal points in a price field');
				swal({
		  			title: 'Price field',
		  			html: true,
		  			text: "Please enter only numbers or decimal points in a price field.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				myField.value = 0;
				thisVal = 0;
				}
				// get the current total
				var origTotal = document.iform.hiddentotal.value;
				// now backout the prior value from the total
				var priorTotal = origTotal - myField.priorval;
				if(priorTotal == ''){
					priorTotal = 0;
					}
				// add the open price to the total
				updateTotal = parseFloat(eval(priorTotal)) + parseFloat(eval(thisVal));
				// update hidden total amount
				document.iform.hiddentotal.value = updateTotal;
				
					
				// update total value with formatted amount
				document.iform.total.value = formatCurrency(updateTotal);
		checkTotal(); // need to update the cc_info tag fields...
	}
	/* */

	function setOpenPriceInput(thisField,thisPrice){
		if(thisPrice == ''){
			thisField.priorval = 0;
		} else {
			thisField.priorval = thisPrice;
		}
	}

	
		var div_bottom_moved = false;

		function addLoadEvent(func) {
 			var oldonload = window.onload;
  			if (typeof window.onload != 'function') {
    			window.onload = func;
  			}
  			else {
    			window.onload = function() {
      				if (oldonload) {
        				oldonload();
      				}
      				func();
    			}
  			}
 		}

		addLoadEvent(calcTotalFix);
	
</script>

	
<style>
.has-error {
	color: #f70404 !important;
}
.has-error input {
	border: 1px solid #f70404 !important;
}
</style>


<script>
	function checkInvalidCharacter(objName){
		var obj = document.iform[objName];
		var strFileName = obj.value.replace('C:\\fakepath\\','');
		iTemp = strFileName.indexOf(":");
		
		if (iTemp > -1) {
			swal({
	  			title: 'Invalid character',
	  			html: true,
	  			text: "Invalid character ':' found in file name. Please change the file name before attempting to upload this file.",
	  			animation: 'slide-from-top',
	  			type: 'info',
	  			confirmButtonText: 'Ok',
	  			confirmButtonColor: '#337ab7'
	  		});
			obj.value = '';
			return false;
		}
		else {
			iTemp = obj.value.indexOf(",");
			if (iTemp > -1) {
				swal({
		  			title: 'Invalid character',
		  			html: true,
		  			text: "Invalid character ',' found in file name. Please change the file name before attempting to upload this file.",
		  			animation: 'slide-from-top',
		  			type: 'info',
		  			confirmButtonText: 'Ok',
		  			confirmButtonColor: '#337ab7'
		  		});
				obj.value = '';
				return false;
			}
		}
	}
	function clearRadio(rd) {
		if (document.iform) {
			var v;
			var ln;
			var ev;
			submitted = 0;
			v = "document.iform." + rd + ".length";
			ln = eval(v);
			// This will ensure we uncheck if there is only 1 radio button..
			v = "document.iform." + rd + ".checked = false;";
			ev = eval(v);
			// Now loop through the list of radio buttons and uncheck them all
			for (i=0;i<ln;i++) {
				v = "document.iform." + rd + "[" + i + "].checked = false;";
				//console.log(v);
				ev = eval(v);
			}
			calcTotalFix();
		}
	}
</script>


<div class="form_layout_wrapper" style="max-width:940px;" >

	
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1002" class="layout form item outer row-1 item-1002 row_num-20 row_pos-320 rowlength-1 type-None" style="clear:both;width:100%;position:relative;">

			<div class="inner">

				
						<h2>Recertification Application (ICCE-BD)</h2>
					

				<input type="hidden" name="question_1" value="&lt;h2&gt;Recertification Application (ICCE-BD)&lt;/h2&gt;">
				<INPUT TYPE="hidden" NAME="response_1_question_id" VALUE="1002">
				<INPUT TYPE="hidden" NAME="question_type_1" value="None">
				<INPUT TYPE="hidden" NAME="label_1" value="">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1003" class="layout form item outer row-2 item-1003 row_num-40 row_pos-320 rowlength-2 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							First Name<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_2"
									name="response_2"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-2 item-1003"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_2_required"
							VALUE="The field First Name is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_2" value="First Name">
				<INPUT TYPE="hidden" NAME="response_2_question_id" VALUE="1003">
				<INPUT TYPE="hidden" NAME="question_type_2" value="Text">
				<INPUT TYPE="hidden" NAME="label_2" value="First Name">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1004" class="layout form item outer row-3 item-1004 row_num-40 row_pos-640 rowlength-2 type-Text" style=";position:relative;">

			<div class="inner">

				
							Last Name<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_3"
									name="response_3"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-3 item-1004"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_3_required"
							VALUE="The field Last Name is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_3" value="Last Name">
				<INPUT TYPE="hidden" NAME="response_3_question_id" VALUE="1004">
				<INPUT TYPE="hidden" NAME="question_type_3" value="Text">
				<INPUT TYPE="hidden" NAME="label_3" value="Last Name">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1005" class="layout form item outer row-4 item-1005 row_num-60 row_pos-320 rowlength-1 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Address<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_4"
									name="response_4"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-4 item-1005"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_4_required"
							VALUE="The field Address is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_4" value="Address ">
				<INPUT TYPE="hidden" NAME="response_4_question_id" VALUE="1005">
				<INPUT TYPE="hidden" NAME="question_type_4" value="Text">
				<INPUT TYPE="hidden" NAME="label_4" value="Address ">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1006" class="layout form item outer row-5 item-1006 row_num-80 row_pos-320 rowlength-3 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							City<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_5"
									name="response_5"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-5 item-1006"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_5_required"
							VALUE="The field City is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_5" value="City">
				<INPUT TYPE="hidden" NAME="response_5_question_id" VALUE="1006">
				<INPUT TYPE="hidden" NAME="question_type_5" value="Text">
				<INPUT TYPE="hidden" NAME="label_5" value="City">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1007" class="layout form item outer row-6 item-1007 row_num-80 row_pos-352 rowlength-3 type-Text" style=";position:relative;">

			<div class="inner">

				
							State<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_6"
									name="response_6"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-6 item-1007"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_6_required"
							VALUE="The field State is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_6" value="State">
				<INPUT TYPE="hidden" NAME="response_6_question_id" VALUE="1007">
				<INPUT TYPE="hidden" NAME="question_type_6" value="Text">
				<INPUT TYPE="hidden" NAME="label_6" value="State">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1008" class="layout form item outer row-7 item-1008 row_num-80 row_pos-368 rowlength-3 type-Text" style=";position:relative;">

			<div class="inner">

				
							Zip<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_7"
									name="response_7"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-7 item-1008"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_7_required"
							VALUE="The field Zip is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_7" value="Zip">
				<INPUT TYPE="hidden" NAME="response_7_question_id" VALUE="1008">
				<INPUT TYPE="hidden" NAME="question_type_7" value="Text">
				<INPUT TYPE="hidden" NAME="label_7" value="Zip">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1009" class="layout form item outer row-8 item-1009 row_num-100 row_pos-320 rowlength-1 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Country<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_8"
									name="response_8"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-8 item-1009"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_8_required"
							VALUE="The field Country is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_8" value="Country">
				<INPUT TYPE="hidden" NAME="response_8_question_id" VALUE="1009">
				<INPUT TYPE="hidden" NAME="question_type_8" value="Text">
				<INPUT TYPE="hidden" NAME="label_8" value="Country">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
				</div> <!-- /The inner div, for the sake of IE -->
			
			<!-- The inner div, for the sake of IE -->
			<div id="layout_form_item" style="clear:both;border:0px solid orange;margin:0 0 0px 0;padding:0;min-height:0px;">
		

		<div id="form-item-1011" class="layout form item outer row-9 item-1011 row_num-120 row_pos-320 rowlength-2 type-Text" style="clear:both;;position:relative;">

			<div class="inner">

				
							Email<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_9"
									name="response_9"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-9 item-1011"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_9_required"
							VALUE="The field Email is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_9" value="Email">
				<INPUT TYPE="hidden" NAME="response_9_question_id" VALUE="1011">
				<INPUT TYPE="hidden" NAME="question_type_9" value="Text">
				<INPUT TYPE="hidden" NAME="label_9" value="Email">

				
			</div> <!-- /inner -->

		</div> <!-- /layout_form_item -->

		
		<div id="form-item-1010" class="layout form item outer row-10 item-1010 row_num-120 row_pos-640 rowlength-2 type-Text" style=";position:relative;">

			<div class="inner">

				
							Phone<span class="text-danger"> *</span>
					

							<input type="text"
								
									id="response_10"
									name="response_10"
								
								
								 style="width:200px;"
								
									
                                            value=""
									    
										
								class="form-control type-Text row-10 item-1010"
							><!-- input -->

							
						<INPUT
							TYPE="hidden"
							NAME="response_10_required"
							VALUE="The field Phone is required. Please click your browser's back button and provide this value.">
					

				<input type="hidden" name="question_10" value="Phone">
				<INPUT TYPE="hidden" NAME="response_10_question_id" VALUE="1010">
				<INPUT TYPE="hidden" NAME="question_type_10" value="Text">
				<INPUT TYPE="hidden" NAME="label_10" value="Phone">

				
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						<h6><span style="left: 120.04px; top: 549.567px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.939872);">Philosophy Statement</span></h6>

<h6><em><span style="left: 120.04px; top: 593.967px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.927695);">&ldquo;I support the natural process of childbirth and the right of the expectant parent to make informed </span><span style="left: 120.04px; top: 616.4px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.910127);">decisions based on the knowledge of alternatives. As an ICEA certified educator, I will work with other </span><span style="left: 120.04px; top: 638.8px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.906108);">he</span><span style="left: 138.44px; top: 638.8px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.915049);">althcare professionals and consumers to promote family</span><span style="left: 556.233px; top: 638.8px; font-size: 18.4px; font-family: sans-serif;">-</span><span style="left: 561.833px; top: 638.8px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.916449);">centered maternity care, breastfeeding, and </span><span style="left: 120.04px; top: 661.2px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.953419);">parent</span><span style="left: 169.683px; top: 661.2px; font-size: 18.4px; font-family: sans-serif;">-</span><span style="left: 175.283px; top: 661.2px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.926322);">infant bonding. I advocate parental participation in childbirth and the avoidance of medical </span><span style="left: 120.04px; top: 683.6px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.916108);">intervention in uncomplicated labors. I accept as my prim</span><span style="left: 544.6px; top: 683.6px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.924882);">ary responsibility the preparation of expectant </span><span style="left: 120.04px; top: 706px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.92796);">parents, both mentally and physically, to participate in an individually satisfying pregnancy, labor, birth, </span><span style="left: 120.04px; top: 728.4px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.947571);">and introduction to parenthood.&quot;</span></em></h6>
					

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&lt;h6&gt;&lt;em&gt;&lt;span style=&quot;left: 120.04px; top: 593.967px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.927695);&quot;&gt;&amp;ldquo;I support the natural process of childbirth and the right of the expectant parent to make informed &lt;/span&gt;&lt;span style=&quot;left: 120.04px; top: 616.4px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.910127);&quot;&gt;decisions based on the knowledge of alternatives. As an ICEA certified educator, I will work with other &lt;/span&gt;&lt;span style=&quot;left: 120.04px; top: 638.8px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.906108);&quot;&gt;he&lt;/span&gt;&lt;span style=&quot;left: 138.44px; top: 638.8px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.915049);&quot;&gt;althcare professionals and consumers to promote family&lt;/span&gt;&lt;span style=&quot;left: 556.233px; top: 638.8px; font-size: 18.4px; font-family: sans-serif;&quot;&gt;-&lt;/span&gt;&lt;span style=&quot;left: 561.833px; top: 638.8px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.916449);&quot;&gt;centered maternity care, breastfeeding, and &lt;/span&gt;&lt;span style=&quot;left: 120.04px; top: 661.2px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.953419);&quot;&gt;parent&lt;/span&gt;&lt;span style=&quot;left: 169.683px; top: 661.2px; font-size: 18.4px; font-family: sans-serif;&quot;&gt;-&lt;/span&gt;&lt;span style=&quot;left: 175.283px; top: 661.2px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.926322);&quot;&gt;infant bonding. I advocate parental participation in childbirth and the avoidance of medical &lt;/span&gt;&lt;span style=&quot;left: 120.04px; top: 683.6px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.916108);&quot;&gt;intervention in uncomplicated labors. I accept as my prim&lt;/span&gt;&lt;span style=&quot;left: 544.6px; top: 683.6px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.924882);&quot;&gt;ary responsibility the preparation of expectant &lt;/span&gt;&lt;span style=&quot;left: 120.04px; top: 706px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.92796);&quot;&gt;parents, both mentally and physically, to participate in an individually satisfying pregnancy, labor, birth, &lt;/span&gt;&lt;span style=&quot;left: 120.04px; top: 728.4px; font-size: 18.4px; font-family: sans-serif; transform: scaleX(0.947571);&quot;&gt;and introduction to parenthood.&amp;quot;&lt;/span&gt;&lt;/em&gt;&lt;/h6&gt;">
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