{"id":785,"date":"2016-04-13T11:30:43","date_gmt":"2016-04-13T11:30:43","guid":{"rendered":"http:\/\/www.earthworkshealing.co.uk\/?page_id=785"},"modified":"2024-04-20T05:52:57","modified_gmt":"2024-04-20T05:52:57","slug":"application-form-workshops","status":"publish","type":"page","link":"https:\/\/www.earthworkshealing.co.uk\/application-form-workshops\/","title":{"rendered":"Application Form Crystal Therapy"},"content":{"rendered":"<h1>Application Form for Crystal Therapy<\/h1>\n<hr \/>\n\t<div id=\"ninja_forms_form_7_cont\" class=\"ninja-forms-cont bti-lm-7\">\n\t\t<div id=\"ninja_forms_form_7_wrap\" class=\"ninja-forms-form-wrap\">\n\t<div id=\"ninja_forms_form_7_response_msg\" style=\"\" class=\"ninja-forms-response-msg \"><\/div>\t<form id=\"ninja_forms_form_7\" enctype=\"multipart\/form-data\" method=\"post\" name=\"\" action=\"\" class=\"ninja-forms-form\">\n\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"4c9d1fe9f9\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/785\" \/>\t<input type=\"hidden\" name=\"_ninja_forms_display_submit\" value=\"1\">\n\t<input type=\"hidden\" name=\"_form_id\"  id=\"_form_id\" value=\"7\">\n\t\t<div class=\"hp-wrap\">\n\t\t<label>If you are a human and are seeing this field, please leave it blank.\t\t\t<input type=\"text\" value=\"\" name=\"_i66YF\">\n\t\t\t<input type=\"hidden\" value=\"_i66YF\" name=\"_hp_name\">\n\t\t<\/label>\n\t<\/div>\n\t\t<div id=\"ninja_forms_form_7_all_fields_wrap\" class=\"ninja-forms-all-fields-wrap\">\n\t\t\t<div class=\"ninja-forms-required-items\">Fields marked with an <span class=\"ninja-forms-req-symbol\">*<\/span> are required<\/div>\n\t\t<div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_43_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_43_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_43\" id=\"ninja_forms_field_43_label\" class=\"\">First Name <span class='ninja-forms-req-symbol'><strong>*<\/strong><\/span>\t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_43\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_43\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  ninja-forms-req \" value=\"\" rel=\"43\"   \/>\n\t\t<div id=\"ninja_forms_field_43_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_44_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_44_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_44\" id=\"ninja_forms_field_44_label\" class=\"\">Last Name <span class='ninja-forms-req-symbol'><strong>*<\/strong><\/span>\t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_44\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_44\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  ninja-forms-req \" value=\"\" rel=\"44\"   \/>\n\t\t<div id=\"ninja_forms_field_44_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_46_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_46_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_46\" id=\"ninja_forms_field_46_label\" class=\"\">Address 1 <span class='ninja-forms-req-symbol'><strong>*<\/strong><\/span>\t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_46\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_46\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  ninja-forms-req address address1 \" value=\"\" rel=\"46\"   \/>\n\t\t<div id=\"ninja_forms_field_46_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_47_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_47_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_47\" id=\"ninja_forms_field_47_label\" class=\"\">Address 2 \t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_47\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_47\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  address address2 \" value=\"\" rel=\"47\"   \/>\n\t\t<div id=\"ninja_forms_field_47_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_48_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_48_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_48\" id=\"ninja_forms_field_48_label\" class=\"\">Town \/ City <span class='ninja-forms-req-symbol'><strong>*<\/strong><\/span>\t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_48\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_48\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  ninja-forms-req address city \" value=\"\" rel=\"48\"   \/>\n\t\t<div id=\"ninja_forms_field_48_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_49_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_49_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_49\" id=\"ninja_forms_field_49_label\" class=\"\">Postcode <span class='ninja-forms-req-symbol'><strong>*<\/strong><\/span>\t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_49\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_49\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  ninja-forms-req address zip \" value=\"\" rel=\"49\"   \/>\n\t\t<div id=\"ninja_forms_field_49_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-2\">\t<hr class=\"ninja-forms-field \" style=\"\" id=\"ninja_forms_field_45_div_wrap\" rel=\"45\" \/>\n\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_52_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_52_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_52\" id=\"ninja_forms_field_52_label\" class=\"\">Email <span class='ninja-forms-req-symbol'><strong>*<\/strong><\/span>\t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_52\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_52\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  ninja-forms-req email \" value=\"\" rel=\"52\"   \/>\n\t\t<div id=\"ninja_forms_field_52_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_51_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_51_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_51\" id=\"ninja_forms_field_51_label\" class=\"\">Phone <span class='ninja-forms-req-symbol'><strong>*<\/strong><\/span>\t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_51\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"\" name=\"ninja_forms_field_51\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  ninja-forms-req \" value=\"\" rel=\"51\"   \/>\n\t\t<div id=\"ninja_forms_field_51_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-1 bti-lm-a-2-1\">\t\t\t\t\t\t<div class=\"field-wrap text-wrap label-above\"  id=\"ninja_forms_field_53_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_53_type\" value=\"text\">\n\t\t<label for=\"ninja_forms_field_53\" id=\"ninja_forms_field_53_label\" class=\"\">Date of Birth \t\t\t\t<\/label>\n\t\t\t<input id=\"ninja_forms_field_53\" data-mask=\"\" data-input-limit=\"\" data-input-limit-type=\"char\" data-input-limit-msg=\"character(s) left\" name=\"ninja_forms_field_53\" type=\"text\" placeholder=\"\" class=\"ninja-forms-field  \" value=\"\" rel=\"53\"   \/>\n\t\t<div id=\"ninja_forms_field_53_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-2\">\t<hr class=\"ninja-forms-field \" style=\"\" id=\"ninja_forms_field_50_div_wrap\" rel=\"50\" \/>\n\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-1 bti-lm-a-2-1\">\t\t\t\t\t\t<div class=\"field-wrap list-checkbox-wrap label-above\"  id=\"ninja_forms_field_56_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_56_type\" value=\"list\">\n\t\t<input type=\"hidden\" id=\"ninja_forms_field_56_list_type\" value=\"checkbox\">\n\t\t\t\t<label for=\"ninja_forms_field_56\" id=\"ninja_forms_field_56_label\" class=\"\">Which workshops are you applying for? Please tick. \t\t\t\t<\/label>\n\t\t<input type=\"hidden\" id=\"ninja_forms_field_56\" name=\"ninja_forms_field_56\" value=\"\"><span id=\"ninja_forms_field_56_options_span\" class=\" ninja-forms-field-list-options-span-calc-listen\" rel=\"56\"><ul><li><label id=\"ninja_forms_field_56_0_label\" class=\"ninja-forms-field-56-options\" style=\"\"><input id=\"ninja_forms_field_56_0\" name=\"ninja_forms_field_56[]\" type=\"checkbox\" class=\"ninja-forms-field ninja-forms-field-calc-listen ninja-forms-field-calc-auto ninja_forms_field_56\" value=\"Crystal Healing Level One\"  rel=\"56\"\/>Crystal Healing Level One (\u00a395)<\/label><\/li><li><label id=\"ninja_forms_field_56_1_label\" class=\"ninja-forms-field-56-options\" style=\"\"><input id=\"ninja_forms_field_56_1\" name=\"ninja_forms_field_56[]\" type=\"checkbox\" class=\"ninja-forms-field ninja-forms-field-calc-listen ninja-forms-field-calc-auto ninja_forms_field_56\" value=\"Crystal Healing Level Two\"  rel=\"56\"\/>Crystal Healing Level Two (\u00a385)<\/label><\/li><\/ul><\/span><li style=\"display:none;\" id=\"ninja_forms_field_56_template\"><label><input id=\"ninja_forms_field_56_\" name=\"\" type=\"checkbox\" class=\"ninja-forms-field ninja-forms-field-calc-listen ninja-forms-field-calc-auto\" value=\"\" rel=\"56\" \/><\/label><\/li>\n\t\t\t\t<div id=\"ninja_forms_field_56_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-2\">\t<hr class=\"ninja-forms-field \" style=\"\" id=\"ninja_forms_field_55_div_wrap\" rel=\"55\" \/>\n\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-1 bti-lm-a-2-1\">\t\t\t\t\t\t<div class=\"field-wrap calc-wrap label-above\"  id=\"ninja_forms_field_80_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_80_type\" value=\"calc\">\n\t\t<label for=\"ninja_forms_field_80\" id=\"ninja_forms_field_80_label\" class=\"\"> \t\t\t\t<\/label>\n\t\t\t<input type=\"hidden\" name=\"ninja_forms_field_80\" value=\"0.00\" class=\"ninja-forms-field \">\n\t\t\t\t<input type=\"text\" id=\"ninja_forms_field_80\" name=\"ninja_forms_field_80\" value=\"0.00\" disabled class=\"ninja-forms-field \" rel=\"80\">\n\t\t\t\t<div id=\"ninja_forms_field_80_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-2\">\t<hr class=\"ninja-forms-field \" style=\"\" id=\"ninja_forms_field_73_div_wrap\" rel=\"73\" \/>\n\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-2\">\t<div class=\"ninja-forms-field  nf-desc\" id=\"ninja_forms_field_74_div_wrap\" style=\"\" rel=\"74\"><p><i>By submitting this form, I confirm that I have read and understood the <a href=\"http:\/\/www.earthworkshealing.co.uk\/booking-terms-and-conditions\/\">Terms and Conditions<\/a>, and I have answered all questions honestly to the best of my knowledge.<\/i><\/p>\n<\/div>\n\t<\/div><div class=\"bti-lm-clear\"><\/div><div class=\"bti-lm-col-2-1\">\t\t\t\t\t\t<div class=\"field-wrap submit-wrap label-above button-wrap\"  id=\"ninja_forms_field_75_div_wrap\" data-visible=\"1\">\n\t\t\t\t\t\t\t<input type=\"hidden\" id=\"ninja_forms_field_75_type\" value=\"submit\">\n\t<div id=\"nf_submit_7\">\n\t\t<input type=\"submit\" name=\"_ninja_forms_field_75\" class=\"ninja-forms-field  button\" id=\"ninja_forms_field_75\" value=\"SUBMIT BOOKING APPLICATION FORM\" rel=\"75\" >\n\t<\/div>\n\t<div id=\"nf_processing_7\" style=\"display:none;\">\n\t\t<input type=\"submit\" name=\"_ninja_forms_field_75\" class=\"ninja-forms-field  button\" id=\"ninja_forms_field_75\" value=\"Processing\" rel=\"75\" disabled>\n\t<\/div>\n\t\t<div id=\"ninja_forms_field_75_error\" style=\"display:none;\" class=\"ninja-forms-field-error\">\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div><div class=\"bti-lm-clear\"><\/div>\t<\/div>\n\t\t<\/form>\n\t\t<\/div>\n\t\t<\/div>\n\t\n","protected":false},"excerpt":{"rendered":"<p>Application Form for Crystal Therapy<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/pages\/785"}],"collection":[{"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/comments?post=785"}],"version-history":[{"count":3,"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/pages\/785\/revisions"}],"predecessor-version":[{"id":1516,"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/pages\/785\/revisions\/1516"}],"wp:attachment":[{"href":"https:\/\/www.earthworkshealing.co.uk\/wp-json\/wp\/v2\/media?parent=785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}