{"id":5986,"date":"2023-12-21T11:11:06","date_gmt":"2023-12-21T11:11:06","guid":{"rendered":"https:\/\/football.advokat-kulcheva.com\/?page_id=5986"},"modified":"2024-03-19T22:34:19","modified_gmt":"2024-03-19T20:34:19","slug":"registration-en","status":"publish","type":"page","link":"https:\/\/www.4sporttransfer.com\/en\/registration-en\/","title":{"rendered":"Registration"},"content":{"rendered":"<div class=\"um um-register um-6300\">\n\t<div class=\"um-form\" data-mode=\"register\">\n\t\t<form method=\"post\" action=\"\" data-trp-original-action=\"\">\n\t\t\t<div class=\"um-row _um_row_1\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_6300_user_login\" class=\"um-field um-field-text  um-field-user_login um-field-text um-field-type_text\" data-key=\"user_login\"><div class=\"um-field-label\"><label for=\"user_login-6300\">Username<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"user_login-6300\" id=\"user_login-6300\" value=\"\" placeholder=\"\" data-validate=\"unique_username\" data-key=\"user_login\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-6300\">First Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"first_name-6300\" id=\"first_name-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-6300\">Last Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"last_name-6300\" id=\"last_name-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-6300\">Email Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid\" type=\"text\" name=\"user_email-6300\" id=\"user_email-6300\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-6300\">Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid\" type=\"password\" name=\"user_password-6300\" id=\"user_password-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-6300\">Confirm Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid\" type=\"password\" name=\"confirm_user_password-6300\" id=\"confirm_user_password-6300\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\"  aria-invalid=\"false\" \/><\/div><\/div><\/div><div class=\"um-col-122\"><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_3\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-block  um-field-block um-field-type_block\" data-key=\"um_block_8_62\"><h3 class=\"kaya-um-row-heading\">GENERAL DETAILS<\/h3><\/div><\/div><\/div><div class=\"um-row _um_row_4\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_6300_talent_directory\" class=\"um-field um-field-multiselect  um-field-talent_directory um-field-multiselect um-field-type_multiselect\" data-key=\"talent_directory\"><div class=\"um-field-label\"><label for=\"talent_directory-6300\">Categories<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select   multiple=\"multiple\" name=\"talent_directory[]\" id=\"talent_directory\" data-maxsize=\"0\" data-validate=\"\" data-key=\"talent_directory\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Football - Player - Goalkeeper\" >Football - Player - Goalkeeper<\/option><option value=\"Football - Player - Defender\" >Football - Player - Defender<\/option><option value=\"Football - Player - Midfielder\" >Football - Player - Midfielder<\/option><option value=\"Football - Player - Striker\" >Football - Player - Striker<\/option><option value=\"Football - Player - Winger\" >Football - Player - Winger<\/option><option value=\"Football - Player - Other\" >Football - Player - Other<\/option><option value=\"Football - Coach - Analyst\" >Football - Coach - Analyst<\/option><option value=\"Football - Coach - Individual technique\" >Football - Coach - Individual technique<\/option><option value=\"Football - Coach - Fitness\" >Football - Coach - Fitness<\/option><option value=\"Football - Coach - Head Coach\" >Football - Coach - Head Coach<\/option><option value=\"Football - Coach - Tactics\" >Football - Coach - Tactics<\/option><option value=\"Football - Coach - Goalkeepers\" >Football - Coach - Goalkeepers<\/option><option value=\"Football - Coach - Other\" >Football - Coach - Other<\/option><option value=\"Football - Medical person - Dietitian\" >Football - Medical person - Dietitian<\/option><option value=\"Football - Medical person - Doctor\" >Football - Medical person - Doctor<\/option><option value=\"Football - Medical person - Massage therapist\" >Football - Medical person - Massage therapist<\/option><option value=\"Football - Medical person - Sports psychologist\" >Football - Medical person - Sports psychologist<\/option><option value=\"Football - Medical person - Physiotherapist\" >Football - Medical person - Physiotherapist<\/option><option value=\"Football - Medical person - Kinesitherapist\" >Football - Medical person - Kinesitherapist<\/option><option value=\"Football - Medical person - Rehabilitator\" >Football - Medical person - Rehabilitator<\/option><option value=\"Football - Medical person - Other\" >Football - Medical person - Other<\/option><option value=\"Football - Other - Admin\" >Football - Other - Admin<\/option><option value=\"Football - Other - Visitor\" >Football - Other - Visitor<\/option><option value=\"Football - Other - President\" >Football - Other - President<\/option><option value=\"Football - Other - Scout\" >Football - Other - Scout<\/option><option value=\"Football - Other - Sports Director\" >Football - Other - Sports Director<\/option><option value=\"Football - Other - Technical Director\" >Football - Other - Technical Director<\/option><option value=\"Football - Other - Other\" >Football - Other - Other<\/option><option value=\"Football - Agent\" >Football - Agent<\/option><option value=\"Football - Club\" >Football - Club<\/option><option value=\"Basketball - Position 1 - Point Guard (PG)\" >Basketball - Position 1 - Point Guard (PG)<\/option><option value=\"Basketball - Position 2 - Shooting Guard (SG)\" >Basketball - Position 2 - Shooting Guard (SG)<\/option><option value=\"Basketball - Position 3 - Small Forward (SF)\" >Basketball - Position 3 - Small Forward (SF)<\/option><option value=\"Basketball - Position 4 - Power Forward (PF)\" >Basketball - Position 4 - Power Forward (PF)<\/option><option value=\"Basketball - Position 5 - Center (C)\" >Basketball - Position 5 - Center (C)<\/option><option value=\"Basketball - Coach - Analyst\" >Basketball - Coach - Analyst<\/option><option value=\"Basketball - Coach - Individual technique\" >Basketball - Coach - Individual technique<\/option><option value=\"Basketball - Coach - Conditioning\" >Basketball - Coach - Conditioning<\/option><option value=\"Basketball - Coach - Head Coach\" >Basketball - Coach - Head Coach<\/option><option value=\"Basketball - Coach - Tactics\" >Basketball - Coach - Tactics<\/option><option value=\"Basketball - Coach - Other\" >Basketball - Coach - Other<\/option><option value=\"Basketball - Medical person - Dietitian\" >Basketball - Medical person - Dietitian<\/option><option value=\"Basketball - Medical person - Doctor\" >Basketball - Medical person - Doctor<\/option><option value=\"Basketball - Medical person - Massage therapist\" >Basketball - Medical person - Massage therapist<\/option><option value=\"Basketball - Medical person - Sports psychologist\" >Basketball - Medical person - Sports psychologist<\/option><option value=\"Basketball - Medical person - Physiotherapist\" >Basketball - Medical person - Physiotherapist<\/option><option value=\"Basketball - Medical - Other\" >Basketball - Medical - Other<\/option><option value=\"Basketball - Other - Admin\" >Basketball - Other - Admin<\/option><option value=\"Basketball - Other - Visitor\" >Basketball - Other - Visitor<\/option><option value=\"Basketball - Other - President\" >Basketball - Other - President<\/option><option value=\"Basketball - Other - Scout\" >Basketball - Other - Scout<\/option><option value=\"Basketball - Other - Athletic Director\" >Basketball - Other - Athletic Director<\/option><option value=\"Basketball - Other - Technical Director\" >Basketball - Other - Technical Director<\/option><option value=\"Basketball - Other - Other\" >Basketball - Other - Other<\/option><option value=\"Basketball - Agent\" >Basketball - Agent<\/option><option value=\"Basketball - Club\" >Basketball - Club<\/option><option value=\"Volleyball - Player - Distributor\" >Volleyball - Player - Distributor<\/option><option value=\"Volleyball - Player - Libero\" >Volleyball - Player - Libero<\/option><option value=\"Volleyball - Player - Diagonal\" >Volleyball - Player - Diagonal<\/option><option value=\"Volleyball - Player - Striker\" >Volleyball - Player - Striker<\/option><option value=\"Volleyball - Coach - Analyst\" >Volleyball - Coach - Analyst<\/option><option value=\"Volleyball - Coach - Individual technique\" >Volleyball - Coach - Individual technique<\/option><option value=\"Volleyball - Coach - Conditioning\" >Volleyball - Coach - Conditioning<\/option><option value=\"Volleyball - Coach - Head Coach\" >Volleyball - Coach - Head Coach<\/option><option value=\"Volleyball - Coach - Tactics\" >Volleyball - Coach - Tactics<\/option><option value=\"Volleyball - Coach - Goalkeepers\" >Volleyball - Coach - Goalkeepers<\/option><option value=\"Volleyball - Coach - Other\" >Volleyball - Coach - Other<\/option><option value=\"Volleyball - Medical person - Dietitian\" >Volleyball - Medical person - Dietitian<\/option><option value=\"Volleyball - Medical person - Doctor\" >Volleyball - Medical person - Doctor<\/option><option value=\"Volleyball - Medical person - Massage therapist\" >Volleyball - Medical person - Massage therapist<\/option><option value=\"Volleyball - Medical person - Sports psychologist\" >Volleyball - Medical person - Sports psychologist<\/option><option value=\"Volleyball - Medical person - Physiotherapist\" >Volleyball - Medical person - Physiotherapist<\/option><option value=\"Volleyball - Medical person - Other\" >Volleyball - Medical person - Other<\/option><option value=\"Volleyball - Other - Admin\" >Volleyball - Other - Admin<\/option><option value=\"Volleyball - Other - Visitor\" >Volleyball - Other - Visitor<\/option><option value=\"Volleyball - Other - President\" >Volleyball - Other - President<\/option><option value=\"Volleyball - Other - Scout\" >Volleyball - Other - Scout<\/option><option value=\"Volleyball - Other - Sports Director\" >Volleyball - Other - Sports Director<\/option><option value=\"Volleyball - Other - Technical Director\" >Volleyball - Other - Technical Director<\/option><option value=\"Volleyball - Other - Other\" >Volleyball - Other - Other<\/option><option value=\"Volleyball - Agent\" >Volleyball - Agent<\/option><option value=\"Volleyball - Club\" >Volleyball - Club<\/option><option value=\"Sports equipment and supplies\" >Sports equipment and supplies<\/option><option value=\"Medical centers and clinics\" >Medical centers and clinics<\/option><option value=\"Food additives\" >Food additives<\/option><option value=\"Photo and video services\" >Photo and video services<\/option><\/select><\/div><\/div><div  id=\"um_field_6300_gender\" class=\"um-field um-field-radio  um-field-gender um-field-radio um-field-type_radio\" data-key=\"gender\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"gender-6300\">Gender<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"gender[]\" value=\"Male\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Male<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"gender[]\" value=\"Female\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Female<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_6300_country\" class=\"um-field um-field-select  um-field-country um-field-select um-field-type_select\" data-key=\"country\"><div class=\"um-field-label\"><label for=\"country-6300\">Country<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"country\" id=\"country\" data-validate=\"\" data-key=\"country\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Choose a Country\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afghanistan\" >Afghanistan<\/option><option value=\"\u00c5land Islands\" >\u00c5land Islands<\/option><option value=\"Albania\" >Albania<\/option><option value=\"Algeria\" >Algeria<\/option><option value=\"American Samoa\" >American Samoa<\/option><option value=\"Andorra\" >Andorra<\/option><option value=\"Angola\" >Angola<\/option><option value=\"Anguilla\" >Anguilla<\/option><option value=\"Antarctica\" >Antarctica<\/option><option value=\"Antigua and Barbuda\" >Antigua and Barbuda<\/option><option value=\"Argentina\" >Argentina<\/option><option value=\"Armenia\" >Armenia<\/option><option value=\"Aruba\" >Aruba<\/option><option value=\"Australia\" >Australia<\/option><option value=\"Austria\" >Austria<\/option><option value=\"Azerbaijan\" >Azerbaijan<\/option><option value=\"Bahamas\" >Bahamas<\/option><option value=\"Bahrain\" >Bahrain<\/option><option value=\"Bangladesh\" >Bangladesh<\/option><option value=\"Barbados\" >Barbados<\/option><option value=\"Belarus\" >Belarus<\/option><option value=\"Belgium\" >Belgium<\/option><option value=\"Belize\" >Belize<\/option><option value=\"Benin\" >Benin<\/option><option value=\"Bermuda\" >Bermuda<\/option><option value=\"Bhutan\" >Bhutan<\/option><option value=\"Bolivia, Plurinational State of\" >Bolivia, Plurinational State of<\/option><option value=\"Bosnia and Herzegovina\" >Bosnia and Herzegovina<\/option><option value=\"Botswana\" >Botswana<\/option><option value=\"Bouvet Island\" >Bouvet Island<\/option><option value=\"Brazil\" >Brazil<\/option><option value=\"British Indian Ocean Territory\" >British Indian Ocean Territory<\/option><option value=\"Brunei Darussalam\" >Brunei Darussalam<\/option><option value=\"Bulgaria\" >Bulgaria<\/option><option value=\"Burkina Faso\" >Burkina Faso<\/option><option value=\"Burundi\" >Burundi<\/option><option value=\"Cambodia\" >Cambodia<\/option><option value=\"Cameroon\" >Cameroon<\/option><option value=\"Canada\" >Canada<\/option><option value=\"Cape Verde\" >Cape Verde<\/option><option value=\"Cayman Islands\" >Cayman Islands<\/option><option value=\"Central African Republic\" >Central African Republic<\/option><option value=\"Chad\" >Chad<\/option><option value=\"Chile\" >Chile<\/option><option value=\"China\" >China<\/option><option value=\"Christmas Island\" >Christmas Island<\/option><option value=\"Cocos (Keeling) Islands\" >Cocos (Keeling) Islands<\/option><option value=\"Colombia\" >Colombia<\/option><option value=\"Comoros\" >Comoros<\/option><option value=\"Congo\" >Congo<\/option><option value=\"Congo, the Democratic Republic of the\" >Congo, the Democratic Republic of the<\/option><option value=\"Cook Islands\" >Cook Islands<\/option><option value=\"Costa Rica\" >Costa Rica<\/option><option value=\"C\u00f4te d&#039;Ivoire\" >C\u00f4te d&#039;Ivoire<\/option><option value=\"Croatia\" >Croatia<\/option><option value=\"Cuba\" >Cuba<\/option><option value=\"Cyprus\" >Cyprus<\/option><option value=\"Czech Republic\" >Czech Republic<\/option><option value=\"Denmark\" >Denmark<\/option><option value=\"Djibouti\" >Djibouti<\/option><option value=\"Dominica\" >Dominica<\/option><option value=\"Dominican Republic\" >Dominican Republic<\/option><option value=\"Ecuador\" >Ecuador<\/option><option value=\"Egypt\" >Egypt<\/option><option value=\"El Salvador\" >El Salvador<\/option><option value=\"Equatorial Guinea\" >Equatorial Guinea<\/option><option value=\"Eritrea\" >Eritrea<\/option><option value=\"Estonia\" >Estonia<\/option><option value=\"Ethiopia\" >Ethiopia<\/option><option value=\"Falkland Islands (Malvinas)\" >Falkland Islands (Malvinas)<\/option><option value=\"Faroe Islands\" >Faroe Islands<\/option><option value=\"Fiji\" >Fiji<\/option><option value=\"Finland\" >Finland<\/option><option value=\"France\" >France<\/option><option value=\"French Guiana\" >French Guiana<\/option><option value=\"French Polynesia\" >French Polynesia<\/option><option value=\"French Southern Territories\" >French Southern Territories<\/option><option value=\"Gabon\" >Gabon<\/option><option value=\"Gambia\" >The Gambia<\/option><option value=\"Sakartvelo\" >Sakartvelo<\/option><option value=\"Germany\" >Germany<\/option><option value=\"Ghana\" >Ghana<\/option><option value=\"Gibraltar\" >Gibraltar<\/option><option value=\"Greece\" >Greece<\/option><option value=\"Greenland\" >Greenland<\/option><option value=\"Grenada\" >Grenada<\/option><option value=\"Guadeloupe\" >Guadeloupe<\/option><option value=\"Guam\" >Guam<\/option><option value=\"Guatemala\" >Guatemala<\/option><option value=\"Guernsey\" >Guernsey<\/option><option value=\"Guinea\" >Guinea<\/option><option value=\"Guinea-Bissau\" >Guinea-Bissau<\/option><option value=\"Guyana\" >Guyana<\/option><option value=\"Haiti\" >Haiti<\/option><option value=\"Heard Island and McDonald Islands\" >Heard Island and McDonald Islands<\/option><option value=\"Holy See (Vatican City State)\" >Holy See (Vatican City State)<\/option><option value=\"Honduras\" >Honduras<\/option><option value=\"Hong Kong\" >Hong Kong<\/option><option value=\"Hungary\" >Hungary<\/option><option value=\"Iceland\" >Iceland<\/option><option value=\"India\" >India<\/option><option value=\"Indonesia\" >Indonesia<\/option><option value=\"Iran, Islamic Republic of\" >Iran, Islamic Republic of<\/option><option value=\"Iraq\" >Iraq<\/option><option value=\"Ireland\" >Ireland<\/option><option value=\"Isle of Man\" >Isle of Man<\/option><option value=\"Israel\" >Israel<\/option><option value=\"Italy\" >Italy<\/option><option value=\"Jamaica\" >Jamaica<\/option><option value=\"Japan\" >Japan<\/option><option value=\"Jersey\" >Jersey<\/option><option value=\"Jordan\" >Jordan<\/option><option value=\"Kazakhstan\" >Kazakhstan<\/option><option value=\"Kenya\" >Kenya<\/option><option value=\"Kiribati\" >Kiribati<\/option><option value=\"Korea, Democratic People&#039;s Republic of\" >Korea, Democratic People&#039;s Republic of<\/option><option value=\"Korea, Republic of\" >Korea, Republic of<\/option><option value=\"Kuwait\" >Kuwait<\/option><option value=\"Kyrgyzstan\" >Kyrgyzstan<\/option><option value=\"Lao People&#039;s Democratic Republic\" >Lao People&#039;s Democratic Republic<\/option><option value=\"Latvia\" >Latvia<\/option><option value=\"Lebanon\" >Lebanon<\/option><option value=\"Lesotho\" >Lesotho<\/option><option value=\"Liberia\" >Liberia<\/option><option value=\"Libyan Arab Jamahiriya\" >Libyan Arab Jamahiriya<\/option><option value=\"Liechtenstein\" >Liechtenstein<\/option><option value=\"Lithuania\" >Lithuania<\/option><option value=\"Luxembourg\" >Luxembourg<\/option><option value=\"Macao\" >Macau<\/option><option value=\"Macedonia, the former Yugoslav Republic of\" >Macedonia, the former Yugoslav Republic of<\/option><option value=\"Madagascar\" >Madagascar<\/option><option value=\"Malawi\" >Malawi<\/option><option value=\"Malaysia\" >Malaysia<\/option><option value=\"Maldives\" >Maldives<\/option><option value=\"Mali\" >Small<\/option><option value=\"Malta\" >Malta<\/option><option value=\"Marshall Islands\" >Marshall Islands<\/option><option value=\"Martinique\" >Martinique<\/option><option value=\"Mauritania\" >Mauritania<\/option><option value=\"Mauritius\" >Mauritius<\/option><option value=\"Mayotte\" >Mayotte<\/option><option value=\"Mexico\" >Mexico<\/option><option value=\"Micronesia, Federated States of\" >Micronesia, Federated States of<\/option><option value=\"Moldova, Republic of\" >Moldova, Republic of<\/option><option value=\"Monaco\" >Monaco<\/option><option value=\"Mongolia\" >Mongolia<\/option><option value=\"Montenegro\" >Montenegro<\/option><option value=\"Montserrat\" >Montserrat<\/option><option value=\"Morocco\" >Morocco<\/option><option value=\"Mozambique\" >Mozambique<\/option><option value=\"Myanmar\" >Myanmar<\/option><option value=\"Namibia\" >Namibia<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Nepal\" >Nepal<\/option><option value=\"Netherlands\" >Netherlands<\/option><option value=\"Netherlands Antilles\" >Netherlands Antilles<\/option><option value=\"New Caledonia\" >New Caledonia<\/option><option value=\"New Zealand\" >New Zealand<\/option><option value=\"Nicaragua\" >Nicaragua<\/option><option value=\"Niger\" >Niger<\/option><option value=\"Nigeria\" >Nigeria<\/option><option value=\"Niue\" >Niue<\/option><option value=\"Norfolk Island\" >Norfolk Island<\/option><option value=\"Northern Mariana Islands\" >Northern Mariana Islands<\/option><option value=\"Norway\" >Norway<\/option><option value=\"Oman\" >Oman<\/option><option value=\"Pakistan\" >Pakistan<\/option><option value=\"Palau\" >Palau<\/option><option value=\"Palestine\" >Palestine<\/option><option value=\"Panama\" >Panama<\/option><option value=\"Papua New Guinea\" >Papua New Guinea<\/option><option value=\"Paraguay\" >Paraguay<\/option><option value=\"Peru\" >Peru<\/option><option value=\"Philippines\" >Philippines<\/option><option value=\"Pitcairn\" >Pitcairn<\/option><option value=\"Poland\" >Poland<\/option><option value=\"Portugal\" >Portugal<\/option><option value=\"Puerto Rico\" >Puerto Rico<\/option><option value=\"Qatar\" >Qatar<\/option><option value=\"R\u00e9union\" >Reunion<\/option><option value=\"Romania\" >Romania<\/option><option value=\"Russian Federation\" >Russian Federation<\/option><option value=\"Rwanda\" >Rwanda<\/option><option value=\"Saint Barth\u00e9lemy\" >Saint Barthelemy<\/option><option value=\"Saint Helena\" >Saint Helena<\/option><option value=\"Saint Kitts and Nevis\" >Saint Kitts and Nevis<\/option><option value=\"Saint Lucia\" >Saint Lucia<\/option><option value=\"Saint Martin (French part)\" >Saint Martin (French part)<\/option><option value=\"Saint Pierre and Miquelon\" >Saint Pierre and Miquelon<\/option><option value=\"Saint Vincent and the Grenadines\" >Saint Vincent and the Grenadines<\/option><option value=\"Samoa\" >Samoa<\/option><option value=\"San Marino\" >San Marino<\/option><option value=\"Sao Tome and Principe\" >Sao Tome and Principe<\/option><option value=\"Saudi Arabia\" >Saudi Arabia<\/option><option value=\"Senegal\" >Senegal<\/option><option value=\"Serbia\" >Serbia<\/option><option value=\"Seychelles\" >Seychelles<\/option><option value=\"Sierra Leone\" >Sierra Leone<\/option><option value=\"Singapore\" >Singapore<\/option><option value=\"Slovakia\" >Slovakia<\/option><option value=\"Slovenia\" >Slovenia<\/option><option value=\"Solomon Islands\" >Solomon Islands<\/option><option value=\"Somalia\" >Somalia<\/option><option value=\"South Africa\" >South Africa<\/option><option value=\"South Georgia and the South Sandwich Islands\" >South Georgia and the South Sandwich Islands<\/option><option value=\"South Sudan\" >South Sudan<\/option><option value=\"Spain\" >Spain<\/option><option value=\"Sri Lanka\" >Sri Lanka<\/option><option value=\"Sudan\" >Sudan<\/option><option value=\"Suriname\" >Suriname<\/option><option value=\"Svalbard and Jan Mayen\" >Svalbard and Jan Mayen<\/option><option value=\"Eswatini\" >Eswatini<\/option><option value=\"Sweden\" >Sweden<\/option><option value=\"Switzerland\" >Switzerland<\/option><option value=\"Syrian Arab Republic\" >Syrian Arab Republic<\/option><option value=\"Taiwan, Province of China\" >Taiwan, Province of China<\/option><option value=\"Tajikistan\" >Tajikistan<\/option><option value=\"Tanzania, United Republic of\" >Tanzania, United Republic of<\/option><option value=\"Thailand\" >Thailand<\/option><option value=\"Timor-Leste\" >Timor-Leste<\/option><option value=\"Togo\" >Togo<\/option><option value=\"Tokelau\" >Tokelau<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Trinidad and Tobago\" >Trinidad and Tobago<\/option><option value=\"Tunisia\" >Tunisia<\/option><option value=\"Turkey\" >Turkey<\/option><option value=\"Turkmenistan\" >Turkmenistan<\/option><option value=\"Turks and Caicos Islands\" >Turks and Caicos Islands<\/option><option value=\"Tuvalu\" >Tuvalu<\/option><option value=\"Uganda\" >Uganda<\/option><option value=\"Ukraine\" >Ukraine<\/option><option value=\"United Arab Emirates\" >United Arab Emirates<\/option><option value=\"United Kingdom\" >United Kingdom<\/option><option value=\"United States\" >United States<\/option><option value=\"United States Minor Outlying Islands\" >United States Minor Outlying Islands<\/option><option value=\"Uruguay\" >Uruguay<\/option><option value=\"Uzbekistan\" >Uzbekistan<\/option><option value=\"Vanuatu\" >Vanuatu<\/option><option value=\"Venezuela, Bolivarian Republic of\" >Venezuela, Bolivarian Republic of<\/option><option value=\"Viet Nam\" >Vietnam<\/option><option value=\"Virgin Islands, British\" >Virgin Islands, British<\/option><option value=\"Virgin Islands, U.S.\" >Virgin Islands, US<\/option><option value=\"Wallis and Futuna\" >Wallis and Futuna<\/option><option value=\"Western Sahara\" >Western Sahara<\/option><option value=\"Yemen\" >Yemen<\/option><option value=\"Zambia\" >Zambia<\/option><option value=\"Zimbabwe\" >Zimbabwe<\/option><\/select><\/div><\/div><div  id=\"um_field_6300_languages\" class=\"um-field um-field-multiselect  um-field-languages um-field-multiselect um-field-type_multiselect\" data-key=\"languages\"><div class=\"um-field-label\"><label for=\"languages-6300\">Spoken Languages<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select   multiple=\"multiple\" name=\"languages[]\" id=\"languages\" data-maxsize=\"0\" data-validate=\"\" data-key=\"languages\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"Select languages\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Afar\" >Afar<\/option><option value=\"Abkhazian\" >Abkhazian<\/option><option value=\"Avestan\" >Avestan<\/option><option value=\"Afrikaans\" >Afrikaans<\/option><option value=\"Akan\" >Akan<\/option><option value=\"Amharic\" >Amharic<\/option><option value=\"Aragonese\" >Aragonese<\/option><option value=\"Arabic\" >Arabic<\/option><option value=\"Assamese\" >Assamese<\/option><option value=\"Avaric\" >Avaric<\/option><option value=\"Aymara\" >Aymara<\/option><option value=\"Azerbaijani\" >Azerbaijani<\/option><option value=\"Bashkir\" >Bashkir<\/option><option value=\"Belarusian\" >Belarusian<\/option><option value=\"Bulgarian\" >Bulgarian<\/option><option value=\"Bihari\" >Bihari<\/option><option value=\"Bislama\" >Bislama<\/option><option value=\"Bambara\" >Bambara<\/option><option value=\"Bengali\" >Bengali<\/option><option value=\"Tibetan\" >Tibetan<\/option><option value=\"Breton\" >Breton<\/option><option value=\"Bosnian\" >Bosnian<\/option><option value=\"Catalan\" >Catalan<\/option><option value=\"Chechen\" >Chechen<\/option><option value=\"Chamorro\" >Chamorro<\/option><option value=\"Corsican\" >Corsican<\/option><option value=\"Cree\" >Cree<\/option><option value=\"Czech\" >Czech<\/option><option value=\"Church Slavic\" >Church Slavic<\/option><option value=\"Chuvash\" >Chuvash<\/option><option value=\"Welsh\" >Welsh<\/option><option value=\"Danish\" >Danish<\/option><option value=\"German\" >German<\/option><option value=\"Divehi\" >Divehi<\/option><option value=\"Dzongkha\" >Dzongkha<\/option><option value=\"Ewe\" >Wow<\/option><option value=\"Greek\" >Greek<\/option><option value=\"English\" >English<\/option><option value=\"Esperanto\" >Esperanto<\/option><option value=\"Spanish\" >Spanish<\/option><option value=\"Estonian\" >Estonian<\/option><option value=\"Basque\" >Basque<\/option><option value=\"Persian\" >Persian<\/option><option value=\"Fulah\" >Fulah<\/option><option value=\"Finnish\" >Finnish<\/option><option value=\"Fijian\" >Fijian<\/option><option value=\"Faroese\" >Faroese<\/option><option value=\"French\" >French<\/option><option value=\"Western Frisian\" >Western Frisian<\/option><option value=\"Irish\" >Irish<\/option><option value=\"Scottish Gaelic\" >Scottish Gaelic<\/option><option value=\"Galician\" >Galician<\/option><option value=\"Guarani\" >Guarani<\/option><option value=\"Gujarati\" >Gujarati<\/option><option value=\"Manx\" >Manx<\/option><option value=\"Hausa\" >Hausa<\/option><option value=\"Hebrew\" >Hebrew<\/option><option value=\"Hindi\" >Hindi<\/option><option value=\"Hiri Motu\" >Hiri Motu<\/option><option value=\"Croatian\" >Croatian<\/option><option value=\"Haitian\" >Haitian<\/option><option value=\"Hungarian\" >Hungarian<\/option><option value=\"Armenian\" >Armenian<\/option><option value=\"Herero\" >Herero<\/option><option value=\"Interlingua (International Auxiliary Language Association)\" >Interlingua (International Auxiliary Language Association)<\/option><option value=\"Indonesian\" >Indonesian<\/option><option value=\"Interlingue\" >Interlingue<\/option><option value=\"Igbo\" >Igbo<\/option><option value=\"Sichuan Yi\" >Sichuan Yi<\/option><option value=\"Inupiaq\" >Inupiaq<\/option><option value=\"Ido\" >Ido<\/option><option value=\"Icelandic\" >Icelandic<\/option><option value=\"Italian\" >Italian<\/option><option value=\"Inuktitut\" >Inuktitut<\/option><option value=\"Japanese\" >Japanese<\/option><option value=\"Javanese\" >Javanese<\/option><option value=\"Kartuli\" >Potatoes<\/option><option value=\"Kongo\" >Kongo<\/option><option value=\"Kikuyu\" >Kikuyu<\/option><option value=\"Kwanyama\" >Kwanyama<\/option><option value=\"Kazakh\" >Kazakh<\/option><option value=\"Kalaallisut\" >Kalaallisut<\/option><option value=\"Khmer\" >Khmer<\/option><option value=\"Kannada\" >Kannada<\/option><option value=\"Korean\" >Korean<\/option><option value=\"Kanuri\" >Kanuri<\/option><option value=\"Kashmiri\" >Kashmiri<\/option><option value=\"Kurdish\" >Kurdish<\/option><option value=\"Komi\" >Komi<\/option><option value=\"Cornish\" >Cornish<\/option><option value=\"Kirghiz\" >Kirghiz<\/option><option value=\"Latin\" >Latin<\/option><option value=\"Luxembourgish\" >Luxembourgish<\/option><option value=\"Ganda\" >Ganda<\/option><option value=\"Limburgish\" >Limburgish<\/option><option value=\"Lingala\" >Lingala<\/option><option value=\"Lao\" >Lao<\/option><option value=\"Lithuanian\" >Lithuanian<\/option><option value=\"Luba-Katanga\" >Luba-Katanga<\/option><option value=\"Latvian\" >Latvian<\/option><option value=\"Malagasy\" >Malagasy<\/option><option value=\"Marshallese\" >Marshallese<\/option><option value=\"Maori\" >Maori<\/option><option value=\"Macedonian\" >Macedonian<\/option><option value=\"Malayalam\" >Malayalam<\/option><option value=\"Mongolian\" >Mongolian<\/option><option value=\"Marathi\" >Marathi<\/option><option value=\"Malay\" >Malay<\/option><option value=\"Maltese\" >Maltese<\/option><option value=\"Burmese\" >Burmese<\/option><option value=\"Nauru\" >Nauru<\/option><option value=\"Norwegian Bokmal\" >Norwegian Bokm\u00e5l<\/option><option value=\"North Ndebele\" >North Ndebele<\/option><option value=\"Nepali\" >Nepali<\/option><option value=\"Ndonga\" >Ndonga<\/option><option value=\"Dutch\" >Dutch<\/option><option value=\"Norwegian Nynorsk\" >Norwegian Nynorsk<\/option><option value=\"Norwegian\" >Norwegian<\/option><option value=\"South Ndebele\" >South Ndebele<\/option><option value=\"Navajo\" >Navajo<\/option><option value=\"Chichewa\" >Chichewa<\/option><option value=\"Occitan\" >Occitan<\/option><option value=\"Ojibwa\" >Ojibwa<\/option><option value=\"Oromo\" >Oromo<\/option><option value=\"Oriya\" >Oriya<\/option><option value=\"Ossetian\" >Ossetian<\/option><option value=\"Panjabi\" >Punjabi<\/option><option value=\"Pali\" >Pali<\/option><option value=\"Polish\" >Polish<\/option><option value=\"Pashto\" >Pashto<\/option><option value=\"Portuguese\" >Portuguese<\/option><option value=\"Quechua\" >Quechua<\/option><option value=\"Raeto-Romance\" >Raeto-Romance<\/option><option value=\"Kirundi\" >Kirundi<\/option><option value=\"Romanian\" >Romanian<\/option><option value=\"Russian\" >Russian<\/option><option value=\"Kinyarwanda\" >Kinyarwanda<\/option><option value=\"Sanskrit\" >Sanskrit<\/option><option value=\"Sardinian\" >Sardinian<\/option><option value=\"Sindhi\" >Sindhi<\/option><option value=\"Northern Sami\" >Northern Sami<\/option><option value=\"Sango\" >Sango<\/option><option value=\"Sinhala\" >Sinhala<\/option><option value=\"Slovak\" >Slovak<\/option><option value=\"Slovenian\" >Slovenian<\/option><option value=\"Samoan\" >Samoan<\/option><option value=\"Shona\" >Shona<\/option><option value=\"Somali\" >Somali<\/option><option value=\"Albanian\" >Albanian<\/option><option value=\"Serbian\" >Serbian<\/option><option value=\"Swati\" >Swati<\/option><option value=\"Southern Sotho\" >Southern Sotho<\/option><option value=\"Sundanese\" >Sundanese<\/option><option value=\"Swedish\" >Swedish<\/option><option value=\"Swahili\" >Swahili<\/option><option value=\"Tamil\" >Tamil<\/option><option value=\"Telugu\" >Telugu<\/option><option value=\"Tajik\" >Tajik<\/option><option value=\"Thai\" >Thai<\/option><option value=\"Tigrinya\" >Tigrinya<\/option><option value=\"Turkmen\" >Turkmen<\/option><option value=\"Tagalog\" >Tagalog<\/option><option value=\"Tswana\" >Tswana<\/option><option value=\"Tonga\" >Tonga<\/option><option value=\"Turkish\" >Turkish<\/option><option value=\"Tsonga\" >Tsonga<\/option><option value=\"Tatar\" >Tatar<\/option><option value=\"Twi\" >Twi<\/option><option value=\"Tahitian\" >Tahitian<\/option><option value=\"Uighur\" >Uighur<\/option><option value=\"Ukrainian\" >Ukrainian<\/option><option value=\"Urdu\" >Urdu<\/option><option value=\"Uzbek\" >Uzbek<\/option><option value=\"Venda\" >Venda<\/option><option value=\"Vietnamese\" >Vietnamese<\/option><option value=\"Volapuk\" >Volapuk<\/option><option value=\"Walloon\" >Walloon<\/option><option value=\"Wolof\" >Wolof<\/option><option value=\"Xhosa\" >Xhosa<\/option><option value=\"Yiddish\" >Yiddish<\/option><option value=\"Yoruba\" >Yoruba<\/option><option value=\"Zhuang\" >Zhuang<\/option><option value=\"Chinese\" >Chinese<\/option><option value=\"Zulu\" >Zulu<\/option><\/select><\/div><\/div><div  id=\"um_field_6300_user_url_49\" class=\"um-field um-field-url  um-field-user_url_49 um-field-url um-field-type_url\" data-key=\"user_url_49\"><div class=\"um-field-label\"><label for=\"user_url_49-6300\">Website URL<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid not-required\" type=\"text\" name=\"user_url_49-6300\" id=\"user_url_49-6300\" value=\"\" placeholder=\"\" data-validate=\"url\" data-key=\"user_url_49\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_user_age\" class=\"um-field um-field-text  um-field-user_age um-field-text um-field-type_text\" data-key=\"user_age\"><div class=\"um-field-label\"><label for=\"user_age-6300\">Age<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"user_age-6300\" id=\"user_age-6300\" value=\"\" placeholder=\"(required field)\" data-validate=\"numeric\" data-key=\"user_age\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_6300_birth_date\" class=\"um-field um-field-date  um-field-birth_date um-field-date um-field-type_date\" data-key=\"birth_date\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-calendar\" aria-label=\"Birth Date\"><\/i><\/div><label for=\"birth_date-6300\">Birth Date<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input   class=\"um-form-field valid not-required um-datepicker\" type=\"text\" name=\"birth_date-6300\" id=\"birth_date-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"birth_date\" data-range=\"years\" data-years=\"115\" data-years_x=\"past\" data-disabled_weekdays=\"\" data-date_min=\"1911,10,16\" data-date_max=\"2026,10,16\" data-format=\"d mmm yyyy\" data-value=\"\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_homeaddress\" class=\"um-field um-field-text  um-field-homeaddress um-field-text um-field-type_text\" data-key=\"homeaddress\"><div class=\"um-field-label\"><label for=\"homeaddress-6300\">Home Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"homeaddress-6300\" id=\"homeaddress-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"homeaddress\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_facebook\" class=\"um-field um-field-url  um-field-facebook um-field-url um-field-type_url\" data-key=\"facebook\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-facebook\" aria-label=\"Facebook\"><\/i><\/div><label for=\"facebook-6300\">Facebook<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid\" type=\"text\" name=\"facebook-6300\" id=\"facebook-6300\" value=\"\" placeholder=\"\" data-validate=\"facebook_url\" data-key=\"facebook\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_twitter\" class=\"um-field um-field-url  um-field-twitter um-field-url um-field-type_url\" data-key=\"twitter\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-twitter\" aria-label=\"X\"><\/i><\/div><label for=\"twitter-6300\">X<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid\" type=\"text\" name=\"twitter-6300\" id=\"twitter-6300\" value=\"\" placeholder=\"\" data-validate=\"twitter_url\" data-key=\"twitter\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_instagram\" class=\"um-field um-field-url  um-field-instagram um-field-url um-field-type_url\" data-key=\"instagram\"><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-instagram\" aria-label=\"Instagram\"><\/i><\/div><label for=\"instagram-6300\">Instagram<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input    class=\"um-form-field valid\" type=\"text\" name=\"instagram-6300\" id=\"instagram-6300\" value=\"\" placeholder=\"\" data-validate=\"instagram_url\" data-key=\"instagram\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_5\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_8_56_56\" style=\"border-bottom:4px solid #eeeeee;\"><div class=\"um-field-divider-text\"><span>CONTACTS<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_6\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_6300_hip_size_in_CM\" class=\"um-field um-field-number  um-is-conditional um-field-hip_size_in_CM um-field-number um-field-type_number\" data-key=\"hip_size_in_CM\" data-cond-0-action=\"show\" data-cond-0-field=\"gender\" data-cond-0-operator=\"equals to\" data-cond-0-value=\"Female\"><div class=\"um-field-label\"><label for=\"hip_size_in_CM-6300\">Phone Number<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  class=\"um-form-field valid not-required\" type=\"number\" name=\"hip_size_in_CM-6300\" id=\"hip_size_in_CM-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"hip_size_in_CM\"   aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_secondary_user_email\" class=\"um-field um-field-text  um-field-secondary_user_email um-field-text um-field-type_text\" data-key=\"secondary_user_email\"><div class=\"um-field-label\"><label for=\"secondary_user_email-6300\">Secondary Email Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"secondary_user_email-6300\" id=\"secondary_user_email-6300\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"secondary_user_email\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_6300_agent\" class=\"um-field um-field-text  um-field-agent um-field-text um-field-type_text\" data-key=\"agent\"><div class=\"um-field-label\"><label for=\"agent-6300\">Agent<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"agent-6300\" id=\"agent-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"agent\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_agentPhone\" class=\"um-field um-field-tel  um-field-agentPhone um-field-tel um-field-type_tel\" data-key=\"agentPhone\"><div class=\"um-field-label\"><label for=\"agentPhone-6300\">Agent Phone<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"tel\" name=\"agentPhone-6300\" id=\"agentPhone-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"agentPhone\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_7\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_8_56_56_61\" style=\"border-bottom:4px solid #eeeeee;\"><div class=\"um-field-divider-text\"><span>POSITION<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_8\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_6300_position\" class=\"um-field um-field-select  um-field-position um-field-select um-field-type_select\" data-key=\"position\"><div class=\"um-field-label\"><label for=\"position-6300\">Main Position<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"position\" id=\"position\" data-validate=\"\" data-key=\"position\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Goalkeeper\" >Goalkeeper<\/option><option value=\"Defender\" >Defender<\/option><option value=\"Midfielder\" >Midfielder<\/option><option value=\"Striker\" >Striker<\/option><\/select><\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_6300_position_59\" class=\"um-field um-field-select  um-field-position_59 um-field-select um-field-type_select\" data-key=\"position_59\"><div class=\"um-field-label\"><label for=\"position_59-6300\">Other Position<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select data-default=\"\"     name=\"position_59\" id=\"position_59\" data-validate=\"\" data-key=\"position_59\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"\"   aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"Goalkeeper\" >Goalkeeper<\/option><option value=\"Defender\" >Defender<\/option><option value=\"Midfielder\" >Midfielder<\/option><option value=\"Striker\" >Striker<\/option><\/select><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div><div class=\"um-row _um_row_9\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_8_56_56_61_42\" style=\"border-bottom:4px solid #eeeeee;\"><div class=\"um-field-divider-text\"><span>CURRENT CLUB<\/span><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_10\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-1\"><div  id=\"um_field_6300_yourClub\" class=\"um-field um-field-text  um-field-yourClub um-field-text um-field-type_text\" data-key=\"yourClub\"><div class=\"um-field-label\"><label for=\"yourClub-6300\">Your Club<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required\" type=\"text\" name=\"yourClub-6300\" id=\"yourClub-6300\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"yourClub\"  aria-invalid=\"false\" \/>\n\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6300_contract\" class=\"um-field um-field-radio  um-field-contract um-field-radio um-field-type_radio\" data-key=\"contract\"  aria-invalid=\"false\" ><div class=\"um-field-label\"><label for=\"contract-6300\">Contract<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-radio  um-field-half\"><input  type=\"radio\" name=\"contract[]\" value=\"With a Contract\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">With a Contract<\/span><\/label><label class=\"um-field-radio  um-field-half  right\"><input  type=\"radio\" name=\"contract[]\" value=\"Without Contract\"  \/><span class=\"um-field-radio-state\"><i class=\"um-icon-android-radio-button-off\"><\/i><\/span><span class=\"um-field-radio-option\">Without Contract<\/span><\/label><div class=\"um-clear\"><\/div><div class=\"um-clear\"><\/div><\/div><\/div><div  class=\"um-field um-field-divider  um-field-divider um-field-type_divider\" data-key=\"um_divider_5314_45_46\" style=\"border-bottom:4px solid #eeeeee;\"><div class=\"um-field-divider-text\"><span>EDUCATION<\/span><\/div><\/div><div  id=\"um_field_6300_obrazovanie\" class=\"um-field um-field-multiselect  um-field-obrazovanie um-field-multiselect um-field-type_multiselect\" data-key=\"obrazovanie\"><div class=\"um-field-label\"><label for=\"obrazovanie-6300\">Education<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select   multiple=\"multiple\" name=\"obrazovanie[]\" id=\"obrazovanie\" data-maxsize=\"0\" data-validate=\"\" data-key=\"obrazovanie\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"No education\" >No education<\/option><option value=\"Primary education\" >Primary education<\/option><option value=\"Secondary education\" >Secondary education<\/option><option value=\"Higher education\" >Higher education<\/option><option value=\"Something else\" >Something else<\/option><\/select><\/div><\/div><div  id=\"um_field_6300_kvalifikacia\" class=\"um-field um-field-multiselect  um-field-kvalifikacia um-field-multiselect um-field-type_multiselect\" data-key=\"kvalifikacia\"><div class=\"um-field-label\"><label for=\"kvalifikacia-6300\">License<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><select   multiple=\"multiple\" name=\"kvalifikacia[]\" id=\"kvalifikacia\" data-maxsize=\"0\" data-validate=\"\" data-key=\"kvalifikacia\" class=\"um-form-field valid not-required um-s1\" style=\"width: 100%\" data-placeholder=\"\"  aria-invalid=\"false\" ><option value=\"\"><\/option><option value=\"No license\" >No license<\/option><option value=\"License &quot;C&quot;\" >License &quot;C&quot;<\/option><option value=\"UEFA &quot;C&quot; license\" >UEFA &quot;C&quot; license<\/option><option value=\"UEFA &quot;B&quot; license\" >UEFA &quot;B&quot; license<\/option><option value=\"UEFA &quot;A&quot; license\" >UEFA &quot;A&quot; license<\/option><option value=\"UEFA &quot;PRO&quot; license\" >UEFA &quot;PRO&quot; license<\/option><option value=\"Goalkeeping Coach - Level &quot;B&quot;\" >Goalkeeping Coach - Level &quot;B&quot;<\/option><option value=\"Goalkeeper Coach - Level &quot;A&quot;\" >Goalkeeper Coach - Level &quot;A&quot;<\/option><option value=\"UEFA &quot;B&quot; level goalkeeper coach\" >UEFA &quot;B&quot; level goalkeeper coach<\/option><option value=\"FUTSAL coach\" >FUTSAL coach<\/option><option value=\"Fitness Coach License\" >Fitness Coach License<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"um-row _um_row_11\" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-131\"><div  id=\"um_field_6300_file_upload\" class=\"um-field um-field-file  um-field-file_upload um-field-file um-field-type_file\" data-key=\"file_upload\" data-mode=\"register\" data-upload-label=\"Attach\"><input type=\"hidden\" name=\"file_upload-6300\" id=\"file_upload-6300\" value=\"\"  aria-invalid=\"false\" \/><div class=\"um-field-label\"><div class=\"um-field-label-icon\"><i class=\"um-faicon-upload\" aria-label=\"Attach a file\"><\/i><\/div><label for=\"file_upload-6300\">Attach a file<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\" style=\"text-align: center;\"><div class=\"um-single-file-preview\" data-key=\"file_upload\"><\/div><a href=\"#\" data-modal=\"um_upload_single\" data-modal-size=\"normal\" data-modal-copy=\"1\" class=\"um-button um-btn-auto-width\">Attach<\/a><\/div><div class=\"um-modal-hidden-content\"><div class=\"um-modal-header\"> Attach a file<\/div><div class=\"um-modal-body\"><div class=\"um-single-file-preview\">\n\t\t\t\t\t\t\t\t\t\t<a href=\"javascript:void(0);\" class=\"cancel\"><i class=\"um-icon-close\"><\/i><\/a>\n\t\t\t\t\t\t\t\t\t\t<div class=\"um-single-fileinfo\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"\" target=\"_blank\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"icon\"><i><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"filename\"><\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div><div class=\"um-single-file-upload\" data-user_id=\"\" data-timestamp=\"1792163180\" data-nonce=\"88a224d26b\"  data-set_id=\"6300\" data-set_mode=\"register\" data-type=\"file\" data-key=\"file_upload\" data-max_size=\"999999999\" 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