{"id":5303,"date":"2020-12-07T10:48:22","date_gmt":"2020-12-07T10:48:22","guid":{"rendered":"https:\/\/wtgf.org\/refitforlife\/register-2\/"},"modified":"2024-01-26T12:12:35","modified_gmt":"2024-01-26T12:12:35","slug":"register","status":"publish","type":"page","link":"https:\/\/wtgf.org\/refitforlife\/register\/","title":{"rendered":"Register"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-one-full fusion-column-first fusion-column-last\" style=\"--awb-bg-blend:overlay;--awb-bg-size:cover;--awb-margin-top:0px;--awb-margin-bottom:0px;\"><div class=\"fusion-column-wrapper fusion-flex-column-wrapper-legacy\"><div class=\"fusion-text fusion-text-1\"><h2>Register<\/h2>\n<\/div><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_16' style='display:none'><form method='post' enctype='multipart\/form-data'  id='gform_16'  action='\/refitforlife\/wp-json\/wp\/v2\/pages\/5303' data-formid='16' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_16' class='gform_fields top_label form_sublabel_below description_below validation_below' data-column-layout='fill'><li id=\"field_16_15\" class=\"gfield gfield--type-username gfield--input-type-username gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"3a1779f0\" data-field-span=\"12\"><label id='gfield_label_16_15' class='gfield_label gform-field-label' for='input_16_15'><span class='gform-field-label__text'>Username<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_15' id='input_16_15' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_17\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"caf5df7f\" data-field-span=\"12\"><label id='gfield_label_16_17' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_16_17'>\n                            \n                            <span id='input_16_17_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.3' id='input_16_17_3' value=''   aria-required='true'     aria-labelledby=\"input_16_17_3_label gfield_label_16_17\"\/>\n                                                    <label for='input_16_17_3' id='input_16_17_3_label' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_16_17_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_17.6' id='input_16_17_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_16_17_6' id='input_16_17_6_label' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_16_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"71d22ed3\" data-field-span=\"12\"><label id='gfield_label_16_5' class='gfield_label gform-field-label' for='input_16_5'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_16_5' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_16_16\" class=\"gfield gfield--type-password gfield--input-type-password gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"><label id='gfield_label_16_16' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Password<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_16'>At least 11 characters long. A combination of uppercase letters, lowercase letters, numbers, and symbols. <\/div><div class='ginput_complex ginput_container ginput_container_password gform-grid-row' id='input_16_16_container'>\n\t\t\t\t\t\t<span id='input_16_16_1_container' class='ginput_password ginput_left gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_16' id='input_16_16' onkeyup='gformShowPasswordStrength(this);' onchange='gformShowPasswordStrength(this);' aria-describedby=\"input_16_16_strength_indicator gfield_description_16_16\" aria-labelledby=\"input_16_16_label gfield_label_16_16\" value=''   aria-required=\"true\" aria-invalid=\"false\"   \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' onclick='javascript:gformToggleShowPassword(this);' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_16_16' id='input_16_16_label' class='gform-field-label gform-field-label--type-sub '>Enter Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span id='input_16_16_2_container' class='ginput_password ginput_right gform-grid-col gform-grid-col--size-auto'>\n\t\t\t\t\t\t\t<span class='password_input_container'>\n\t\t\t\t\t\t\t<input type='password' name='input_16_2' id='input_16_16_2' onkeyup='gformShowPasswordStrength(this);' onchange='gformShowPasswordStrength(this);' value=''   aria-required=\"true\" aria-invalid=\"false\"   \/>\n\t\t\t\t\t\t\t<button type='button' class='gform_show_password gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' onclick='javascript:gformToggleShowPassword(this);' aria-live='polite' aria-label='Show Password' data-label-show='Show Password' data-label-hide='Hide Password'><span class='dashicons dashicons-hidden' aria-hidden='true'><\/span><\/button>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_16_16_2' id='input_16_16_2_label' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><div id='input_16_16_strength_indicator' class='gfield_password_strength'  aria-live='assertive' aria-atomic='true'>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\tStrength indicator\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input type='hidden' class='gform_hidden' id='input_16_16_strength' name='input_16_strength' \/><\/li><li id=\"field_16_32\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"b8a41b6e\" data-field-span=\"12\"><label id='gfield_label_16_32' class='gfield_label gform-field-label' for='input_16_32'><span class='gform-field-label__text'>Are you a transplant recipient?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_32' id='input_16_32' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='Transplant Recipient' >Transplant Recipient<\/option><option value='Living Donor' >Living Donor<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_16_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"05ee55a8\" data-field-span=\"12\"><label id='gfield_label_16_33' class='gfield_label gform-field-label' for='input_16_33'><span class='gform-field-label__text'>Please specify if &#039;Other&#039;?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_16_33' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_7\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"a1e81e6d\" data-field-span=\"12\"><label id='gfield_label_16_7' class='gfield_label gform-field-label' ><span class='gform-field-label__text'>I confirm I have been given the all clear by my medical professional to start this program.<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_16_7'>\n\t\t\t<li class='gchoice gchoice_16_7_0'>\n\t\t\t\t<input name='input_7' type='radio' value='Yes'  id='choice_16_7_0'    \/>\n\t\t\t\t<label for='choice_16_7_0' id='label_16_7_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_14\" class=\"gfield gfield--type-number gfield--input-type-number gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible\" data-group-id=\"c32f0fb6\" data-field-span=\"12\"><label id='gfield_label_16_14' class='gfield_label gform-field-label' for='input_16_14'><span class='gform-field-label__text'>How old are you?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_14'>You need to be 18 or older to participate<\/div><div class='ginput_container ginput_container_number'><input name='input_14' id='input_16_14' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_16_14\" \/><\/div><\/li><li id=\"field_16_24\" class=\"gfield gfield--type-select gfield--input-type-select gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"0acfe013\" data-field-span=\"12\"><label id='gfield_label_16_24' class='gfield_label gform-field-label' for='input_16_24'><span class='gform-field-label__text'>What is your gender?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_24' id='input_16_24' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select from dropdown<\/option><option value='Female' >Female<\/option><option value='Male' >Male<\/option><option value='Non-binary' >Non-binary<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_16_21\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"ff1e639b\" data-field-span=\"12\"><label id='gfield_label_16_21' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Country of residence?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_country ginput_container_address gform-grid-row' id='input_16_21' >\n                        <input type='hidden' class='gform_hidden' name='input_21.4' id='input_16_21_4' value=''\/><span class='ginput_left address_country ginput_address_country gform-grid-col' id='input_16_21_6_container' >\n                                        <select name='input_21.6' id='input_16_21_6'   aria-required='true'    aria-labelledby=\"input_16_21_6_label gfield_label_16_21\"><option value='' >Select from dropdown<\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_16_21_6' id='input_16_21_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_16_22\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"9c590580\" data-field-span=\"12\"><label id='gfield_label_16_22' class='gfield_label gform-field-label' for='input_16_22'><span class='gform-field-label__text'>What is your transplant type? (if applicable)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_22' id='input_16_22' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_23\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"bd31b9e1\" data-field-span=\"12\"><label id='gfield_label_16_23' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Date of your last transplant<\/span><\/label><div id='input_16_23' class='ginput_container ginput_complex gform-grid-row'><div class=\"clear-multi\">\n                                    <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_16_23_2_container'>\n                                        <input type='number' maxlength='2' name='input_23[]' id='input_16_23_2' value=''   aria-required='false'   aria-labelledby=\"input_16_23_2_label gfield_label_16_23\"  placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_16_23_2' id='input_16_23_2_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Day<\/label>\n                                    <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_16_23_1_container'>\n                                    <input type='number' maxlength='2' name='input_23[]' id='input_16_23_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                    <label for='input_16_23_1' id='input_16_23_1_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Month<\/label>\n                               <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_16_23_3_container'>\n                                    <input type='number' maxlength='4' name='input_23[]' id='input_16_23_3' value=''   aria-required='false'   placeholder='YYYY' min='1920' max='2027' step='1'\/>\n                                    <label for='input_16_23_3' id='input_16_23_3_label' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Year<\/label>\n                               <\/div>\n                            <\/div><\/div><\/li><li id=\"field_16_34\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"635ad77f\" data-field-span=\"12\"><label id='gfield_label_16_34' class='gfield_label gform-field-label' for='input_16_34'><span class='gform-field-label__text'>What is your motivation for participating in the Refit for Life program?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_34' id='input_16_34' class='textarea large'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_16_30\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"681ce5fe\" data-field-span=\"12\"><label id='gfield_label_16_30' class='gfield_label gform-field-label' for='input_16_30'><span class='gform-field-label__text'>How did you hear about the Refit for Life! program?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_16_30' class='large gfield_select'     aria-invalid=\"false\" ><option value='WTGF Website' >WTGF Website<\/option><option value='Social Media \u2013 Facebook, Instagram, Twitter' >Social Media \u2013 Facebook, Instagram, Twitter<\/option><option value='WTGF TransplantWorld Journal' >WTGF TransplantWorld Journal<\/option><option value='Member Country Association' >Member Country Association<\/option><option value='Local Transplant Association' >Local Transplant Association<\/option><option value='Fit for Life! Ambassador' >Fit for Life! Ambassador<\/option><option value='Word of Mouth' >Word of Mouth<\/option><option value='Through Transplant Unit in my country' >Through Transplant Unit in my country<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id=\"field_16_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"4d5e2c9c\" data-field-span=\"12\"><label id='gfield_label_16_31' class='gfield_label gform-field-label' for='input_16_31'><span class='gform-field-label__text'>Please specify<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_16_31' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_16_12\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"413e4ba4\" data-field-span=\"12\"><label id='gfield_label_16_12' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Terms and conditions<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_12'><li class='gchoice gchoice_16_12_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_12.1' type='checkbox'  value='I have read the &lt;strong&gt;&lt;a href=&quot;#popmake-4155&quot;&gt;Terms &amp; Conditions&lt;\/a&gt;&lt;\/strong&gt;'  id='choice_16_12_1'    aria-labelledby=\"label_16_12_1 gfield_label_16_12\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_12_1' id='label_16_12_1' class='gform-field-label gform-field-label--type-inline'>I have read the <strong><a href=\"#popmake-4155\">Terms &amp; Conditions<\/a><\/strong><\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_20\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield_contains_required field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gfield--choice-align-vertical\" data-group-id=\"322accdd\" data-field-span=\"12\"><label id='gfield_label_16_20' class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>WTGF Indemnity<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='gfield_description' id='gfield_description_16_20'>I acknowledge that  I, on behalf of myself, my next-of-kin, my heirs, executors, administrators and assigns, hereby release and discharge the World Transplant Games Federation (WTGF), and any other representatives involved in the creation of Refit for Life for any injury, loss, or damage to my person or property and all expenses and costs, however caused, arising out of, or in connection with my participation in the Refit for Life Rehabilitation Program.\n&nbsp;\nI agree that by participating in this program I am personally assuming responsibility for any injury to myself or my property and I acknowledge that I have been medically cleared to participate in this program.  I furthermore acknowledge that by participating in this program, the WTGF may collect personal data pertaining to myself, my transplant and my progress on the Refit for life program.  The personal data, which may be kept on paper or on a computer or other media, is subject to legal safeguards specified in numerous laws and regulations of its member countries. <\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_16_20'><li class='gchoice gchoice_16_20_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_20.1' type='checkbox'  value='Yes, I agree'  id='choice_16_20_1'   aria-describedby=\"gfield_description_16_20\" aria-labelledby=\"label_16_20_1 gfield_label_16_20\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_16_20_1' id='label_16_20_1' class='gform-field-label gform-field-label--type-inline'>Yes, I agree<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_16_19\" class=\"gfield gfield--type-captcha gfield--input-type-captcha field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"a5f383d1\" data-field-span=\"12\"><label id='gfield_label_16_19' class='gfield_label gform-field-label' for='input_16_19'><span class='gform-field-label__text'>CAPTCHA<\/span><\/label><div id='input_16_19' class='ginput_container ginput_recaptcha' data-sitekey='6LcV_2AUAAAAAGMFG6Pd9g6q2evElNrMIhanR80R'  data-theme='light' data-tabindex='0'  data-badge=''><\/div><\/li><li id=\"field_16_26\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" data-group-id=\"cc800d5d\" data-field-span=\"12\"><div class='ginput_container ginput_container_text'><input name='input_26' id='input_16_26' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='active' \/><\/div><\/li><li id=\"field_16_27\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\" 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                 <\/form>\n                        <\/div><div class=\"fusion-text fusion-text-2\"><p><strong><a href=\"https:\/\/wtgf.org\/refitforlife\/login\/\">Already Have a Profile?<\/a><\/strong><\/p>\n<\/div><div class=\"fusion-clearfix\"><\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5303","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Register - Refit for Life!<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/wtgf.org\/refitforlife\/register\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta 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