{"id":46639,"date":"2023-11-10T14:24:43","date_gmt":"2023-11-10T12:24:43","guid":{"rendered":"https:\/\/kalambakalibrary.org\/adult-membership-application-form\/"},"modified":"2023-12-15T11:56:06","modified_gmt":"2023-12-15T09:56:06","slug":"adult-membership-application-form","status":"publish","type":"page","link":"https:\/\/kalambakalibrary.org\/en\/adult-membership-application-form\/","title":{"rendered":"Adult Membership Application Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"46639\" class=\"elementor elementor-46639 elementor-46357\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-97a69a0 section-pad elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"97a69a0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6bf7907\" data-id=\"6bf7907\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ea3751 elementor-widget elementor-widget-heading\" data-id=\"1ea3751\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Membership Application Form\nfor Adults<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6557baa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6557baa\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-677764f\" data-id=\"677764f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-91d26c5 elementor-button-align-end elementor-widget elementor-widget-form\" data-id=\"91d26c5\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"New Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"46639\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"91d26c5\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Kalambaka Library\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_c824aa0 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"New Application\" id=\"form-field-field_c824aa0-0\" name=\"form_fields[field_c824aa0]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_c824aa0-0\">New Application<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Change Of Details\" id=\"form-field-field_c824aa0-1\" name=\"form_fields[field_c824aa0]\" required=\"required\" aria-required=\"true\"> <label for=\"form-field-field_c824aa0-1\">Change Of Details<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_a38d08f elementor-col-100\">\n\t\t\t\t\t<u><b>PERSONAL DETAILS<\/b><\/u> <br>\nWe need your information below in order to register as a member of the Kalambaka Library and to be able to offer you the services of the Kalambaka Library.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_d13a44d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_d13a44d]\" id=\"form-field-field_d13a44d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Surname\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1bb2dde elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1bb2dde]\" id=\"form-field-field_1bb2dde\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Name\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4060501 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4060501]\" id=\"form-field-field_4060501\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Father\u2019s Name\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7473cb5 elementor-col-80 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7473cb5]\" id=\"form-field-field_7473cb5\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Address\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_8f2bbf0 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_8f2bbf0]\" id=\"form-field-field_8f2bbf0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"P.C.\" required=\"required\" aria-required=\"true\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2b45b5d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2b45b5d]\" id=\"form-field-field_2b45b5d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"City\/ Village\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_e9851ce elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_e9851ce]\" id=\"form-field-field_e9851ce\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Telephone (Home phone\/ Mobile)\" required=\"required\" aria-required=\"true\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_39c1d47 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_39c1d47]\" id=\"form-field-field_39c1d47\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_3e12f8d elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_3e12f8d]\" id=\"form-field-field_3e12f8d\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of Birth\" required=\"required\" aria-required=\"true\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\" min=\"1940-12-31\" max=\"2020-12-31\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6db0f3b elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6db0f3b]\" id=\"form-field-field_6db0f3b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Profession\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_26e968c elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_26e968c]\" id=\"form-field-field_26e968c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Nationality\" required=\"required\" aria-required=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_b127313 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_b127313]\" id=\"form-field-field_b127313\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\">\n\t\t\t\t<label for=\"form-field-field_b127313\">I have been informed about the operation and the Regulations of the Library and I agree to become a member.<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-acceptance elementor-field-group elementor-column elementor-field-group-field_f3680b5 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t<div class=\"elementor-field-subgroup\">\n\t\t\t<span class=\"elementor-field-option\">\n\t\t\t\t<input type=\"checkbox\" name=\"form_fields[field_f3680b5]\" id=\"form-field-field_f3680b5\" class=\"elementor-field elementor-size-sm  elementor-acceptance-field\" required=\"required\" aria-required=\"true\">\n\t\t\t\t<label for=\"form-field-field_f3680b5\">I have received knowledge and a copy of the \"Kalambaka Library Information to Members and Users Regarding the Processing of Personal Data\" (which is also available at https:\/\/www.kalambakalibrary.org\/personal data policy)<\/label>\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-recaptcha_v3 elementor-field-group elementor-column elementor-field-group-field_404250b elementor-col-100 recaptcha_v3-bottomright\">\n\t\t\t\t\t<div class=\"elementor-field\" id=\"form-field-field_404250b\"><div class=\"elementor-g-recaptcha\" data-sitekey=\"6LfoOjApAAAAAKjTfBlZ9jWKMsHeY43nNgtU_8a4\" data-type=\"v3\" data-action=\"Form\" data-badge=\"bottomright\" data-size=\"invisible\"><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text\">\n\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_829a755]\" id=\"form-field-field_829a755\" class=\"elementor-field elementor-size-sm \" style=\"display:none !important;\">\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span 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