{"id":85,"date":"2024-01-02T09:44:57","date_gmt":"2024-01-02T13:44:57","guid":{"rendered":"http:\/\/localhost:8080\/ecpa_rd\/?page_id=85"},"modified":"2024-02-05T10:48:59","modified_gmt":"2024-02-05T14:48:59","slug":"registro","status":"publish","type":"page","link":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/registro\/","title":{"rendered":"ECPA 2024 &#8211; Registro"},"content":{"rendered":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f92-o1\" lang=\"es-DO\" dir=\"ltr\" data-wpcf7-id=\"92\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/85#wpcf7-f92-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/en\/wp-json\/wp\/v2\/pages\/85#wpcf7-f92-o1\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"92\" \/><input 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!important;\"><br \/>\nREGISTRATION FORM\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Name <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-nombre\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-nombre\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Last name <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-apellido\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-apellido\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Institution <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-institucion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-institucion\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Position <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-posicion\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-posicion\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Email <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Phone <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-telefono\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-telefono\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Country <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-pais\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-pais\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>City <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-ciudad\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-ciudad\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Participant category: <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"categoria-participante\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required categoria-participante\" id=\"categoria-participante\" aria-required=\"true\" aria-invalid=\"false\" name=\"categoria-participante\"><option value=\"\">Choose an option<\/option><option value=\"Jefe de Delegaci\u00f3n de Gobierno\">Head of Government delegation<\/option><option value=\"Delegado de Gobierno\">Government delegate<\/option><option value=\"Sector Privado\">Private sector<\/option><option value=\"Organizaci\u00f3n Internacional\">International organization<\/option><option value=\"Prensa\">Press<\/option><option value=\"P\u00fablico en General\">General public<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Gender <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-genero\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required tu-genero\" id=\"tu-genero\" aria-required=\"true\" aria-invalid=\"false\" name=\"tu-genero\"><option value=\"\">Choose an option<\/option><option value=\"Masculino\">Male<\/option><option value=\"Femenino\">Female<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Tipo de sangre <\/strong><strong style=\"color: red;\">*<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-tipo-sangre\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required tu-tipo-sangre\" id=\"tu-tipo-sangre\" aria-required=\"true\" aria-invalid=\"false\" name=\"tu-tipo-sangre\"><option value=\"\">Choose an option<\/option><option value=\"A+\">A+<\/option><option value=\"A-\">A-<\/option><option value=\"B+\">B+<\/option><option value=\"B-\">B-<\/option><option value=\"AB+\">AB+<\/option><option value=\"AB-\">AB-<\/option><option value=\"O+\">O+<\/option><option value=\"O-\">O-<\/option><\/select><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Allergies<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-alergia\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-alergia\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-6 col-sm-12\">\n\t\t\t\t<p><label><strong>Emergency contact<\/strong><\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tu-contacto-emergencia\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tu-contacto-emergencia\" \/><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t\t<div class=\"col-md-12 col-sm-12\">\n\t\t\t\t<p><label><strong>I give my consent for this information to be included in the ECPA database <\/strong><strong style=\"color: red;\">*<\/strong><\/label>\n\t\t\t\t<\/p>\n\t\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"mi-consentimiento\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required wpcf7-exclusive-checkbox mi-consentimiento\" id=\"mi-consentimiento\"><span class=\"wpcf7-list-item first\"><label><span class=\"wpcf7-list-item-label\">Yes<\/span><input type=\"checkbox\" name=\"mi-consentimiento\" value=\"S\u00ed\" \/><\/label><\/span><span class=\"wpcf7-list-item last\"><label><span class=\"wpcf7-list-item-label\">No<\/span><input type=\"checkbox\" name=\"mi-consentimiento\" value=\"No\" \/><\/label><\/span><\/span><\/span>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t<div class=\"col-md-6\">\n\t\t\t<div id='submit'>\n\t\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner btn btn-line\" type=\"submit\" value=\"SEND\" \/>\n\t\t\t\t<\/p>\n\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"en\"\/><\/form>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","site-container-style":"default","site-container-layout":"default","site-sidebar-layout":"default","disable-article-header":"default","disable-site-header":"default","disable-site-footer":"default","disable-content-area-spacing":"default","footnotes":""},"class_list":["post-85","page","type-page","status-publish","hentry"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"trp-custom-language-flag":false},"uagb_author_info":{"display_name":"pedro.franco","author_link":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/author\/pedro-franco\/"},"uagb_comment_info":0,"uagb_excerpt":null,"_links":{"self":[{"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/pages\/85","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/comments?post=85"}],"version-history":[{"count":11,"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/pages\/85\/revisions"}],"predecessor-version":[{"id":373,"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/pages\/85\/revisions\/373"}],"wp:attachment":[{"href":"https:\/\/reunionministerialecpa2024.mem.gob.do\/en\/wp-json\/wp\/v2\/media?parent=85"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}