{"id":12,"date":"2010-07-20T16:27:18","date_gmt":"2010-07-20T16:27:18","guid":{"rendered":"http:\/\/www.thealexandrian.org\/wordpress\/?page_id=12"},"modified":"2025-10-24T12:21:28","modified_gmt":"2025-10-24T12:21:28","slug":"register-online","status":"publish","type":"page","link":"https:\/\/www.rootsofbruce.com\/?page_id=12","title":{"rendered":"Register Online"},"content":{"rendered":"\n\n<!-- Fast Secure Contact Form plugin 4.0.44 - begin - FastSecureContactForm.com -->\r\n<div style=\"clear:both;\"><\/div>\n<p>All teachers must register online here.  Registration is complete once we receive your payment.  Register early.  Space is limited.<\/p>\r\n<div id=\"FSContact1\" style=\"width:99%; max-width:555px;\">\r\n<form action=\"https:\/\/www.rootsofbruce.com\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F12#FSContact1\" id=\"fscf_form1\" method=\"post\">\r\n\n<div id=\"fscf_required1\">\n  <span style=\"text-align:left;\">*<\/span> <span style=\"text-align:left;\">The asterisk denotes required information.<\/span>\n<\/div>\n\n<div id=\"fscf_div_clear_contact1\" style=\"clear:both;\">\n  <div id=\"fscf_div_field_contact1\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\r\n    <div style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_mail_to1\">Select a contact:<span style=\"text-align:left;\">*<\/span><\/label>\r\n    <\/div>\r\n    <div style=\"text-align:left;\">\r\n      <select style=\"text-align:left;\" id=\"fscf_mail_to1\" name=\"mailto_id\"  aria-required=\"true\" >\r\n       <option value=\"\">Select<\/option>\n       <option value=\"1\">Registrations<\/option>\n       <option value=\"2\">Webmaster<\/option>\n      <\/select>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\n<div id=\"fscf_div_clear1_0\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_0\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\r\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_name1\">Teacher or Supervisor's Name:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\r\n    <div style=\"text-align:left;\">\r\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_name1\" name=\"full_name\" value=\"\"  \/>\r\n    <\/div>\r\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_1\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_1\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"text-align:left;\" for=\"fscf_email1\">Email:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_email1\" name=\"email\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_16\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_16\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_16\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_16\">Phone Number<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_16\" name=\"phonenumber\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_17\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_17\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_17\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_17\">School Secretary&#039;s name:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_17\" name=\"School-Secretarys-name\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_18\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_18\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_18\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_18\">School Secretary&#039;s email:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_18\" name=\"School-Secretarys-email\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_19\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_19\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_19\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_19\">School phone number:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_19\" name=\"School-phone-number\" value=\"\"  \/>\n    <\/div>\n\n    <div style=\"clear:both;\"><\/div>\n<br \/>\n\n  <\/div>\n<\/div>\n\n<div style=\"clear:both;\"><\/div>\n\n<fieldset id=\"fscf_fieldset1_4\" style=\"border:1px solid black; width:97%; max-width:500px; padding:10px;\">\r\n\t  <legend>Part One<\/legend>\n\n<div id=\"fscf_div_clear1_5\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_5\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_5\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_5\">Name of School<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_5\" name=\"name-of-school\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_6\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_6\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_6\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_6\">Name of Principal<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_6\" name=\"name-of-principal\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_7\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_7\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_7\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_7\">Preferred Method of Contacting Teacher:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <select style=\"text-align:left;\" id=\"fscf_field1_7\" name=\"preferred-method-of-contacting-teacher[]\">\n        <option value=\"1\">Phone<\/option>\n        <option value=\"2\">Fax<\/option>\n        <option value=\"3\">E-mail<\/option>\n        <option value=\"4\">Post<\/option>\n      <\/select>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_8\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_8\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_8\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_8\">Address\/number for Preferred Method of Contact:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_8\" name=\"addressnumber-for-preferred-method-of-co\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_9\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_9\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n\n    <div style=\"clear:both;\"><\/div>\n<b>There is a fee of $5 per student; please make out a cheque to \"Roots of Bruce\" and send it to  Tim Mancell   Box 1060.  15 Johnstone Blvd   Walkerton ON  N0G 2V0  E-transfer is also available using tmancell@wightman.ca Payment in advance required.<\/b>\n\n    <div  id=\"fscf_label1_9\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_9\">Number of Students Attending: (Each class must register separately)<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_9\" name=\"number-of-students-attending-each-class\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div style=\"clear:both;\"><\/div>\n<\/fieldset>\n\n<fieldset id=\"fscf_fieldset1_10\" style=\"border:1px solid black; width:97%; max-width:500px; padding:10px;\">\r\n\t  <legend>Part Two<\/legend>\n\n<div id=\"fscf_div_clear1_11\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_11\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n\n    <div style=\"clear:both;\"><\/div>\nSelect the preferred day for your visit.\n\n    <div  id=\"fscf_label1_11\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_11\">First Choice:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"radio\" style=\"width:22px; height:32px;\" id=\"fscf_field1_11_1\" name=\"first-choice\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_11_1\">April 16<\/label><\/span><br \/>\n      <span><input type=\"radio\" style=\"width:22px; height:32px;\" id=\"fscf_field1_11_2\" name=\"first-choice\" value=\"2\" \/> <label style=\"display:inline;\" for=\"fscf_field1_11_2\">April 17<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_12\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_12\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_12\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_12\">Second Choice:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <span><input type=\"radio\" style=\"width:22px; height:32px;\" id=\"fscf_field1_12_1\" name=\"second-choice\" value=\"1\" \/> <label style=\"display:inline;\" for=\"fscf_field1_12_1\">April 16<\/label><\/span><br \/>\n      <span><input type=\"radio\" style=\"width:22px; height:32px;\" id=\"fscf_field1_12_2\" name=\"second-choice\" value=\"2\" \/> <label style=\"display:inline;\" for=\"fscf_field1_12_2\">April 17<\/label><\/span><br \/>\n      <span><input type=\"radio\" style=\"width:22px; height:32px;\" id=\"fscf_field1_12_3\" name=\"second-choice\" value=\"3\" \/> <label style=\"display:inline;\" for=\"fscf_field1_12_3\">None<\/label><\/span>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div style=\"clear:both;\"><\/div>\n<\/fieldset>\n\n<fieldset id=\"fscf_fieldset1_13\" style=\"border:1px solid black; width:97%; max-width:500px; padding:10px;\">\r\n\t  <legend>Part Three<\/legend>\n\n<div id=\"fscf_div_clear1_14\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_14\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n\n    <div style=\"clear:both;\"><\/div>\nYou may arrange to share a bus with another school at the same time and date.\n\n    <div  id=\"fscf_label1_14\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_14\">Name of School to share the bus:<\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_14\" name=\"name-of-school-to-share-the-bus\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_15\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_15\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_15\" style=\"text-align:left; padding-top:5px;\">\r\n      <label style=\"text-align:left;\" for=\"fscf_field1_15\">Comments\/Questions:<\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px;\" type=\"text\" id=\"fscf_field1_15\" name=\"commentsquestions\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<div style=\"text-align:left; padding-top:5px;\">\n<\/div>\n<div id=\"fscf_captcha_image_div1\" style=\"width:250px; height:65px; padding-top:2px;\">\n      <img loading=\"lazy\" decoding=\"async\" id=\"fscf_captcha_image1\" style=\"border-style:none; margin:0; padding:0px; padding-right:5px; float:left;\" src=\"https:\/\/www.rootsofbruce.com\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix=ENTr7yoDattv5ZZT\" width=\"175\" height=\"60\" alt=\"CAPTCHA\" title=\"CAPTCHA\" \/>\n      <input id=\"fscf_captcha_prefix1\" type=\"hidden\" name=\"fscf_captcha_prefix1\" value=\"ENTr7yoDattv5ZZT\" \/>\n     <div id=\"fscf_captcha_refresh1\">\n        <a href=\"#\" rel=\"nofollow\" title=\"Refresh\" onclick=\"fscf_captcha_refresh('1','\/wp-content\/plugins\/si-contact-form\/captcha','https:\/\/www.rootsofbruce.com\/wp-content\/plugins\/si-contact-form\/captcha\/securimage_show.php?prefix='); return false;\">\n        <img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.rootsofbruce.com\/wp-content\/plugins\/si-contact-form\/captcha\/images\/refresh.png\" width=\"22\" height=\"20\" alt=\"Refresh\" style=\"border-style:none; margin:0; padding:0px; vertical-align:bottom;\" onclick=\"this.blur();\" \/><\/a>\r\n     <\/div>\r\n<\/div>\r\n\r\n<div id=\"fscf_captcha_field1\" style=\"text-align:left; padding-top:5px;\">\r\n     <label style=\"text-align:left;\" for=\"fscf_captcha_code1\">Please type the following characters to prove you are not a spambot:<span style=\"text-align:left;\">*<\/span><\/label>\r\n<\/div>\r\n<div style=\"text-align:left;\">\n     <input style=\"text-align:left; margin:0; width:50px;\" type=\"text\" value=\"\" autocomplete=\"off\" id=\"fscf_captcha_code1\" name=\"captcha_code\"  \/>\n<\/div>\n\n<div id=\"fscf_submit_div1\" style=\"text-align:left; clear:both; padding-top:15px;\">\r\n\t\t<input type=\"submit\" id=\"fscf_submit1\" style=\"cursor:pointer; margin:0;\" value=\"Submit\"  onclick=\"this.disabled=true; this.value='Submitting...'; this.form.submit();\" \/> \n<\/div>\n\n<input type=\"hidden\" name=\"fscf_submitted\" value=\"0\" \/>\n<input type=\"hidden\" name=\"fs_postonce_1\" value=\"a36118b4f2429fbbad929241675c90c6,1776035647\" \/>\n<input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"1\" \/>\n\n<\/form>\n\n    <p style=\"font-size:x-small; font-weight:normal; padding-top:5px; text-align:center;\">Powered by <a href=\"http:\/\/wordpress.org\/extend\/plugins\/si-contact-form\/\" target=\"_blank\">Fast Secure Contact Form<\/a><\/p>\n<\/div>\r\n<div style=\"clear:both;\"><\/div>\n\n<!-- Fast Secure Contact Form plugin 4.0.44 - end - FastSecureContactForm.com -->\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":10,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"_links":{"self":[{"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=\/wp\/v2\/pages\/12"}],"collection":[{"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=12"}],"version-history":[{"count":3,"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=\/wp\/v2\/pages\/12\/revisions"}],"predecessor-version":[{"id":810,"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=\/wp\/v2\/pages\/12\/revisions\/810"}],"up":[{"embeddable":true,"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=\/wp\/v2\/pages\/10"}],"wp:attachment":[{"href":"https:\/\/www.rootsofbruce.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=12"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}