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document.writeln('		<form method="post" name="form1" enctype="multipart/form-data" action="http://www.sitemason.com/form/kBT2PC">');
document.writeln('<input type="hidden" name="referer" value="http://campus.belmont.edu/music/ncc/index-9.html">');
document.writeln('<input type="hidden" name="form__current_page" value="1">		<table id="sitemason_kBT2PC" class="sitemason_form" border="0" cellspacing="0" cellpadding="0" style="width:7inpx;" align="center">');
document.writeln('					<tr>');
document.writeln('  <td>');
document.writeln('    <h1 class="sitemason_title">2009-2010 NCC Audition Request Form<br />');
document.writeln('</h1>');
document.writeln('  </td>');
document.writeln('</tr>			<tr>');
document.writeln('					<td class="sitemason_body">');
document.writeln('		');
document.writeln('		<div>');
document.writeln('  <div class="sitemason_body" style="text-align:left; border-style:none; margin-bottom:14px; ">');
document.writeln('    <div><span style="color: rgb(51, 51, 153);"><span style="font-size: medium;">Please fill out information below:</span></span><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; ">');
document.writeln('      <label class="label" for="firstname">First Name</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:2in; " name="firstname">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; ">');
document.writeln('      <label class="label" for="middlename">Middle Name</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:125px; " name="middlename">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; ">');
document.writeln('      <label class="label" for="lastname">Last Name</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:200px; " name="lastname">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; float:left; ">');
document.writeln('    <div style="text-align:left; width:250px; float:left;">');
document.writeln('      <label class="label" for="preferredname">Name child prefers to be called  </label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <input type="text" style="width:200px; " name="preferredname">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; float:left; ">');
document.writeln('    <div style="text-align:left; width:100px; float:left;">');
document.writeln('      <label class="label" for="age">Age of Child</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <input type="text" style="width:1in; " name="age">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; width:4in; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="address">Mailing Address</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="float:left; ">');
document.writeln('      <textarea rows="5" style="width:200px; " name="address"></textarea>');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; width:300px; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; float:left;">');
document.writeln('      <label class="label" for="eml">Email Address</label>');
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document.writeln('      <input type="text" style="width:450px; " name="eml">');
document.writeln('    </div>');
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document.writeln('  <br clear="all">');
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document.writeln('      <label class="label" for="parentguardian">Parent/Guardian Last Name</label>');
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document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:200px; " name="parentguardian">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:200px; ">');
document.writeln('      <label class="label" for="parentguardianfirstname">Parent/Guardian First Name</label>');
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document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:200px; " name="parentguardianfirstname">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; ">');
document.writeln('      <label class="label" for="homephone">Home Phone</label>');
document.writeln('    </div>');
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document.writeln('      <input type="text" style="width:160px; " name="homephone">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; ">');
document.writeln('      <label class="label" for="workphone">Work Phone</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:160px; " name="workphone">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5px; float:left; ">');
document.writeln('    <div style="text-align:left; width:150px; ">');
document.writeln('      <label class="label" for="cellphone">Cell Phone</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:160px; " name="cellphone">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; float:left; ">');
document.writeln('    <div style="text-align:left; width:350px; ">');
document.writeln('      <label class="label" for="school">Name of School child will attend 2009-2010</label>');
document.writeln('    </div>');
document.writeln('    <div align="left" class="value" style="">');
document.writeln('      <input type="text" style="width:300px; " name="school">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0; float:left; ">');
document.writeln('    <div style="text-align:left; width:250px; ">');
document.writeln('      <label class="label" for="grade0809">Grade in School 2009-2010</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="">');
document.writeln('      <select name="grade0809">');
document.writeln('        <option value="">click here</option>');
document.writeln('        <option value="3">3rd Grade</option>');
document.writeln('        <option value="4">4th Grade</option>');
document.writeln('        <option value="5">5th Grade</option>');
document.writeln('        <option value="6">6th Grade</option>');
document.writeln('        <option value="7">7th Grade</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="fieldname">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" style="width:6.5in; text-align:left; border-style:none; padding-bottom:5px; margin-bottom:0; margin-left:0.25in; ">');
document.writeln('    <div><div><span style="font-size: small;"><span style="font-size: medium;"><span style="font-family: Arial;"><br />');
document.writeln('Please indicate the approximate time you wish to audition between 4:00 - 6:00 pm.&nbsp; If the time slot you choose is no longer available or does not correspond to your child\'s age or grade level, we will substitute the closest available time slot. &nbsp;Please note that though the actual audition will take approximately 15 minutes, you will need to allow 45 minutes for the entire audition process (filling out paperwork, etc.)</span></span></span></div><br clear="all">');
document.writeln('    </div>');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; float:left; ">');
document.writeln('    <div style="text-align:left; width:250px; ">');
document.writeln('      <label class="label" for="auditiondate">Date you wish to Audition</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="">');
document.writeln('      <select name="auditiondate">');
document.writeln('        <option value="">click here</option>');
document.writeln('        <option value="12th">May 12th - Tuesday</option>');
document.writeln('        <option value="19th">May 19th - Tuesday</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="fieldname">');
document.writeln('  </div>');
document.writeln('  <div class="sitemason_body" style="margin-left:0.5in; float:left; ">');
document.writeln('    <div style="text-align:left; width:200px; ">');
document.writeln('      <label class="label" for="auditiontime">Audition Time Request</label>');
document.writeln('    </div>');
document.writeln('    <div class="value" align="left" style="">');
document.writeln('      <select name="auditiontime">');
document.writeln('        <option value="">click here</option>');
document.writeln('        <option value="400">4:00pm</option>');
document.writeln('        <option value="415">4:15pm</option>');
document.writeln('        <option value="430">4:30pm</option>');
document.writeln('        <option value="445">4:45pm</option>');
document.writeln('        <option value="500">5:00pm</option>');
document.writeln('        <option value="515">5:15pm</option>');
document.writeln('        <option value="530">5:30pm</option>');
document.writeln('        <option value="545">5:45pm</option>');
document.writeln('        <option value="600">6:00pm</option>');
document.writeln('        <option value="615">6:15pm</option>');
document.writeln('      </select>');
document.writeln('    </div>');
document.writeln('    <input type="hidden" name="fieldname">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('  <div class="sitemason_body" align="center" style="text-align:center; ">');
document.writeln('    <input type="submit" name="submit" value="Submit Request">');
document.writeln('  </div>');
document.writeln('  <br clear="all">');
document.writeln('</div>');
document.writeln('');
document.writeln('				</td>');
document.writeln('			</tr>');
document.writeln('			</table>');
document.writeln('		</form>');
