- ID da verificação
- 0938b66c-a5eb-4e3a-b778-ba65ffbdce43Concluído
- URL enviado:
- https://belgravialeisure.cmail19.com/t/y-l-muykhht-hyjyhlcdk-r/Redirecionado
- Relatório concluído:
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Variáveis JavaScript · 26 encontrada(s)
Variáveis JavaScript globais carregadas no objeto janela de uma página são variáveis declaradas fora das funções e acessíveis de qualquer lugar no código dentro do escopo atual
| Nome | Tipo |
|---|---|
| onbeforetoggle | object |
| documentPictureInPicture | object |
| onscrollend | object |
| initalizeLogTime | function |
| recordError | function |
| resetErrors | function |
| writeToLog | function |
| errors | function |
| errorsText | function |
| logsText | function |
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HTML
O corpo HTML bruto da página
<!DOCTYPE html><html lang="en" class="cog-public-form"><head>
<meta charset="utf-8">
<meta http-equiv="X-UA-Compatible" content="IE=edge">
<title>Learn to Swim with us</title>
<meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0">
<style>
@media (max-width: 860px) {
:root:root:root:root:root:root:root .cog-form__container {
width: 100%;
max-width: 100%;
min-height: 100vh;
min-height: 100dvh;
margin: 0;
}
:root:root:root:root:root:root:root:root .cog-form--opaque-background {
background-image: none;
background-color: var(--form__background-color);
}
:root:root:root:root:root:root:root .cog-form--opaque-background .cog-form__container {
min-height: initial;
box-shadow: none;
}
}
</style>
<link rel="stylesheet" type="text/css" href="https://www.cognitoforms.com/Content/public-form.css?cachehash=880218669" class="cog-style">
<link rel="apple-touch-icon" sizes="180x180" href="https://www.cognitoforms.com/Content/Images/favicons/apple-touch-icon.png">
<link rel="icon" type="image/png" href="https://www.cognitoforms.com/Content/Images/favicons/favicon-32x32.png">
<link rel="manifest" href="https://www.cognitoforms.com//Content/site.webmanifest">
<link rel="mask-icon" href="https://www.cognitoforms.com/Content/Images/favicons/safari-pinned-tab.svg" color="#D85427">
<link rel="alternate" type="application/json+oembed" href="https://www.cognitoforms.com/f/oembed?url=https%3a%2f%2fwww.cognitoforms.com%2fCityOfSydneyLeisure%2fLearnToSwimWithUs" title="Learn to Swim with us">
<meta name="msapplication-TileColor" content="#234652">
<meta name="msapplication-config" content="https://www.cognitoforms.com/Content/Images/favicons/browserconfig.xml">
<meta name="theme-color" content="#ffffff">
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.cog-fade-leave-active{transition:opacity calc(var(--speed)/4)}html .cog-fade-enter,html .cog-fade-leave-to,:root:root:root:root:root .cog-fade-enter,:root:root:root:root:root .cog-fade-leave-to{opacity:0}@keyframes cog-expand{0%{transform:scaleY(0)}100%{transform:scaleY(1)}}@keyframes cog-fade-in{0%{opacity:0}100%{opacity:1}}@keyframes cog-fade-out{0%{opacity:1}100%{opacity:0}}@keyframes cog-spin{0%{transform:rotate(0deg)}100%{transform:rotate(359deg)}}@keyframes cog-shake{from,to{transform:translate3d(0, 0, 0)}10%,30%,50%,70%,90%{transform:translate3d(-3px, 0, 0)}20%,40%,60%,80%{transform:translate3d(3px, 0, 0)}}@keyframes cog-tada{from{-webkit-transform:scale3d(1, 1, 1);transform:scale3d(1, 1, 1)}10%,20%{-webkit-transform:scale3d(0.9, 0.9, 0.9) rotate3d(0, 0, 1, -3deg);transform:scale3d(0.9, 0.9, 0.9) rotate3d(0, 0, 1, -3deg)}30%,50%,70%,90%{-webkit-transform:scale3d(1.1, 1.1, 1.1) rotate3d(0, 0, 1, 3deg);transform:scale3d(1.1, 1.1, 1.1) rotate3d(0, 0, 1, 3deg)}40%,60%,80%{-webkit-transform:scale3d(1.1, 1.1, 1.1) rotate3d(0, 0, 1, -3deg);transform:scale3d(1.1, 1.1, 1.1) rotate3d(0, 0, 1, -3deg)}to{-webkit-transform:scale3d(1, 1, 1);transform:scale3d(1, 1, 1)}}@keyframes cog-zoom{0%{opacity:0;transform:scale(1.1)}100%{opacity:1;transform:scale(1)}}</style><style class="cog-style">html .cog-button__status-icon,:root:root:root:root:root .cog-button__status-icon{position:absolute;bottom:0;left:0;right:0;top:0;margin:auto}html .cog-button--has-status[class*=is-] .cog-button__text,html .cog-button--has-status[class*=is-] .cog-button__icon,:root:root:root:root:root .cog-button--has-status[class*=is-] .cog-button__text,:root:root:root:root:root .cog-button--has-status[class*=is-] .cog-button__icon{opacity:.3}html .cog-button__status-icon.is-validating,:root:root:root:root:root .cog-button__status-icon.is-validating{animation:cog-spin calc(var(--speed)*1.5) infinite linear;fill:currentcolor;stroke:transparent}html .cog-button__status-icon.is-success,:root:root:root:root:root .cog-button__status-icon.is-success{animation:cog-tada var(--speed)}html .cog-button.is-error,:root:root:root:root:root .cog-button.is-error{animation:cog-shake var(--speed)}html .cog-button__status-icon.is-error,:root:root:root:root:root .cog-button__status-icon.is-error{transform:scale(1.3)}</style><style class="cog-style">html .cog-form--show-all-pages .cog-page,:root:root:root:root:root .cog-form--show-all-pages .cog-page{transition:none !important}html .cog-form--show-all-pages .cog-page:not(:last-child) .cog-page__navigation,:root:root:root:root:root .cog-form--show-all-pages .cog-page:not(:last-child) .cog-page__navigation{display:none}html .cog-form--show-all-pages .cog-page+.cog-page,:root:root:root:root:root .cog-form--show-all-pages .cog-page+.cog-page{margin-top:calc(var(--gutter) - calc(var(--gutter) / 4))}html .cog-page,:root:root:root:root:root .cog-page{width:100%}html .cog-page::after,:root:root:root:root:root .cog-page::after{display:block;clear:both;content:""}html .cog-page[data-page]::after,:root:root:root:root:root .cog-page[data-page]::after{padding-top:calc(var(--gutter)/2);content:attr(data-page);font-size:var(--small-text);text-align:right}html .cog-page.cog-page-enter-active,html .cog-page.cog-page-leave-active,:root:root:root:root:root .cog-page.cog-page-enter-active,:root:root:root:root:root .cog-page.cog-page-leave-active{transition:all ease-in-out var(--speed)}html .cog-form:not(.is-success) .cog-page.cog-transition-enter-active,html .cog-form:not(.is-success) .cog-page-transition .cog-page,:root:root:root:root:root .cog-form:not(.is-success) .cog-page.cog-transition-enter-active,:root:root:root:root:root .cog-form:not(.is-success) .cog-page-transition .cog-page{position:absolute}html .cog-transition-ltr.cog-page-enter,:root:root:root:root:root .cog-transition-ltr.cog-page-enter{opacity:0;transform:translateX(-120%)}html .cog-transition-ltr.cog-page+.cog-transition-ltr.cog-page-leave-to,:root:root:root:root:root .cog-transition-ltr.cog-page+.cog-transition-ltr.cog-page-leave-to{transform:translateX(100%)}html .cog-transition-ltr.cog-page+.cog-transition-ltr.cog-page-enter,:root:root:root:root:root .cog-transition-ltr.cog-page+.cog-transition-ltr.cog-page-enter{transform:translateX(100%)}html .cog-transition-ltr.cog-page-leave-to,:root:root:root:root:root .cog-transition-ltr.cog-page-leave-to{opacity:0;transform:translateX(-120%)}html .is-validating .cog-page,:root:root:root:root:root .is-validating .cog-page{opacity:.4}html .is-success:not(.cog-form--confirmation-has-entry-details) .cog-page:not(.cog-confirmation),:root:root:root:root:root .is-success:not(.cog-form--confirmation-has-entry-details) .cog-page:not(.cog-confirmation){display:none}html .cog-form--confirmation-has-entry-details .cog-page,:root:root:root:root:root .cog-form--confirmation-has-entry-details .cog-page{opacity:0;animation-name:cog-fade-in;animation-duration:calc(var(--speed)/2);animation-fill-mode:forwards;transition:none}html .cog-form--confirmation-has-entry-details .cog-page[data-page]::after,:root:root:root:root:root .cog-form--confirmation-has-entry-details .cog-page[data-page]::after{content:none}html .cog-form--confirmation-has-entry-details .cog-page.cog-page-leave-active,:root:root:root:root:root .cog-form--confirmation-has-entry-details .cog-page.cog-page-leave-active{animation:none}html .cog-form--confirmation-has-entry-details .cog-page:not(.cog-confirmation),:root:root:root:root:root .cog-form--confirmation-has-entry-details .cog-page:not(.cog-confirmation){animation-delay:var(--speed)}html .grecaptcha-badge,:root:root:root:root:root .grecaptcha-badge{display:none}html .cog-page__navigation,:root:root:root:root:root .cog-page__navigation{display:flex;flex-wrap:wrap;justify-content:flex-start;padding-top:calc(var(--gutter)/2)}html .cog-page__navigation .cog-button,:root:root:root:root:root .cog-page__navigation .cog-button{margin-top:calc(var(--gutter)/2)}html .cog-page__navigation .cog-button:not(:last-child),:root:root:root:root .cog-page__navigation .cog-button:not(:last-child){margin-right:calc(var(--gutter)/2)}html .cog-page__navigation.is-being-measured .cog-button--navigation,:root:root:root:root:root .cog-page__navigation.is-being-measured .cog-button--navigation{transition:none}html .cog-button--save,:root:root:root:root:root .cog-button--save{margin-left:auto}html .cog-submission-warning,:root:root:root:root:root .cog-submission-warning{padding-top:calc(var(--gutter)/2);font-size:var(--small-text)}html .cog-page__navigation--condensed .cog-button,:root:root:root:root:root .cog-page__navigation--condensed .cog-button{width:100%;margin-right:0}</style><style class="cog-style">html .cog-field,html .cog-section,:root:root:root:root:root .cog-field,:root:root:root:root:root .cog-section{position:relative;z-index:0}html .cog-field,:root:root:root:root:root .cog-field{min-width:5.2em}html .cog-input,:root:root:root:root:root .cog-input{margin-bottom:calc(var(--gutter)/4);padding-top:calc(var(--gutter)/4)}html [data-old-safari] .cog-input .cog-input,:root:root:root:root:root [data-old-safari] .cog-input .cog-input{margin:0 !important;padding:0 !important}html .cog-input .cog-input,:root:root:root:root:root .cog-input .cog-input{padding:0}html .cog-form:not([data-old-safari]) .cog-field .cog-row,:root:root:root:root:root .cog-form:not([data-old-safari]) .cog-field .cog-row{column-gap:calc(var(--gutter)/2)}html [data-old-safari] .cog-field .cog-row,:root:root:root:root:root [data-old-safari] .cog-field .cog-row{width:calc(100% + calc(var(--gutter) / 2));margin-left:calc(var(--gutter)*-0.25)}html [data-old-safari] .cog-field .cog-row .cog-input,:root:root:root:root:root [data-old-safari] .cog-field .cog-row .cog-input{padding-right:calc(var(--gutter)/4);padding-left:calc(var(--gutter)/4)}html .cog-input--full,:root:root:root:root:root .cog-input--full{flex:0 1 100%}html .cog-input--long,:root:root:root:root:root .cog-input--long{flex:3 1 12em}html .cog-input--medium,:root:root:root:root:root .cog-input--medium{flex:1 0 7em}html .cog-input--small,:root:root:root:root:root .cog-input--small{flex:1 0 5em}html .cog-input--tiny,:root:root:root:root:root .cog-input--tiny{flex:1 0 3.75em}html .cog-label,:root:root:root:root:root .cog-label{display:block;padding-top:calc(var(--gutter)/4);color:var(--label__color, inherit);font-family:var(--label__font-family, inherit);font-size:var(--label__font-size, inherit);font-weight:var(--label__font-weight, normal)}html .is-required .cog-label,:root:root:root:root:root .is-required .cog-label{padding-right:.6em}html .cog-asterisk,:root:root:root:root:root .cog-asterisk{position:absolute;margin-left:.2em;content:"*";color:var(--negative)}html .cog-helptext,:root:root:root:root:root .cog-helptext{margin-bottom:calc(var(--gutter)/4);font-size:var(--small-text)}html .cog-cognito--styled .cog-field,:root:root:root:root:root .cog-cognito--styled .cog-field{border-radius:var(--border-radius)}html .cog-form fieldset,:root:root:root:root:root .cog-form fieldset{border:0}html .cog-form fieldset,html .cog-form figure,:root:root:root:root:root .cog-form fieldset,:root:root:root:root:root .cog-form figure{margin:0;padding:0}html .cog-form legend,:root:root:root:root:root .cog-form legend{display:block;width:100%;float:left;padding-right:0;padding-left:0}html .cog-form legend+*,:root:root:root:root:root .cog-form legend+*{clear:both}</style><style class="cog-style">html .cog-field__placeholder-inner,:root:root:root:root:root .cog-field__placeholder-inner{margin:0;outline-width:var(--input__border-width, var(--border-width));padding-top:var(--input__padding-v);padding-bottom:var(--input__padding-v);font-family:var(--font-family, inherit);font-size:var(--input__font-size, 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.cog-field__placeholder-inner::-ms-input-placeholder,:root:root:root:root:root .cog-field__placeholder-inner::-ms-input-placeholder{color:var(--placeholder__color)}html .cog-field__placeholder-inner:-ms-input-placeholder,:root:root:root:root:root .cog-field__placeholder-inner:-ms-input-placeholder{color:var(--placeholder__color) !important}html .cog-field__placeholder-inner::-moz-placeholder,:root:root:root:root:root .cog-field__placeholder-inner::-moz-placeholder{opacity:1}html .cog-field__placeholder-inner:focus,html .cog-field__placeholder-inner.is-focus,html .cog-field__placeholder-inner.StripeElement--focus,html .cog-field__placeholder-inner.c-square-input--focus,:root:root:root:root:root .cog-field__placeholder-inner:focus,:root:root:root:root:root .cog-field__placeholder-inner.is-focus,:root:root:root:root:root .cog-field__placeholder-inner.StripeElement--focus,:root:root:root:root:root .cog-field__placeholder-inner.c-square-input--focus{border-color:var(--highlight);box-shadow:var(--input-focus__box-shadow)}html .cog-file .cog-field__placeholder-inner,:root:root:root:root:root .cog-file .cog-field__placeholder-inner{min-height:calc(var(--input__line-height)*var(--button-primary__font-size) + var(--input__padding-v)*2 + var(--gutter)*1.125)}html .cog-signature .cog-field__placeholder-inner,:root:root:root:root:root .cog-signature .cog-field__placeholder-inner{padding-top:54.5%;padding-top:clamp(130px,54.5%,270px);line-height:0}html .cog-address .cog-field__placeholder-inner,:root:root:root:root:root .cog-address .cog-field__placeholder-inner{min-height:calc(var(--input__padding-v)*6 + var(--line-height)*var(--input__font-size)*3 + var(--input__border-width)*6 + var(--gutter))}html .cog-field__placeholder .cog-icon,:root:root:root:root:root .cog-field__placeholder .cog-icon{position:absolute;bottom:calc(50% - 15px);left:0;top:calc(50% - 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.cog-lookup--loading.is-read-only .cog-icon{bottom:0;top:0;height:100%}</style><style class="cog-style">html .cog-error-message,:root:root:root:root:root .cog-error-message{background:var(--negative);padding:calc(var(--gutter)/4);color:var(--negative-reverse);font-size:var(--small-text)}html .cog-error-message--container-footer,:root:root:root:root:root .cog-error-message--container-footer{border-radius:0 0 var(--border-radius) var(--border-radius)}html .cog-error-message--inline,:root:root:root:root:root .cog-error-message--inline{border-radius:calc(var(--border-radius)*.5);padding:.2em .4em;white-space:nowrap}html .cog-hidden-validation .cog-error-message--container-footer,:root:root:root:root:root .cog-hidden-validation .cog-error-message--container-footer{width:100%;margin-left:0}html .cog-col.is-required,:root:root:root:root:root .cog-col.is-required{transition:transform calc(var(--speed)/4)}html .cog-col.is-error:not(.cog-hidden-validation),:root:root:root:root:root .cog-col.is-error:not(.cog-hidden-validation){margin-top:calc(var(--gutter)/4);margin-bottom:calc(var(--gutter)/2 + 3px);transition:margin calc(var(--speed)/2)}html .cog-col.is-error:not(.cog-hidden-validation)::before,html .cog-col.is-error:not(.cog-hidden-validation)::after,:root:root:root:root:root .cog-col.is-error:not(.cog-hidden-validation)::before,:root:root:root:root:root .cog-col.is-error:not(.cog-hidden-validation)::after{display:block;position:absolute;bottom:0;left:0;right:0;top:0;z-index:-1;border-radius:var(--border-radius);content:""}html .cog-form--light-background .cog-col.is-error::before,:root:root:root:root:root .cog-form--light-background .cog-col.is-error::before{background:#fff;outline:#fff calc(var(--gutter)/2 - 3px) solid;opacity:.8}html .cog-form--light-background .cog-col.is-error::after,:root:root:root:root:root .cog-form--light-background .cog-col.is-error::after{background:var(--negative);outline:var(--negative) calc(var(--gutter)/2 - 3px) solid;opacity:.1}html .cog-form--dark-background .cog-col.is-error::before,:root:root:root:root:root .cog-form--dark-background .cog-col.is-error::before{background:var(--negative);outline:var(--negative) calc(var(--gutter)/2 - 3px) solid;opacity:.5}html .cog-form--dark-background .cog-col.is-error::after,:root:root:root:root:root .cog-form--dark-background .cog-col.is-error::after{background:#000;outline:#000 calc(var(--gutter)/2 - 3px) solid;opacity:.1}html .cog-cognito--styled .cog-error-message--container-footer,:root:root:root:root:root .cog-cognito--styled .cog-error-message--container-footer{opacity:1;transition:calc(var(--speed)/2)}html .cog-cognito--styled .cog-error-message-enter-active,html .cog-cognito--styled .cog-error-message-leave-active,:root:root:root:root:root .cog-cognito--styled .cog-error-message-enter-active,:root:root:root:root:root .cog-cognito--styled .cog-error-message-leave-active{max-height:4em}html .cog-cognito--styled .cog-error-message-enter,html 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<body>
<script src="/Scripts/testing/AutotestDetect.js"></script>
<script src="/Scripts/vertical-form-edge-snapping.js?cachehash=880218669"></script>
<form lang="en" tabindex="-1" class="😉 cog-cognito cog-form cog-47 is-default cog-cognito--styled cog-form--light-background" data-stretch=""><div class="cog-form__container"><div class="cog-form__content"><header class="cog-header cog-wrapper cog-header--logo-only cog-header--left"><img src="https://www.cognitoforms.com/file/LlLuTMwk4tdifMqcPZXia0n7O_eWd5fmTBYNZqz7SbXU0lJr-gc_mD_XjSMFDlaa" alt="360_logo"> <div class="cog-header__text cog-wrapper"><h1 class="cog-heading">Learn to Swim with us</h1> <!----></div></header><!----><div class="cog-body"><!----><div class="cog-page cog-wrapper cog-transition-ltr"><div class="cog-row"><fieldset class="cog-field cog-field--1 cog-col cog-col--24 cog-name is-required"><legend class="cog-label">
Parent / Guardian name<span aria-hidden="true" class="cog-asterisk">*</span> <span class="cog-offscreen">(required)</span> <!----></legend> <div class="cog-name"><div class="cog-row"><!----> <div class="cog-input cog-name__first cog-input--long"><div class="el-input"><!----><input type="text" autocomplete="given-name" aria-label="First" id="cog-input-auto-0" placeholder="First" title="First" class="el-input__inner"><!----><!----><!----><!----></div></div> <!----> <!----> <div class="cog-input cog-name__last cog-input--long"><div class="el-input"><!----><input type="text" autocomplete="family-name" aria-label="Last" id="cog-input-auto-1" placeholder="Last" title="Last" class="el-input__inner"><!----><!----><!----><!----></div></div> <!----></div></div> <div class="cog-field__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div> <!----> <!----> <!----></fieldset></div><div class="cog-row"><div class="cog-field cog-field--2 cog-col cog-col--12 cog-email is-required"><label id="cog-1-label" for="cog-1" class="cog-label">
Email<span aria-hidden="true" class="cog-asterisk">*</span> <span class="cog-offscreen">(required)</span> <!----></label> <div class="cog-input"><div class="el-input"><!----><input type="text" autocomplete="email" id="cog-1" placeholder="" class="el-input__inner"><!----><!----><!----><!----></div></div> <div class="cog-field__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div> <!----> <!----> <!----></div><div class="cog-field cog-field--3 cog-col cog-col--12 cog-phone cog-phone--international is-required"><label id="cog-2-label" for="cog-2" class="cog-label">
Phone<span aria-hidden="true" class="cog-asterisk">*</span> <span class="cog-offscreen">(required)</span> <!----></label> <div class="cog-input"><div class="el-input"><!----><input type="text" autocomplete="tel" id="cog-2" placeholder="Mobile" class="el-input__inner"><!----><!----><!----><!----></div></div> <div class="cog-field__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div> <!----> <!----> <!----></div></div><div class="cog-row"><div class="cog-field cog-field--5 cog-col cog-col--24 cog-choice cog-choice--dropdown is-required"><label id="cog-3-label" for="cog-3" class="cog-label">
Select your preferred centre<span aria-hidden="true" class="cog-asterisk">*</span> <span class="cog-offscreen">(required)</span> <!----></label> <div class="cog-choice"><div class="cog-picker cog-select cog-input"><div class="el-select el-select--dropdown-bottom"><!----><div class="el-input el-input--suffix"><!----><input type="text" readonly="readonly" autocomplete="prevent" placeholder="Select centre" id="cog-3" aria-controls="cog-3-listbox" role="combobox" aria-haspopup="listbox" aria-owns="cog-3-listbox" aria-expanded="false" class="el-input__inner" style="height: 40px;"><!----><span class="el-input__suffix"><span class="el-input__suffix-inner"><span><svg viewBox="0 0 18 18" focusable="false" class="cog-icon cog-i-chevron"><g><path stroke-linecap="square" d="M3 7l6 6 6-6"></path></g></svg></span><i class="el-select__caret el-input__icon el-icon-arrow-up" style="display: none;"></i><!----><!----><!----><!----><!----></span><!----></span><!----><!----></div><div class="el-select-dropdown el-popper cog-cognito cog-47 cog-cognito--styled cog-select-popper " style="display: none;"><!----><p class="el-select-dropdown__empty">
</p></div></div></div> <div class="cog-choice__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div></div> <div class="cog-field__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div> <!----> <!----> <!----></div></div><div class="cog-row"><fieldset class="cog-field cog-field--21 cog-col cog-col--24 cog-name is-required"><legend class="cog-label">
Student name<span aria-hidden="true" class="cog-asterisk">*</span> <span class="cog-offscreen">(required)</span> <!----></legend> <div class="cog-name"><div class="cog-row"><!----> <div class="cog-input cog-name__first cog-input--long"><div class="el-input"><!----><input type="text" autocomplete="given-name" aria-label="First" id="cog-input-auto-2" placeholder="First" title="First" class="el-input__inner"><!----><!----><!----><!----></div></div> <!----> <!----> <div class="cog-input cog-name__last cog-input--long"><div class="el-input"><!----><input type="text" autocomplete="family-name" aria-label="Last" id="cog-input-auto-3" placeholder="Last" title="Last" class="el-input__inner"><!----><!----><!----><!----></div></div> <!----></div></div> <div class="cog-field__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div> <!----> <!----> <!----></fieldset></div><div class="cog-row"><div class="cog-field cog-field--22 cog-col cog-col--12 cog-date cog-date--date is-required"><label id="cog-5-label" for="cog-5" class="cog-label">
Student date of birth<span aria-hidden="true" class="cog-asterisk">*</span> <span class="cog-offscreen">(required)</span> <!----></label> <div class="cog-picker cog-input"><div class="el-date-editor el-input el-input--prefix el-input--suffix el-date-editor--date"><!----><input type="text" autocomplete="off" name="" id="cog-5" class="el-input__inner"><span class="el-input__prefix"><i class="el-input__icon el-icon-date"></i><!----></span><span class="el-input__suffix"><span class="el-input__suffix-inner"><span><svg viewBox="0 0 18 18" focusable="false" class="cog-icon cog-i-calendar"><defs></defs><g><path d="M2.5 3.5h13v12h-13z"></path><path d="M4.02 7.5h9.88" class="cog-i-calendar__rule"></path><path d="M5.5 5V1.5M12.5 5V1.5"></path></g></svg></span><!----><!----><!----><!----></span><!----></span><!----><!----></div></div> <div class="cog-field__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div> <!----> <!----> <!----></div><div class="cog-field cog-field--25 cog-col cog-col--12 cog-text cog-text--multiplelines"><label id="cog-6-label" for="cog-6" class="cog-label">
Describe the students swimming ability<!----> <!----> <!----></label> <div class="cog-input"><div class="el-textarea"><textarea autocomplete="off" id="cog-6" placeholder="" class="el-textarea__inner" style="resize: both; min-height: 52px; height: 52px;"></textarea><!----></div></div> <div class="cog-field__placeholder cog-input"><div class="cog-field__placeholder-inner">
</div></div> <div class="cog-helptext cog-html"><p><em>e.g has previously participated in swimming lessons, able to swim 10m unassisted</em></p></div> <!----> <!----></div></div><div class="cog-row"><div class="cog-col cog-col--24"><div class="cog-content cog-html cog-input"><p><strong>Purpose of collection:</strong> This information is being collected for the purpose of existing members to submit a membership referal to Belgravia Leisure, operators of the City of Sydney's aquatic and leisure centres.<br><strong>Intended recipients:</strong> Customer service officers and centre management are the intended recipients. <br><strong>Supply:</strong> The supply of this information is voluntary. If you are unwilling to provide this information, Belgravia Leisure may be unable to provide an outcome for the enquiry. <br><strong>Access/Correction:</strong> Please contact our customer help desk on 1300 198 412 or at [email protected] to access or correct your personal information.<br><strong>Storage: </strong><em> </em>The Belgravia Leisure, Head Office located at 20 Longstaff Road, Bayswater, Victoria 3153<em>,</em><em> </em>is collecting this information and will store it securely.<br>For further details on how Belgravia Leisure manages personal information, please refer to our Privacy Policy https://belgravialeisure.com.au/privacy-policy/</p></div></div></div> <div class="cog-row" style="display: none;"><div class="cog-field cog-col cog-col--12"><!----></div></div> <div class="cog-page__navigation"><!----> <button type="submit" class="el-button cog-button--has-status cog-button--primary cog-button--navigation cog-button--submit el-button--default cog-button" data-next="" data-action-name="Submit"><!----><!----><span><!----> <span class="cog-button__text">
Submit
</span> <!----> </span></button> <!----></div> <!----></div></div><!----><!----><!----></div></div></form><script data-form="47" data-key="oL8IWZwrpEiOfPkyn3UMJQ" data-context="public" src="/f/seamless.js?cachehash=98ff72e01ceded95300c7fac19b96858" data-state="ready" class="cog-embed-script">
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