






	<style>



	/* #loginform .login-submit input







	{



		width: auto !important;



		border-radius: 28px ;







		padding: 8px 60px !important;







		background-color: #014D67 ;







		border: 0px !important;







		color: #ffffff !important;







		font-size: 20px !important;







		text-transform: uppercase !important;







		text-decoration: none !important;







		



	} */







	.user-choice-area {







	  width: 100%;







	}







	.user-choice-block {







	  float: left;







	  width: 30%;







	}







	.user_login_choice







	{







		margin-right: 8px;







		margin-bottom: -5px !important;







	}







	.registration_after_show_word_success







	{







		margin-top: 10px;







		float: left;







		width:100%;







		margin-bottom: 10px;







		text-align: center;







	}







	.image-filters-enabled #user_pass







	{







		margin-left: 18px;







	}







	.image-filters-enabled .header







	{







		float:left;







		width:100%;







	}







	.student_reg_error







	{







		float:left;







	}







	@media only screen and (max-width : 768px) {







		.wp-embed-responsive .user-choice-area .user-choice-block {







			float: left;







			width: 50% !important;







		}







		.wp-embed-responsive .login-username,.wp-embed-responsive .login-password {







			width: 235px !important;







		}







		.wp-embed-responsive .user-choice-area {







			margin-left: 7% !important;







		}







		.et_divi_theme #searchform







		{







			float: left;







			width: 100%;







		}







		.et_divi_theme #sidebar







		{







			float: left !important;







		}







	}







	</style>	 







	<script type="text/javascript" src="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/js/jquery-3-6-0.js"></script>







	<script type="text/javascript">







	jQuery(document).ready(function() 







	{







		







		jQuery('.student_login_form').show();







		jQuery('.student_registraion_form').hide();







		






		






		jQuery("body").on("change",".user_login_choice",function()







		{







			var choice="";







			if(jQuery('.user_login_choice').is(':checked')) 







			{ 







				 choice=jQuery(this).val();







				if(choice=='new_user')







				{







						jQuery('.student_registraion_form').show();







						jQuery('.student_login_form').hide();







				}







				else







				{







						jQuery('.student_login_form').show();







						jQuery('.student_registraion_form').hide();







				}







				}







		});







	});







	</script>	 







	


		






		<div class="registration_form_custom_div gmgt_child_login_reg">



			






			<div class="user-choice-area">







				<div class="user-choice-block">







					<input class="user_login_choice user_login_frontend user_login_choice_membership" checked="true" type="radio" value="existing_user"  name="user_choice">Existing User






				</div>







				<div class="user-choice-block">					







					<input class="user_login_choice user_login_choice_frontend user_new_frontend" type="radio" value="new_user"  name="user_choice">New User






				</div>







			</div>















			<div class="student_login_form">






	


		<style>



		.login-username



		{



			padding-top: 40px !important;



			float: none !important;



		}



		.student_login_form .registration_form_custom_div



		{



			width: 100% !important;



		}



		.registration_form_custom_div



		{



			width: 50%;



			margin: auto;



		}



		</style>



		






	<style>







		.et_divi_theme .login-username label







		{







			margin-top: 15px !important;







    		display: inline-flex !important;















		}







		#loginform .login-submit input{







			border-radius: 28px ;







			padding: 8px 60px !important;







			background-color: #ba170b;







			border: 0px !important;







			color: #ffffff !important;







			font-size: 20px !important;







			text-transform: uppercase !important;







			text-decoration: none !important;







			width: auto;



		}







		.et_divi_theme .login-password label 







		{







			margin-top: 15px!important;







			display: inline-flex!important;







			width: 180px!important;







		}







		.et_divi_theme .login-submit, .et_divi_theme .login-remember {







			margin-top: 1%;







		}







		.et_divi_theme p.login-username







		{







			display: inline-block !important;







		}







		.et_divi_theme .login-username







		{







			float: unset !important;







		}







		.avada-responsive p.login-username







		{







			float: left;







    		width: 100%;







		}







		.avada-responsive p.login-password







		{







			float: left;







    		width: 100%;







		}







		.avada-responsive p.login-remember







		{







			float: left;







    		width: 100%;







		}







		.avada-responsive p.login-submit







		{







			float: left;







    		width: 100%;







		}







		.avada-responsive .avada_wifth_100







		{







			float: left;







    		width: 100%;







		}







		.login-username



		{



			width: 100%;



		}



		.login-password label



		{



			width: auto;



		}







		.login-username



		{



			padding-bottom: 15px;



		}



		.login-username







		{







			padding-top: 20px;







			float: left;







		}







		.avada_wifth_100







		{







			text-decoration: none;







   			display: block;







		}







		.login-submit,.login-remember







		{







			margin-top: 3%;







		}







		.footer-top-visible .login-username







		{







			float: left;







			width:100%;







			margin-top: 4%;







		}







		.footer-top-visible label







		{







			font-size:inherit !important;







		}







	</style>







	






		<div class="registration_form_custom_div">







			<form name="loginform" id="loginform" action="https://dadsquatch.xyz/wp-login.php" method="post"><p class="login-username">
				<label for="user_login">Email ID</label>
				<input type="text" name="log" id="user_login" autocomplete="username" class="input" value="" size="20" />
			</p><p class="login-password">
				<label for="user_pass">Password</label>
				<input type="password" name="pwd" id="user_pass" autocomplete="current-password" spellcheck="false" class="input" value="" size="20" />
			</p><p class="login-remember"><label><input name="rememberme" type="checkbox" id="rememberme" value="forever" /> Remember Me</label></p><p class="login-submit">
				<input type="submit" name="wp-submit" id="wp-submit" class="button button-primary" value="Log In" />
				<input type="hidden" name="redirect_to" value="https://dadsquatch.xyz/?dashboard=user" />
			</p></form><a href="https://dadsquatch.xyz/wp-login.php?action=lostpassword" class="avada_wifth_100 gmgt_chile_theme_forgot_pass" title="Lost Password">Forgot your password?</a> 






		</div>







		</div>	







			<div class="student_registraion_form">






	<script type="text/javascript"	src="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/js/popper.min.js"></script> 



	<link rel="stylesheet"	href="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/css/fronted_user_registration.css">	



	<link rel="stylesheet"	href="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/css/bootstrap_min.css">	



	<link rel="stylesheet"	href="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/css/bootstrap-multiselect.css">	



	<script type="text/javascript"	src="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/js/bootstrap_min.js"></script> 







	<script src="https://code.jquery.com/jquery-3.6.0.min.js" integrity="sha256-/xUj+3OJU5yExlq6GSYGSHk7tPXikynS7ogEvDej/m4=" crossorigin="anonymous"></script>



	<script src="https://cdn.jsdelivr.net/npm/bootstrap@5.0.1/dist/js/bootstrap.bundle.min.js" integrity="sha384-gtEjrD/SeCtmISkJkNUaaKMoLD0//ElJ19smozuHV6z3Iehds+3Ulb9Bn9Plx0x4" crossorigin="anonymous"></script>



	<script src="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-select/1.14.0-beta2/js/bootstrap-select.min.js" integrity="sha512-FHZVRMUW9FsXobt+ONiix6Z0tIkxvQfxtCSirkKc5Sb4TKHmqq1dZa8DphF0XqKb3ldLu/wgMa8mT6uXiLlRlw==" crossorigin="anonymous" referrerpolicy="no-referrer"></script>



	<link href="https://cdn.jsdelivr.net/npm/bootstrap@5.0.1/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-+0n0xVW2eSR5OomGNYDnhzAbDsOXxcvSN1TPprVMTNDbiYZCxYbOOl7+AMvyTG2x" crossorigin="anonymous">



	<link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/bootstrap-select/1.14.0-beta2/css/bootstrap-select.min.css" integrity="sha512-mR/b5Y7FRsKqrYZou7uysnOdCIJib/7r5QeJMFvLNHNhtye3xJp1TdJVPLtetkukFn227nKpXD9OjUc09lx97Q==" crossorigin="anonymous">



	



	<script type="text/javascript"	src="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/js/bootstrap-multiselect.js"></script> 



	<!-- <script type="text/javascript" src="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/js/jquery_3.6.0.js">



	</script> -->



	<script type="text/javascript" src="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/js/jquery-ui-1.12.1.min.js">



	</script>



	<!--- Changes Add script add child theme	--->



	<script type="text/javascript" src="https://dadsquatch.xyz/wp-content/plugins/gym-management/assets/accordian/jquery-ui.js"></script> 



	<script type="text/javascript"	src="https://dadsquatch.xyz/wp-content/plugins/gym-management/lib/validationEngine/js/languages/jquery.validationEngine-en.js"></script> 



	<script type="text/javascript"	src="https://dadsquatch.xyz/wp-content/plugins/gym-management/lib/validationEngine/js/jquery_validationEngine.js"></script>  



	<!-- Changes Code add child theme -->



	<script type="text/javascript">



		jQuery(document).ready(function() 



		{



			jQuery('.student_login_form').show();







			jQuery('.student_registraion_form').hide();







			






			






			jQuery("body").on("change",".user_login_choice",function()







			{







				var choice="";







				if(jQuery('.user_login_choice').is(':checked')) 







				{ 







					choice=jQuery(this).val();







					if(choice=='new_user')







					{







							jQuery('.student_registraion_form').show();







							jQuery('.student_login_form').hide();







					}







					else







					{







							jQuery('.student_login_form').show();







							jQuery('.student_registraion_form').hide();







					}







					}







			});







		});







	</script>	



   	<script type="text/javascript">







		jQuery(document).ready(function()







		{







			"use strict";







			var test = "en";







			jQuery('#registration_form').validationEngine({promptPosition : "bottomLeft",maxErrorsPerField: 1});	







			jQuery.datepicker.setDefaults($.datepicker.regional['en']);







			//console.log(test);







			jQuery('#birth_date').datepicker({







				dateFormat: 'yy/mm/dd',







				maxDate : 0,







				changeMonth: true,







				changeYear: true,







				yearRange:'-65:+25'







						







			});		







			jQuery('#inqiury_date').datepicker({







					dateFormat: 'yy/mm/dd',







					minDate:'today',







					changeMonth: true,







					changeYear: true,







					yearRange:'-65:+25'







				});		







				jQuery('#triel_date').datepicker({







					dateFormat: 'yy/mm/dd',







					minDate:'today',







					changeMonth: true,







					changeYear: true,







					yearRange:'-65:+25'







				});		







				jQuery('#first_payment_date').datepicker({







					dateFormat: 'yy/mm/dd',







					minDate:'today',







					changeMonth: true,







					changeYear: true,







					yearRange:'-65:+25'







				});		







			jQuery('#begin_date').datepicker({







					dateFormat: 'yy/mm/dd',







					minDate:'today',







					changeMonth: true,







					changeYear: true,







					yearRange:'-65:+25'







				});		







				jQuery('#end_date').datepicker({







					dateFormat: 'yy/mm/dd',







					changeMonth: true,







					changeYear: true,







					yearRange:'-65:+25'







				});		







				$('#group_id').multiselect(







				{







					nonSelectedText :'Select Group',







					includeSelectAllOption: true,







					allSelectedText :'All Selected',







					selectAllText : 'Select all',







					templates: {







							button: '<button class="multiselect btn btn-default dropdown-toggle" type="button" data-bs-toggle="dropdown" aria-expanded="false"><span class="multiselect-selected-text"></span><b class="caret"></b></button>',







						},







					buttonContainer: '<div class="dropdown" />'







				});	







			$('#classis_id').multiselect(







			{







				nonSelectedText :'Select Class',







				includeSelectAllOption: true,







				selectAllText : 'Select all',







				templates: {







						button: '<button class="multiselect btn btn-default dropdown-toggle" type="button" data-bs-toggle="dropdown" aria-expanded="false"><span class="multiselect-selected-text"></span><b class="caret"></b></button>',







					},







				buttonContainer: '<div class="dropdown" />'







			});	







		});







	</script>







	







	<script type="text/javascript">







		function MJ_gmgt_fileCheck(obj) 







		{







			var fileExtension = ['jpeg', 'jpg', 'png', 'gif', 'bmp',''];







			if ($.inArray($(obj).val().split('.').pop().toLowerCase(), fileExtension) == -1)







			{







				alert("Only .jpeg, .jpg, .png, .gif, .bmp formats are allowed.");		







				$(obj).val('');







			}







					







		}







	</script>







	






	<style>



		.discount_display{

		display: none;

		}



		button.multiselect.dropdown-toggle.btn.btn-default {







			width: 100%;







			margin-top: 0px;







			height: 45px !important;







		}



		.dropdown-item







		{







			width: 225px;







		}







		.accordion-button







		{







			font-size: 16px !important;







		}







		a







		{







			text-decoration: none;







		}







		#registration_form .frontend_button_regsiter{







			border-radius: 28px !important;







			padding: 8px 60px !important;







			background-color: #014D67 !important;







			border: 0px !important;







			color: #ffffff !important;







			font-size: 20px !important;







			text-transform: uppercase !important;







			text-decoration: none !important;







		}







		.header







		{







			float: left;







			width: 100%;







		}







		.min_width_375_px







		{







			min-width: 375px;







		}







		@media only screen and (max-width : 768px) {







			.min_width_375_px







			{







				min-width: 300px;







			}







		}







		.line_height_28







		{







			line-height: 28px !important;







		}







		.et_divi_theme .header







		{







			margin-bottom: 2%;







			margin-top: 2%;







			text-align: center;







		}







		.et_divi_theme .student_registraion_form input {







			line-height: 40px;







			border: 1px solid #bbb;







			margin-bottom: 10px;







		}







		.gym_registration_according



		{







			float: left;







			width: 100%;







			margin-top: 20px;







		}



		.height_53px{



			height: 43px !important;



		}



		@media (max-width: 768px)



		{



			.gym_registration_according



			{



				width: 100% !important;



				margin: 0% !important;



			}

			div.res_padding_10px {

				padding: 0 12px !important;

			}

			.wp-embed-responsive #loginform



			{



				text-align: initial;



			}



		}







	</style>







			



	<script type="text/javascript">



		jQuery(document).ready(function($) 



		{



			$("button.multiselect").on("click", function () 



			{



				var opened = $(this).parent().hasClass("open");



				if (! opened) {



					$('.btn-group').addClass('open');



					$("button.multiselect").attr('aria-expanded', 'true');



				} else {



					$('.btn-group').removeClass('open');



					$("button.multiselect").attr('aria-expanded', 'false');



				}



			});



		});



	</script>



	<div class="student_registraion_form"><!-- MEMBER REGISTRATION DIV START-->







		<form id="registration_form" action="/index.php/wp-json/wp/v2/pages/10" method="post" enctype="multipart/form-data"><!-- MEMBER REGISTRATION FORM START-->







			<input type="hidden" name="role" value=""  />







			<input type="hidden" name="user_id" value=""  />







			<input type="hidden" class="user_coupon" name="coupon_id" value="" />







			<div class="accordion gym_registration_according" id="myAccordion">







				<div class="accordion-item class_border_div">







					<h2 class="accordion-header accordion_header_custom_css" id="headingOne" >







						<button type="button" class="accordion-button class_route_list frontend_div" data-bs-toggle="collapse" data-bs-target="#collapseOne" style="font-weight:800;">Personal Information (Required Section.)</button>									







					</h2>







					<div id="collapseOne" class="accordion-collapse collapse theme_page_addmission_form_padding show" data-bs-parent="#myAccordion">







						<div class="card-body_1">







							<div class="form-body user_form"> <!-- user_form Strat-->   







								<div class="row"><!--Row Div Strat--> 







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="member_id" class="form-control validate[required]" type="text" value="M170426"  readonly name="member_id">







												<label class="" for="member_id">Member Id<span class="require-field">*</span></label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="first_name" class="form-control validate[required,custom[onlyLetter_specialcharacter]] text-input" maxlength="50" type="text" value="" name="first_name">







												<label class="" for="member_id">First Name<span class="require-field">*</span></label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="middle_name" class="form-control validate[custom[onlyLetter_specialcharacter]]" maxlength="50" type="text"  value="" name="middle_name">







												<label class="" for="member_id">Middle Name</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="last_name" class="form-control validate[required,custom[onlyLetter_specialcharacter]] text-input" maxlength="50" type="text"  value="" name="last_name">







												<label class="" for="member_id">Last Name<span class="require-field">*</span></label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 res_margin_bottom_20px">







										<div class="form-group">







											<div class="col-md-12 form-control">







												<div class="row">







													<div class="input-group">







														<label class="custom-top-label" for="gender">Gender<span class="require-field">*</span></label>







														<div class="d-inline-block gmgt_child_reg_gender gender_line_height_24px">







															






															<label class="radio-inline custom_radio">







																<input type="radio" value="male" class="tog" name="gender"   checked='checked'/><span class="ml_5">Male</span>







															</label>







															<label class="radio-inline custom_radio">







																<input type="radio" value="female" class="tog" name="gender"  /><span class="ml_5">Female </span>







															</label>







														</div>







													</div>







												</div>		







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="birth_date" class="form-control date_picker" type="text"  name="birth_date"  value="" readonly>







												<label class="date_of_birth_label date_label" for="member_id">Date of Birth</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="email" class="form-control validate[required,custom[email]] text-input" maxlength="100" type="text"  name="email" value="">







												<label class="" for="member_id">Email<span class="require-field">*</span></label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="password" class="form-control validate[required]" type="password" minlength="8" maxlength="12"  name="password" value="">







												<label class="" for="member_id">Password<span class="require-field">*</span></label>







											</div>







										</div>







									</div>







								</div>







							</div>







						</div>







					</div>







				</div>







				



					<div class="accordion-item class_border_div">







						<h2 class="accordion-header" id="headingThree">







							<button type="button" class="accordion-button class_route_list frontend_div collapsed" style="font-weight:800;" data-bs-toggle="collapse" data-bs-target="#collapseTwo">Membership Information (Required Section.)</a></button>                     







						</h2>







						<div id="collapseTwo" class="accordion-collapse collapse" data-bs-parent="#myAccordion">







							<div class="card-body_1">







								<div class="form-body user_form"> <!-- user_form Strat-->   







									<div class="row"><!--Row Div Strat--> 







										<div class="col-sm-12 col-md-6 col-lg-6 col-xl-6 input">







											<label class="ml-1 custom-top-label top" for="refered">Membership<span class="require-field">*</span></label>







											






											<select name="membership_id" class="form-control coupon_membership_id validate[required] " id="membership_id">







											






												<option value="">Select Membership </option>







												<option value=1 >Golden Membership</option>






											</select>







										</div>



										


										<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 input_color res_margin_bottom_20px multiselect_validation_member smgt_multiple_select">







											<select id="classis_id_front" class="form-control validate[required] classis_ids height_53px" name="class_id[]" multiple="multiple">



											<option class="select_class" value="">Select Class</option>



																	







											</select>







										</div>







										<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







											<div class="form-group input">







												<div class="col-md-12 form-control date_div">







													<input id="begin_date" class="form-control validate[required] begin_date date_picker date_class" type="text"  name="begin_date" value="" readonly>







													<label class="date_label" for="member_id">Membership Valid From<span class="require-field">*</span></label>







												</div>







											</div>







										</div>







										<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







											<div class="form-group input">







												<div class="col-md-12 form-control date_div">







													<input id="end_date" class="form-control validate[required] date_picker date_class" type="text" name="end_date" value="">







													<label class="date_label" for="member_id">Membership Valid To</label>







												</div>







											</div>







										</div>



										


										<div class="col-sm-4 col-md-4 col-lg-4 col-xl-4 ">







											<div class="form-group input">







												<div class="col-md-12 form-control">







													<input id="coupon_code" class="form-control coupon_code" type="text" value="" name="coupon_code" >







													<label class="" for="">Add Coupon Code</label>



													



												</div>



												



											</div>



										</div>



										



										<div class="col-sm-12 col-md-2 col-lg-2 col-xl-2 p-0 mb-3 res_padding_10px rtl_margin_top_15px">	







											<button id="" type="new_member" class="btn add_btn apply_coupon" >Apply</button>



											



										</div>



										



										<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 discount_display">







											<div class="form-group input">







												<div class="col-md-12 form-control">







													<input id="coupon_discount" class="form-control" type="text" value="" name="discount" readonly>







													<label class="" for="">Discount</label>







												</div>







											</div>







										</div>



										<span class="coupon_span"></span>







									</div>







								</div>







							</div>







						</div>







					</div>







					







				<div class="accordion-item class_border_div">







					<h2 class="accordion-header accordion_header_custom_css" id="headingOne" >







						<button type="button" class="accordion-button class_route_list frontend_div collapsed" data-bs-toggle="collapse" data-bs-target="#collapseThree" style="font-weight:800;">Contact Information</button>									







					</h2>







					<div id="collapseThree" class="accordion-collapse collapse" data-bs-parent="#myAccordion">







						<div class="card-body_1">







							<div class="form-body user_form"> <!-- user_form Strat-->   







								<div class="row"><!--Row Div Strat--> 







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="address" class="form-control validate[custom[address_description_validation]]" maxlength="150" type="text"  name="address" value="">







												<label class="" for="address">Address</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="city_name" class="form-control validate[custom[city_state_country_validation]]" maxlength="50" type="text"  name="city_name" value="">







												<label class="" for="city_name">City</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="state_name" class="form-control validate[custom[city_state_country_validation]]" maxlength="50" type="text"  name="state_name" value="">







												<label class="" for="state_name">State</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="zip_code" class="form-control validate[custom[number]]" maxlength="15" type="text"  name="zip_code" value="">







												<label class="" for="member_id">Zip Code</label>







											</div>







										</div>







									</div>







									<div class="col-md-6">







										<div class="row">







											<div class="col-md-4">







												<div class="form-group input margin_bottom_0">







													<div class="col-md-12 form-control">







														<input type="text" readonly value="+ 91"  class="form-control" name="phonecode">







														<label for="phonecode" class="pl-2">Code</label>







													</div>											







												</div>







											</div>







											<div class="col-md-8">







												<div class="form-group input margin_bottom_0">







													<div class="col-md-12 form-control">







														<input id="mobile" class="form-control validate[required,custom[phone_number]] text-input" type="text"  name="mobile" minlength="6" maxlength="15"value="">







														<label class="" for="mobile">Mobile Number<span class="require-field">*</span></label>







													</div>







												</div>







											</div>







										</div>







									</div> 







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="phone" class="form-control validate[custom[phone_number]] text-input" type="text"  name="phone" minlength="6" maxlength="15" value="">







												<label class="" for="phone">Phone</label>







											</div>







										</div>







									</div>







								</div>







							</div>







						</div>







					</div>







				</div>







				<div class="accordion-item class_border_div">







					<h2 class="accordion-header accordion_header_custom_css" id="headingOne" >







						<button type="button" class="accordion-button class_route_list frontend_div collapsed" data-bs-toggle="collapse" data-bs-target="#collapseFour" style="font-weight:800;">Physical Information</button>									







					</h2>







					<div id="collapseFour" class="accordion-collapse collapse" data-bs-parent="#myAccordion">







						<div class="card-body_1">







							<div class="form-body user_form"> <!-- user_form Strat-->   







								<div class="row"><!--Row Div Strat--> 







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="weight" class="form-control registration_height_32px text-input" type="number" min="0"  onkeypress="if(this.value.length==6) return false;" step="0.01" value="" 	name="weight" >







												<label class="" for="address">Weight</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="height" class="form-control registration_height_32px text-input" type="number" min="0"  onkeypress="if(this.value.length==6) return false;" step="0.01" value="" name="height">







												<label class="" for="city_name">Height</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="Chest" class="form-control registration_height_32px text-input" type="number" min="0"  onkeypress="if(this.value.length==6) return false;" step="0.01" value="" name="chest" >







												<label class="" for="state_name">Chest</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="waist" class="form-control registration_height_32px text-input" type="number" min="0"  onkeypress="if(this.value.length==6) return false;" step="0.01" value="" name="waist" >







												<label class="" for="zip_code">Waist</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="thigh" class="form-control registration_height_32px text-input" type="number" min="0"  onkeypress="if(this.value.length==6) return false;" step="0.01" value="" name="thigh" >







												<label class="" for="phone">Thigh</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="arms" class="form-control registration_height_32px text-input" type="number" min="0"  onkeypress="if(this.value.length==6) return false;" step="0.01" value="" name="arms" >







												<label class="" for="phone">Arms</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="fat" class="form-control registration_height_32px text-input" type="number" min="0" max="100"  onkeypress="if(this.value.length==6) return false;" step="0.01"value="">







												<label class="" for="phone">Fat</label>







											</div>







										</div>







									</div>







								</div>







							</div>







						</div>







					</div>







				</div>







				<div class="accordion-item class_border_div">







					<h2 class="accordion-header accordion_header_custom_css" id="headingOne" >







						<button type="button" class="accordion-button class_route_list frontend_div collapsed" data-bs-toggle="collapse" data-bs-target="#collapseFive" style="font-weight:800;">More Information</button>									







					</h2>







					<div id="collapseFive" class="accordion-collapse collapse" data-bs-parent="#myAccordion">







						<div class="card-body_1">







							<div class="form-body user_form"> <!-- user_form Strat-->   







								<div class="row"><!--Row Div Strat--> 







									<div class="col-sm-12 col-md-6 col-lg-6 col-xl-6 input">



										






										






										<select id="group_id"  name="group_id[]" class="form-control" multiple="multiple">				







											






										</select>	







									</div>







									<div class="col-sm-12 col-md-6 col-lg-6 col-xl-6 input">







										<label class="ml-1 custom-top-label top" for="refered">Interest Area</label>







										<select class="form-control" name="intrest_area" id="intrest_area">







											<option value="">Select Interest</option>







																







										</select>







									</div>







									






									<div class="col-sm-12 col-md-6 col-lg-6 col-xl-6 input">







										<label class="ml-1 custom-top-label top" for="refered">Referral Source</label>







										<select class="form-control" name="source" id="source">







											<option value="">Select Referral Source</option>







											






										</select>







									</div>







									<div class="col-sm-12 col-md-6 col-lg-6 col-xl-6 input">







										<label class="ml-1 custom-top-label top" for="refered">Referred By</label>







										






										<select name="reference_id" class="form-control" id="reference_id">







											<option value="">Select Referred Member</option>







											






										</select>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="inqiury_date" class="form-control date_picker" type="text"  name="inqiury_date" value="" readonly>







												<label class="date_label" for="city_name">Inquiry Date</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="triel_date" class="form-control date_picker" type="text"  name="triel_date"  value="" readonly>







												<label class="date_label" for="state_name">Trial End Date</label>







											</div>







										</div>







									</div>







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6 ">







										<div class="form-group input">







											<div class="col-md-12 form-control">







												<input id="first_payment_date" class="form-control date_picker" type="text"  name="first_payment_date" value="" readonly>







												<label class="date_label" for="zip_code">First Payment Date</label>







											</div>







										</div>







									</div>







									







									<div class="col-sm-6 col-md-6 col-lg-6 col-xl-6">







										<div class="form-group input">







											<div class="col-md-12 upload-profile-image-patient image_padding_0px">







												<div class="col-md-12 form-control upload-profile-image-frontend">	







													<label class="custom-control-label custom-top-label ml-2" for="photo">Image</label>







													<div class="col-sm-12 image_padding_0px">







														<input type="file" class="form-control margin_top_10 image_upload_line_height_24px" onchange="MJ_gmgt_fileCheck(this);" name="gmgt_user_avatar">







													</div>







												</div>







											</div>	







											<div class="clearfix"></div>







										</div>







									</div>	







								</div>







							</div>







						</div>







					</div>







				</div>







			</div>







			 







			<div class="col-sm-6 avada_width_100_per gmgt_child_theme_reg_btn"> 







				<input type="submit" value="Registration" name="save_member_front" class="btn save_btn_line_height_14px save_btn"/>







			</div>







		</form><!-- MEMBER REGISTRATION FORM END-->







	</div><!-- MEMBER REGISTRATION DIV END-->







	</div>		







		</div>







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