{"id":20476,"date":"2023-10-04T10:01:07","date_gmt":"2023-10-04T14:01:07","guid":{"rendered":"https:\/\/amisdubiodome.ca\/?page_id=20476"},"modified":"2025-01-03T10:21:32","modified_gmt":"2025-01-03T15:21:32","slug":"membership-passeport-pour-la-vie","status":"publish","type":"page","link":"https:\/\/amisdubiodome.ca\/en\/membership-passeport-pour-la-vie\/","title":{"rendered":"Passeport Pour La Vie &#8211; NEW"},"content":{"rendered":"<section  class='av_textblock_section av-rjlvsg-12341570a6550fbdd83fcc070bc53067 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><div><\/div>\n<div class=\"msg_text\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\">Children aged 4 and under do not need a subscription to visit the Biodome as it is free for ages 0-4.<\/span><\/span><\/span><\/span><\/div>\n<div class=\"membership-form passeport-pour-la-vie\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><span style=\"vertical-align: inherit;\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\t\t\t\t<div id=\"gotrgf_form_container_141\" class='gotrgf_form_container'><div class='gotrgf_form_wrapper'> \n\t\t\t\t\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_141' style='display:none'><div id='gf_141' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">--New Purchase Espace pour la Vie Passport--<\/h2>\n                            <p class='gform_description'><\/p>\n\t\t\t\t\t\t\t<p class='gform_required_legend'>&quot;<span class=\"gfield_required gfield_required_asterisk\">*<\/span>&quot; indicates required fields<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_141'  action='\/en\/wp-json\/wp\/v2\/pages\/20476#gf_141' data-formid='141' novalidate><div id=\"payments-sdk__contingency-lightbox\"><\/div><div id='gf_page_steps_141' class='gf_page_steps'><div id='gf_step_141_1' class='gf_step gf_step_active gf_step_first'><span class='gf_step_number'>1<\/span><span class='gf_step_label'>Select your <br\/>memberships<\/span><\/div><div id='gf_step_141_2' class='gf_step gf_step_next gf_step_pending'><span class='gf_step_number'>2<\/span><span class='gf_step_label'>Donation<\/span><\/div><div id='gf_step_141_3' class='gf_step gf_step_pending'><span class='gf_step_number'>3<\/span><span class='gf_step_label'>Member <br \/>information<\/span><\/div><div id='gf_step_141_4' class='gf_step gf_step_last gf_step_pending'><span class='gf_step_number'>4<\/span><span class='gf_step_label'>Review and approval<\/span><\/div><\/div> \r\n <input type='hidden' class='gforms-pum' value='{\"closepopup\":false,\"closedelay\":0,\"openpopup\":false,\"openpopup_id\":0}' \/>\n                        <div class='gform-body gform_body'><div id='gform_page_141_1' class='gform_page membership-formfo' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_141' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_141_44\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span> 1.<\/span>   Who is this passport for?<\/h3>\r\n<\/div><fieldset id=\"field_141_34\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full subscription_btn gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Me or Gift Radios<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_141_34'>\n\t\t\t<div class='gchoice gchoice_141_34_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='For me' checked='checked' id='choice_141_34_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_34_0' id='label_141_34_0' class='gform-field-label gform-field-label--type-inline'>For me<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_34_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_34' type='radio' value='A gift'  id='choice_141_34_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_34_1' id='label_141_34_1' class='gform-field-label gform-field-label--type-inline'>A gift<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_36\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span> 2.<\/span>   Choose your membership<\/h3>\r\n<p>By purchasing the Espace pour la Vie passport from the Friends of the Biodome, you automatically become a member of the Friends of the Biodome.<\/p><\/div><fieldset id=\"field_141_19\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full select_passport_radios three_column_grid gfield_price gfield_price_141_19 gfield_product_141_19 gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >&lt;span class=&quot;d-none&quot;&gt;Choose your passport&lt;\/span&gt;<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_141_19'>\n\t\t\t<div class='gchoice gchoice_141_19_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Passeport solo|87'  id='choice_141_19_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_19_0' id='label_141_19_0' class='gform-field-label gform-field-label--type-inline'><div class=\"members-img Passeport-solo\"><\/div>Passeport solo <span class=\"pricelabel\">87.00$<\/span><div class=\"passport_btn\">Choisir<\/div><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_19_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='1 adulte + 1 enfant passeport|119.5'  id='choice_141_19_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_19_1' id='label_141_19_1' class='gform-field-label gform-field-label--type-inline'><div class=\"members-img Passport \"><\/div>1 adulte + 1 enfant passeport <span class=\"pricelabel\">119.50$<\/span> <div class=\"passport_btn\">Choisir<\/div><\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_19_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_19' type='radio' value='Passeport multi|155'  id='choice_141_19_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_19_2' id='label_141_19_2' class='gform-field-label gform-field-label--type-inline'><div class=\"members-img Passeport_multi\"><\/div>Passeport multi <span class=\"pricelabel\">155.00$<\/span><div class=\"passport_btn\">Choisir<\/div><\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_141_35' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_141_2' class='gform_page donate_sec' data-js='page-field-id-35' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_141_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><fieldset id=\"field_141_20\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full support-friend-section gfield_price gfield_price_141_20 gfield_product_141_20 field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >&lt;span class=d-none&gt;Donation&lt;\/span&gt;<\/legend><div class='gfield_description' id='gfield_description_141_20'><h3>I support the Friends of the Biodome!<\/h3>\r\n<div class=\"desc\">Your donation contributes to the well-being of the Biodome's animals (research, conservation, and enrichment programs) and helps our non-profit organization continue to offer free educational activities.<\/div><\/div><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_141_20'>\n\t\t\t<div class='gchoice gchoice_141_20_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Donation&lt;span class=&quot;d-none&quot;&gt;5.00$&lt;\/span&gt;|5'  id='choice_141_20_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_141_20\"   \/>\n\t\t\t\t\t<label for='choice_141_20_0' id='label_141_20_0' class='gform-field-label gform-field-label--type-inline'>5.00$<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_20_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Donation&lt;span class=&quot;d-none&quot;&gt;20.00$&lt;\/span&gt;|20'  id='choice_141_20_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_20_1' id='label_141_20_1' class='gform-field-label gform-field-label--type-inline'>20.00$<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_20_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Donation&lt;span class=&quot;d-none&quot;&gt;50.00$&lt;\/span&gt;|50'  id='choice_141_20_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_20_2' id='label_141_20_2' class='gform-field-label gform-field-label--type-inline'>50.00$<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_20_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_20' type='radio' value='Donation&lt;span class=&quot;d-none&quot;&gt;100.00$&lt;\/span&gt;|100'  id='choice_141_20_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_20_3' id='label_141_20_3' class='gform-field-label gform-field-label--type-inline'>100.00$<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_47\" class=\"gfield gfield--type-product gfield--input-type-price gfield--width-full amount-to-donate-wrap gfield_price gfield_price_141_47 gfield_product_141_47 field_sublabel_below gfield--has-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_47'>Donation<\/label><div class='ginput_container ginput_container_product_price'>\n\t\t\t\t\t<input name='input_47' id='input_141_47' type='text' value='' class='small ginput_amount'  placeholder='Amount'  aria-invalid=\"false\" aria-describedby=\"gfield_description_141_47\" \/>\n\t\t\t\t<\/div><div class='gfield_description' id='gfield_description_141_47'>or enter the amount you would like to donate<\/div><\/div><div id=\"field_141_31\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full text_block_sec gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >For all donations exceeding $20, a receipt for tax purposes will be issued and sent by email within the next 72 hours.<\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_141_37' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Return to previous step'  \/> <input type='button' id='gform_next_button_141_37' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_141_3' class='gform_page Informations_form' data-js='page-field-id-37' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_141_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_141_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">ME - section<\/h3><\/div><div id=\"field_141_55\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>2.<\/span> Main Member Information<\/h3>\r\n<p>\r\nPlease enter your information below:\r\n<\/p><\/div><fieldset id=\"field_141_52\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full Add_Class field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Add Child<\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_141_52'><div class='gchoice gchoice_141_52_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_52.1' type='checkbox'  value='Yes'  id='choice_141_52_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_141_52_1' id='label_141_52_1' class='gform-field-label gform-field-label--type-inline'>Add or remove Child<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_53\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Section Break 01<\/h3><\/div><div id=\"field_141_48\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full hiddenzeroheight gfield_price gfield_price_141_48 gfield_product_141_48 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_141_48_1'><span class=\"gform-field-label gfield_label_product\">Additional child<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_48.1' value='Additional child' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_141_48' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_141_48'>32.50$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_48.2' id='ginput_base_price_141_48' class='gform_hidden' value='32.50$'\/>\n\t\t\t\t\t <label for='ginput_quantity_141_48_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_48.3' value='' id='input_141_48_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Additional child\" aria-describedby=\"ginput_product_price_141_48\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_141_76\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Additional child for family if more than 4<\/h3><\/div><div id=\"field_141_77\" class=\"gfield gfield--type-product gfield--input-type-singleproduct gfield--width-full hiddenzeroheight gfield_price gfield_price_141_77 gfield_product_141_77 field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' for='input_141_77_1'><span class=\"gform-field-label gfield_label_product\">Additional child<\/span> <span class=\"screen-reader-text\">Quantity<\/span><\/label><div class='ginput_container ginput_container_singleproduct'>\n\t\t\t\t\t<input type='hidden' name='input_77.1' value='Additional child' class='gform_hidden' \/>\n\t\t\t\t\t<div id='ginput_product_price_141_77' class='ginput_product_price_wrapper'>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price_label'>Price:<\/span>\n\t\t\t\t\t\t<span class='gform-field-label gform-field-label--type-sub-large ginput_product_price' id='input_141_77'>32.50$<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<input type='hidden' name='input_77.2' id='ginput_base_price_141_77' class='gform_hidden' value='32.50$'\/>\n\t\t\t\t\t <label for='ginput_quantity_141_77_1' class='ginput_quantity_label gform-field-label' aria-hidden='true'>Quantity<\/label> <input type='number' name='input_77.3' value='' id='input_141_77_1' class='ginput_quantity' size='10' min='0'   aria-label=\"Quantity Additional child\" aria-describedby=\"ginput_product_price_141_77\" \/>\n\t\t\t\t<\/div><\/div><div id=\"field_141_54\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Section Break 02<\/h3><\/div><fieldset id=\"field_141_81\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >S&#039;agit-il d&#039;un renouvellement ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_141_81'><div class='gchoice gchoice_141_81_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.1' type='checkbox'  value='Oui'  id='choice_141_81_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_141_81_1' id='label_141_81_1' class='gform-field-label gform-field-label--type-inline'>Oui<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_141_81_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.2' type='checkbox'  value='Non'  id='choice_141_81_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_141_81_2' id='label_141_81_2' class='gform-field-label gform-field-label--type-inline'>Non<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_82\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_82'>S&#039;il s&#039;agit d&#039;un renouvellement, merci d&#039;indiquer votre num\u00e9ro de membre.<\/label><div class='ginput_container ginput_container_number'><input name='input_82' id='input_141_82' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_141_56\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>3.<\/span>  Where would you like to receive your membership card(s)? <span>*<\/span>\r\n<\/h3>\r\n<p>\r\nChoose the delivery method for your card\r\n<\/p><\/div><fieldset id=\"field_141_38\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full flex_div gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_141_38'>\n\t\t\t<div class='gchoice gchoice_141_38_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_38' type='radio' value='Virtuel'  id='choice_141_38_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_38_0' id='label_141_38_0' class='gform-field-label gform-field-label--type-inline'>Virtuel<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_39\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full small_text gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><small>Please be informed that, upon activating your Passport, Espace pour la Vie will ask you to accept their <a href=\"\"> terms and conditions<\/a>.<\/small>\r\n<\/div><div id=\"field_141_23\" class=\"gfield gfield--type-total gfield--input-type-total gfield--width-full hidden gfield_price gfield_price_141_ gfield_total gfield_total_141_ field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_141_23'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_23' id='input_141_23' value='0.00$' class='gform-text-input-reset ginput_total ginput_total_141' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_141_57\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>4.<\/span>  How did you hear about the Friends of the Biodome? <span> *<\/span>\r\n<\/h3>\r\n<p>\r\nSelect one of the following options:\r\n<\/p><\/div><fieldset id=\"field_141_40\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full flex_div gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_141_40'>\n\t\t\t<div class='gchoice gchoice_141_40_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='At the Biod\u00f4me'  id='choice_141_40_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_40_0' id='label_141_40_0' class='gform-field-label gform-field-label--type-inline'>At the Biod\u00f4me<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_40_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Facebook'  id='choice_141_40_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_40_1' id='label_141_40_1' class='gform-field-label gform-field-label--type-inline'>Facebook<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_40_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='instagram'  id='choice_141_40_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_40_2' id='label_141_40_2' class='gform-field-label gform-field-label--type-inline'>instagram<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_40_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Word of mouth'  id='choice_141_40_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_40_3' id='label_141_40_3' class='gform-field-label gform-field-label--type-inline'>Word of mouth<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_40_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_40' type='radio' value='Other'  id='choice_141_40_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_40_4' id='label_141_40_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_58\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>5.<\/span>  I become a member to benefit from: <span>*<\/span>\r\n<\/h3>\r\n<p>\r\nYou can select multiple answers\r\n<\/p><\/div><fieldset id=\"field_141_41\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label screen-reader-text gfield_label_before_complex' ><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_141_41'><div class='gchoice gchoice_141_41_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.1' type='checkbox'  value='Free access to the Biod\u00f4me (or Space for Life Institutions)'  id='choice_141_41_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_141_41_1' id='label_141_41_1' class='gform-field-label gform-field-label--type-inline'>Free access to the Biod\u00f4me (or Space for Life Institutions)<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_141_41_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.2' type='checkbox'  value='Free activities for members'  id='choice_141_41_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_141_41_2' id='label_141_41_2' class='gform-field-label gform-field-label--type-inline'>Free activities for members<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_141_41_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.3' type='checkbox'  value='Discounts at Space for Life Day Camps'  id='choice_141_41_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_141_41_3' id='label_141_41_3' class='gform-field-label gform-field-label--type-inline'>Discounts at Space for Life Day Camps<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_141_41_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_41.4' type='checkbox'  value='Discounts at the Espace pour la vie boutique and restaurants'  id='choice_141_41_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_141_41_4' id='label_141_41_4' class='gform-field-label gform-field-label--type-inline'>Discounts at the Espace pour la vie boutique and restaurants<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">GIFT section<\/h3><\/div><div id=\"field_141_61\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>2.<\/span>  Your Information<\/h3>\r\n<p>Please enter your information below:<\/p><\/div><div id=\"field_141_62\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_62'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_141_62' type='text' value='' class='large'    placeholder='Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_63'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_141_63' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_64\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_64'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_141_64' type='text' value='' class='large'    placeholder='Email Address' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_65'>Phone number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_141_65' type='text' value='' class='large'    placeholder='Phone Number' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_66'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_141_66' type='text' value='' class='large'    placeholder='Postal code' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_67\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"> <span>3.<\/span>  Choose the delivery method for your gift membership<\/h3>\r\n<p class=\"text_blue\">Your gift membership will be processed within 5 business days of receiving your purchase. Thank you for your understanding.<\/p><\/div><fieldset id=\"field_141_68\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full flex_div gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >gift - address type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_141_68'>\n\t\t\t<div class='gchoice gchoice_141_68_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='By mail'  id='choice_141_68_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_68_0' id='label_141_68_0' class='gform-field-label gform-field-label--type-inline'>By mail<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_141_68_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_68' type='radio' value='At the Friends of the Biod\u00f4me counter'  id='choice_141_68_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_141_68_1' id='label_141_68_1' class='gform-field-label gform-field-label--type-inline'>At the Friends of the Biod\u00f4me counter<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_141_69\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_69'>First name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_69' id='input_141_69' type='text' value='' class='large'    placeholder='Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_70\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_70'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_141_70' type='text' value='' class='large'    placeholder='Last Name' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_71\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_71'>Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_71' id='input_141_71' type='text' value='' class='large'    placeholder='Address' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_72\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_72'>Apartment number<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_141_72' type='text' value='' class='large'    placeholder='Apartment number'  aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_73\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_73'>Province<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_73' id='input_141_73' type='text' value='' class='large'    placeholder='Province' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_74\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_74'>Postal code<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_141_74' type='text' value='' class='large'    placeholder='Postal code' aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_141_75\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>You can pick up your physical card at our counter:<\/p>\r\n\r\n<p class=\"blue_text\"><a href=\"#\">\r\nFriends of the Biodome<br>\r\n4777 Pierre-de Coubertin Avenue<br>\r\nMontreal (Quebec) H1V 1B3 <br>\r\n<\/a><\/p>\r\n<p>Phone: <a href=\"tel:+514 868-3098\">514 868-3098<\/a><\/p><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_141_42' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' value='Return to previous step'  \/> <input type='button' id='gform_next_button_141_42' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' value='Continue'  \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_141_4' class='gform_page review-and-approval' data-js='page-field-id-42' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_141_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_141_46\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">  <span>3.<\/span>  Review and Approval<\/h3>\r\n<p>Please ensure that the information below is correct before proceeding to payment.<\/p><\/div><div id=\"field_141_45\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >{##MEMBERSHIP_SUMMARY_DETAILS##}<\/div><fieldset id=\"field_141_18\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_above hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 3<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_18.1' id='input_141_18_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_141_18_1' >I confirm that I have read the <a href=\"\/wp-content\/uploads\/2021\/12\/Politique-protection-de-la-vie-privee_SABM.pdf\">Privacy Policy<\/a> and I accept its terms.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_18.2' value='I confirm that I have read the &lt;a href=&quot;\/wp-content\/uploads\/2021\/12\/Politique-protection-de-la-vie-privee_SABM.pdf&quot;&gt;Privacy Policy&lt;\/a&gt; and I accept its terms.' class='gform_hidden' \/><input type='hidden' name='input_18.3' value='8' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_141_28\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 1<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_28.1' id='input_141_28_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_141_28_1' >I accept that my personal information is collected by the Friends of the Biodome for internal management purposes, compilation of statistics and communications.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_28.2' value='I accept that my personal information is collected by the Friends of the Biodome for internal management purposes, compilation of statistics and communications.' class='gform_hidden' \/><input type='hidden' name='input_28.3' value='8' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_141_29\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 2<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_29.1' id='input_141_29_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_141_29_1' >I accept that my personal information will be shared with Espace pour la vie for the sole purpose of creating and internal management of my Space for Life passport.<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_29.2' value='I accept that my personal information will be shared with Espace pour la vie for the sole purpose of creating and internal management of my Space for Life passport.' class='gform_hidden' \/><input type='hidden' name='input_29.3' value='8' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_141_78\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full passport-checkbox-wrap input_checkbox gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent 4<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_78.1' id='input_141_78_1' type='checkbox' value='1'   aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_141_78_1' >I agree to receive communications from the Friends of the Biodome (you can unsubscribe at any time by clicking on the link at the bottom of each newsletter)<span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/label><input type='hidden' name='input_78.2' value='I agree to receive communications from the Friends of the Biodome (you can unsubscribe at any time by clicking on the link at the bottom of each newsletter)' class='gform_hidden' \/><input type='hidden' name='input_78.3' value='8' class='gform_hidden' \/><\/div><\/fieldset><div id=\"field_141_79\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full visibility_hidden_css field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_141_79'>Primary Member E-mail<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_79' id='input_141_79' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_141_21\" class=\"gfield gfield--type-paypal gfield--input-type-paypal gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below hidden_label 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