{"id":6072,"date":"2020-06-05T20:50:25","date_gmt":"2020-06-05T19:50:25","guid":{"rendered":"http:\/\/kidtrauma.org\/?page_id=6072"},"modified":"2020-06-05T22:59:13","modified_gmt":"2020-06-05T21:59:13","slug":"register","status":"publish","type":"page","link":"https:\/\/kidtrauma.org\/?page_id=6072&lang=en","title":{"rendered":"User Registration"},"content":{"rendered":"\r\n<div class=\"um um-register um-6066\">\r\n\r\n\t<div class=\"um-form\" data-mode=\"register\">\r\n\r\n\t\t<form method=\"post\" action=\"\">\r\n\r\n\t\t\t<div class=\"um-row _um_row_1 \" style=\"margin: 0 0 30px 0;\"><div class=\"um-col-121\"><div  id=\"um_field_6066_first_name\" class=\"um-field um-field-text  um-field-first_name um-field-text um-field-type_text\" data-key=\"first_name\"><div class=\"um-field-label\"><label for=\"first_name-6066\">First Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"first_name-6066\" id=\"first_name-6066\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"first_name\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6066_last_name\" class=\"um-field um-field-text  um-field-last_name um-field-text um-field-type_text\" data-key=\"last_name\"><div class=\"um-field-label\"><label for=\"last_name-6066\">Last Name<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid \" type=\"text\" name=\"last_name-6066\" id=\"last_name-6066\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"last_name\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6066_user_email\" class=\"um-field um-field-text  um-field-user_email um-field-text um-field-type_text\" data-key=\"user_email\"><div class=\"um-field-label\"><label for=\"user_email-6066\">E-mail Address<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input  autocomplete=\"off\" class=\"um-form-field valid not-required \" type=\"text\" name=\"user_email-6066\" id=\"user_email-6066\" value=\"\" placeholder=\"\" data-validate=\"unique_email\" data-key=\"user_email\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><\/div><div class=\"um-col-122\"><div  id=\"um_field_6066_profession\" class=\"um-field um-field-select  um-field-profession um-field-select um-field-type_select\" data-key=\"profession\"><div class=\"um-field-label\"><label for=\"profession-6066\">Profession<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area  \"><select data-default=\"\"     name=\"profession\" id=\"profession\" data-validate=\"\" data-key=\"profession\" class=\"um-form-field valid um-s1 \" style=\"width: 100%\" data-placeholder=\"\" ><option value=\"\"><\/option><option value=\"Psychological psychotherapist (including undergoing training)\" >Psychological psychotherapist (including undergoing training)<\/option><option value=\"Medical psychotherapist (including undergoing training)\" >Medical psychotherapist (including undergoing training)<\/option><option value=\"School psychologist\" >School psychologist<\/option><option value=\"Educational adviser\" >Educational adviser<\/option><option value=\"Specialist for pediatrics\/general medicine\" >Specialist for pediatrics\/general medicine<\/option><option value=\"Social worker\" >Social worker<\/option><option value=\"Student\" >Student<\/option><option value=\"Other profession\" >Other profession<\/option><\/select><\/div><\/div><div  id=\"um_field_6066_emdr\" class=\"um-field um-field-checkbox  um-field-emdr um-field-checkbox um-field-type_checkbox\" data-key=\"emdr\"><div class=\"um-field-label\"><label for=\"emdr-6066\">Did you complete an advanced training in the field of psychotraumatology (e.g. EMDR)?<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"emdr[]\" value=\"yes\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">yes<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_6066_newsletter\" class=\"um-field um-field-checkbox  um-field-newsletter um-field-checkbox um-field-type_checkbox\" data-key=\"newsletter\"><div class=\"um-field-label\"><label for=\"newsletter-6066\">I would like to be informed in the future about news regarding KidTrauma.<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><label class=\"um-field-checkbox  um-field-half \"><input   type=\"checkbox\" name=\"newsletter[]\" value=\"yes\"  \/><span class=\"um-field-checkbox-state\"><i class=\"um-icon-android-checkbox-outline-blank\"><\/i><\/span><span class=\"um-field-checkbox-option\">yes<\/span><\/label><div class=\"um-clear\"><\/div><\/div><\/div><div  id=\"um_field_6066_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"user_password\"><div class=\"um-field-label\"><label for=\"user_password-6066\">Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"user_password-6066\" id=\"user_password-6066\" value=\"\" placeholder=\"\" data-validate=\"\" data-key=\"user_password\" \/>\r\n\r\n\t\t\t\t\t\t<\/div><\/div><div  id=\"um_field_6066_confirm_user_password\" class=\"um-field um-field-password  um-field-user_password um-field-password um-field-type_password\" data-key=\"confirm_user_password\"><div class=\"um-field-label\"><label for=\"confirm_user_password-6066\">Confirm Password<\/label><div class=\"um-clear\"><\/div><\/div><div class=\"um-field-area\"><input class=\"um-form-field valid \" type=\"password\" name=\"confirm_user_password-6066\" id=\"confirm_user_password-6066\" value=\"\" placeholder=\"Confirm Password\" data-validate=\"\" data-key=\"confirm_user_password\" \/><\/div><\/div><\/div><div class=\"um-clear\"><\/div><\/div>\t\t<input type=\"hidden\" name=\"form_id\" id=\"form_id_6066\" value=\"6066\" \/>\r\n\t\r\n\t<p class=\"um_request_name\">\r\n\t\t<label for=\"um_request_6066\">Only fill in if you are not human<\/label>\r\n\t\t<input type=\"hidden\" name=\"um_request\" id=\"um_request_6066\" class=\"input\" value=\"\" size=\"25\" autocomplete=\"off\" \/>\r\n\t<\/p>\r\n\r\n\t<input type=\"hidden\" id=\"_wpnonce\" name=\"_wpnonce\" value=\"6990e98a99\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F6072\" \/>\r\n\t<div class=\"um-col-alt\">\r\n\r\n\t\t\r\n\t\t\t<div class=\"um-center\">\r\n\t\t\t\t<input type=\"submit\" value=\"Register\" class=\"um-button\" id=\"um-submit-btn\" \/>\r\n\t\t\t<\/div>\r\n\r\n\t\t\r\n\t\t<div class=\"um-clear\"><\/div>\r\n\r\n\t<\/div>\r\n\r\n\t\t\t\r\n\t\t<\/form>\r\n\r\n\t<\/div>\r\n\r\n<\/div><style type=\"text\/css\">\r\n.um-6066.um {\r\n\tmax-width: 450px;\r\n}<\/style>\r\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ub_ctt_via":"","_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"featured_image_src":null,"_links":{"self":[{"href":"https:\/\/kidtrauma.org\/index.php?rest_route=\/wp\/v2\/pages\/6072"}],"collection":[{"href":"https:\/\/kidtrauma.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kidtrauma.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kidtrauma.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kidtrauma.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6072"}],"version-history":[{"count":1,"href":"https:\/\/kidtrauma.org\/index.php?rest_route=\/wp\/v2\/pages\/6072\/revisions"}],"predecessor-version":[{"id":6092,"href":"https:\/\/kidtrauma.org\/index.php?rest_route=\/wp\/v2\/pages\/6072\/revisions\/6092"}],"wp:attachment":[{"href":"https:\/\/kidtrauma.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}