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Test Form:


The form is a single block of code, and cannot have large amounts of explanatory text inserted within it:
 
Basic Details
Title:
* First Name:
* Last Name:
Date of birth:
/ / (dd/mm/yyyy)
Gender:
* Email Address:
Alternative Email Address:
Send emails to:
Address
Line 1:
Line 2:
Line 3:
Town / City: City:
County: State:
Postcode: Zip code:
Country:
Phone Numbers
Mobile:
Home:
Work:
Additional Details
Forums/chatter display name:
Nickname:
Homepage:
Privacy Settings
Connections visible to:
Connections can see:
Site members can see:
The public can see:
Other Details
Medical conditions (?)
School
School Year
Permission - media in church / printed media
Permission - media on website / social media
Non English Speaker
Test Field One (?)
Test Field Two or B (?)
Consent
Application Information
Please include any additional notes or comments which would help us process your registration more quickly:

Text at the end of the form....
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