<div data-element="participantChild">
<hr class="hr"/>
<div class="u-align-right">
<button type="button" class="text-link text-link--small text-link--rose" data-behaviour="remove-participant" data-type="child">
<svg width="9" height="9" class="text-link__icon text-link__icon--rose">
<use xlink:href="/application/themes/rawnet/app/images/sprite.svg#cross"></use>
</svg>
Remove child participant
</button>
</div>
<div class="form-group">
<label for="adult[__id__][child][__child_id__][firstName]" class="field-label control-label">First Name</label> <input type="text" id="adult[__id__][child][__child_id__][firstName]" name="adult[__id__][child][__child_id__][firstName]" value="" class="input form-control ccm-input-text" required="" /> </div>
<div class="form-group">
<label for="adult[__id__][child][__child_id__][lastName]" class="field-label control-label">Last Name</label> <input type="text" id="adult[__id__][child][__child_id__][lastName]" name="adult[__id__][child][__child_id__][lastName]" value="" class="input form-control ccm-input-text" required="" /> </div>
<div class="form-group form-group--date-picker" data-element="2">
<label for="adult[__id__][child][__child_id__][dobDay]" class="field-label control-label" required="">Date of Birth<span class="required">*</span></label> <div class="form-inline grid grid--3-col">
<div class="grid__item">
<div class="custom-select">
<select id="adult[__id__][child][__child_id__][dobDay]" name="adult[__id__][child][__child_id__][dobDay]" class="custom-select__select form-control" data-parsley-errors-container="#select-errors-dob-day" required="required"><option selected value="">Day</option><option value="1">1</option><option value="2">2</option><option value="3">3</option><option value="4">4</option><option value="5">5</option><option value="6">6</option><option value="7">7</option><option value="8">8</option><option value="9">9</option><option value="10">10</option><option value="11">11</option><option value="12">12</option><option value="13">13</option><option value="14">14</option><option value="15">15</option><option value="16">16</option><option value="17">17</option><option value="18">18</option><option value="19">19</option><option value="20">20</option><option value="21">21</option><option value="22">22</option><option value="23">23</option><option value="24">24</option><option value="25">25</option><option value="26">26</option><option value="27">27</option><option value="28">28</option><option value="29">29</option><option value="30">30</option><option value="31">31</option></select> <svg width="15" height="10" class="custom-select__arrow" data-behaviour="toggle-password"
data-target="toggle-password">
<use xlink:href="/application/themes/rawnet/app/images/sprite.svg#arrow"></use>
</svg>
</div>
</div>
<div class="grid__item">
<div class="custom-select">
<select id="adult[__id__][child][__child_id__][dobMonth]" name="adult[__id__][child][__child_id__][dobMonth]" class="custom-select__select form-control" data-parsley-errors-container="#select-errors-dob-month" required="required"><option selected value="">Month</option><option value="01">Jan</option><option value="02">Feb</option><option value="03">Mar</option><option value="04">Apr</option><option value="05">May</option><option value="06">Jun</option><option value="07">Jul</option><option value="08">Aug</option><option value="09">Sep</option><option value="10">Oct</option><option value="11">Nov</option><option value="12">Dec</option></select> <svg width="15" height="10" class="custom-select__arrow" data-behaviour="toggle-password"
data-target="toggle-password">
<use xlink:href="/application/themes/rawnet/app/images/sprite.svg#arrow"></use>
</svg>
</div>
</div>
<div class="grid__item">
<div class="custom-select">
<select id="adult[__id__][child][__child_id__][dobYear]" name="adult[__id__][child][__child_id__][dobYear]" class="custom-select__select form-control" data-parsley-errors-container="#select-errors-dob-year" required="required"><option selected value="">Year</option><option value="2024">2024</option><option value="2023">2023</option><option value="2022">2022</option><option value="2021">2021</option><option value="2020">2020</option><option value="2019">2019</option><option value="2018">2018</option><option value="2017">2017</option><option value="2016">2016</option><option value="2015">2015</option><option value="2014">2014</option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option><option value="1996">1996</option><option value="1995">1995</option><option value="1994">1994</option><option value="1993">1993</option><option value="1992">1992</option><option value="1991">1991</option><option value="1990">1990</option><option value="1989">1989</option><option value="1988">1988</option><option value="1987">1987</option><option value="1986">1986</option><option value="1985">1985</option><option value="1984">1984</option><option value="1983">1983</option><option value="1982">1982</option><option value="1981">1981</option><option value="1980">1980</option><option value="1979">1979</option><option value="1978">1978</option><option value="1977">1977</option><option value="1976">1976</option><option value="1975">1975</option><option value="1974">1974</option><option value="1973">1973</option><option value="1972">1972</option><option value="1971">1971</option><option value="1970">1970</option><option value="1969">1969</option><option value="1968">1968</option><option value="1967">1967</option><option value="1966">1966</option><option value="1965">1965</option><option value="1964">1964</option><option value="1963">1963</option><option value="1962">1962</option><option value="1961">1961</option><option value="1960">1960</option><option value="1959">1959</option><option value="1958">1958</option><option value="1957">1957</option><option value="1956">1956</option><option value="1955">1955</option><option value="1954">1954</option><option value="1953">1953</option><option value="1952">1952</option><option value="1951">1951</option><option value="1950">1950</option><option value="1949">1949</option><option value="1948">1948</option><option value="1947">1947</option><option value="1946">1946</option><option value="1945">1945</option><option value="1944">1944</option><option value="1943">1943</option><option value="1942">1942</option><option value="1941">1941</option><option value="1940">1940</option><option value="1939">1939</option><option value="1938">1938</option><option value="1937">1937</option><option value="1936">1936</option><option value="1935">1935</option><option value="1934">1934</option><option value="1933">1933</option><option value="1932">1932</option><option value="1931">1931</option><option value="1930">1930</option><option value="1929">1929</option><option value="1928">1928</option><option value="1927">1927</option><option value="1926">1926</option><option value="1925">1925</option><option value="1924">1924</option><option value="1923">1923</option><option value="1922">1922</option><option value="1921">1921</option><option value="1920">1920</option><option value="1919">1919</option><option value="1918">1918</option><option value="1917">1917</option><option value="1916">1916</option><option value="1915">1915</option><option value="1914">1914</option><option value="1913">1913</option><option value="1912">1912</option><option value="1911">1911</option><option value="1910">1910</option></select> <svg width="15" height="10" class="custom-select__arrow" data-behaviour="toggle-password"
data-target="toggle-password">
<use xlink:href="/application/themes/rawnet/app/images/sprite.svg#arrow"></use>
</svg>
</div>
</div>
<div id="select-errors-dob-day"></div>
<div id="select-errors-dob-month"></div>
<div id="select-errors-dob-year"></div>
</div>
</div>
<div class="form-group grid grid--align-center u-mb-half">
<div class="grid__item grid__item--75">
<p class="text-small u-mb0">Does the child have the same address as the adult?</p>
</div>
<div class="grid__item grid__item--25 u-align-right">
<label for="adult[__id__][child][__child_id__][sameAddress]">
<div class="input-toggle">
<input type="checkbox" id="adult[__id__][child][__child_id__][sameAddress]" name="adult[__id__][child][__child_id__][sameAddress]" class="input-toggle__input ccm-input-checkbox" data-behaviour="toggle-class" data-toggle="child-address" data-target="child-address__child_id__" value="1" checked="checked" /> <span class="input-toggle__handle"></span>
</div>
</label>
</div>
</div>
<div class="u-hide" data-element="child-address__child_id__" data-class="u-hide">
<div data-element="address-group">
<div class="form-group">
<div class="grid grid--align-end">
<div class="grid__item">
<label for="adult[__id__][child][__child_id__][postcode]" class="field-label control-label">Postcode Lookup<span class="required">*</span></label> <input type="text" id="adult[__id__][child][__child_id__][postcode]" name="adult[__id__][child][__child_id__][postcode]" value="" class="input form-control ccm-input-text" data-element="postcode-input" /> </div>
<div class="grid__item u-align-right">
<button class="button" data-behaviour="postcode-lookup" type="button">Find Address</button>
</div>
</div>
</div>
<div class="form-group u-hide">
<label class="field-label">Select your address<span class="required">*</span></label>
<div class="custom-select">
<select class="custom-select__select" data-element="area-selection" data-behaviour="area-selected"></select>
<svg width="15" height="10" class="custom-select__arrow" data-behaviour="toggle-password" data-target="toggle-password">
<use xlink:href="/application/themes/rawnet/app/images/sprite.svg#arrow"></use>
</svg>
</div>
</div>
<div data-element="address" class="u-hide">
<div class="form-group">
<label for="adult[__id__][child][__child_id__][address_line_one]" class="field-label control-label">Address line one<span class="required">*</span></label> <input type="text" id="adult[__id__][child][__child_id__][address_line_one]" name="adult[__id__][child][__child_id__][address_line_one]" value="" class="input form-control ccm-input-text" data-element="address1" /> </div>
<div class="form-group">
<label for="adult[__id__][child][__child_id__][address_line_two]" class="field-label control-label">Address line two</label> <input type="text" id="adult[__id__][child][__child_id__][address_line_two]" name="adult[__id__][child][__child_id__][address_line_two]" value="" class="input form-control ccm-input-text" data-element="address2" /> </div>
<div class="form-group">
<label for="adult[__id__][child][__child_id__][city]" class="field-label control-label">City<span class="required">*</span></label> <input type="text" id="adult[__id__][child][__child_id__][city]" name="adult[__id__][child][__child_id__][city]" value="" class="input form-control ccm-input-text" data-element="city" /> </div>
<div class="form-group">
<label for="adult[__id__][child][__child_id__][county]" class="field-label control-label">County<span class="required">*</span></label> <input type="text" id="adult[__id__][child][__child_id__][county]" name="adult[__id__][child][__child_id__][county]" value="" class="input form-control ccm-input-text" data-element="county" /> </div>
<div class="form-group">
<label class="field-label" for="adult[__id__][child][__child_id__][country]">
Country<span class="required">*</span>
</label>
<div class="custom-select">
<select id="adult[__id__][child][__child_id__][country]" name="adult[__id__][child][__child_id__][country]" id="adult[__id__][child][__child_id__][country]" class="custom-select__select" required="" data-parsley-errors-container="#select-errors-1"><option value="GB">United Kingdom</option><option value="US">United States</option><option value="IE">Ireland</option><option value="">--</option><option value="AF">Afghanistan</option><option value="AX">Åland Islands</option><option value="AL">Albania</option><option value="DZ">Algeria</option><option value="AS">American Samoa</option><option value="AD">Andorra</option><option value="AO">Angola</option><option value="AI">Anguilla</option><option value="AQ">Antarctica</option><option value="AG">Antigua and Barbuda</option><option value="AR">Argentina</option><option value="AM">Armenia</option><option value="AW">Aruba</option><option value="AU">Australia</option><option value="AT">Austria</option><option value="AZ">Azerbaijan</option><option value="BS">Bahamas</option><option value="BH">Bahrain</option><option value="BD">Bangladesh</option><option value="BB">Barbados</option><option value="BY">Belarus</option><option value="BE">Belgium</option><option value="BZ">Belize</option><option value="BJ">Benin</option><option value="BM">Bermuda</option><option value="BT">Bhutan</option><option value="BO">Bolivia</option><option value="BA">Bosnia and Herzegovina</option><option value="BW">Botswana</option><option value="BV">Bouvet Island</option><option value="BR">Brazil</option><option value="IO">British Indian Ocean Territory</option><option value="BN">Brunei Darussalam</option><option value="BG">Bulgaria</option><option value="BF">Burkina Faso</option><option value="BI">Burundi</option><option value="KH">Cambodia</option><option value="CM">Cameroon</option><option value="CA">Canada</option><option value="CV">Cape Verde</option><option value="KY">Cayman Islands</option><option value="CF">Central African Republic</option><option value="TD">Chad</option><option value="CL">Chile</option><option value="CN">China</option><option value="CX">Christmas Island</option><option value="CC">Cocos (Keeling) Islands</option><option value="CO">Colombia</option><option value="KM">Comoros</option><option value="CG">Congo</option><option value="CD">Congo, the Democratic Republic of the</option><option value="CK">Cook Islands</option><option value="CR">Costa Rica</option><option value="HR">Croatia</option><option value="CU">Cuba</option><option value="CY">Cyprus</option><option value="CZ">Czech Republic</option><option value="CI">Côte d'Ivoire</option><option value="DK">Denmark</option><option value="DJ">Djibouti</option><option value="DM">Dominica</option><option value="DO">Dominican Republic</option><option value="EC">Ecuador</option><option value="EG">Egypt</option><option value="SV">El Salvador</option><option value="GQ">Equatorial Guinea</option><option value="ER">Eritrea</option><option value="EE">Estonia</option><option value="ET">Ethiopia</option><option value="FK">Falkland Islands (Malvinas)</option><option value="FO">Faroe Islands</option><option value="FJ">Fiji</option><option value="FI">Finland</option><option value="FR">France</option><option value="GF">French Guiana</option><option value="PF">French Polynesia</option><option value="TF">French Southern Territories</option><option value="GA">Gabon</option><option value="GM">Gambia</option><option value="GE">Georgia</option><option value="DE">Germany</option><option value="GH">Ghana</option><option value="GI">Gibraltar</option><option value="GR">Greece</option><option value="GL">Greenland</option><option value="GD">Grenada</option><option value="GP">Guadeloupe</option><option value="GU">Guam</option><option value="GT">Guatemala</option><option value="GG">Guernsey</option><option value="GN">Guinea</option><option value="GW">Guinea-Bissau</option><option value="GY">Guyana</option><option value="HT">Haiti</option><option value="HM">Heard Island and McDonald Islands</option><option value="VA">Holy See (Vatican City State)</option><option value="HN">Honduras</option><option value="HK">Hong Kong</option><option value="HU">Hungary</option><option value="IS">Iceland</option><option value="IN">India</option><option value="ID">Indonesia</option><option value="IR">Iran, Islamic Republic of</option><option value="IQ">Iraq</option><option value="IM">Isle of Man</option><option value="IL">Israel</option><option value="IT">Italy</option><option value="JM">Jamaica</option><option value="JP">Japan</option><option value="JE">Jersey</option><option value="JO">Jordan</option><option value="KZ">Kazakhstan</option><option value="KE">Kenya</option><option value="KI">Kiribati</option><option value="KP">Korea, Democratic People's Republic of</option><option value="KR">Korea, Republic of</option><option value="KW">Kuwait</option><option value="KG">Kyrgyzstan</option><option value="LA">Lao People's Democratic Republic</option><option value="LV">Latvia</option><option value="LB">Lebanon</option><option value="LS">Lesotho</option><option value="LR">Liberia</option><option value="LY">Libyan Arab Jamahiriya</option><option value="LI">Liechtenstein</option><option value="LT">Lithuania</option><option value="LU">Luxembourg</option><option value="MO">Macao</option><option value="MK">Macedonia, the former Yugoslav Republic of</option><option value="MG">Madagascar</option><option value="MW">Malawi</option><option value="MY">Malaysia</option><option value="MV">Maldives</option><option value="ML">Mali</option><option value="MT">Malta</option><option value="MH">Marshall Islands</option><option value="MQ">Martinique</option><option value="MR">Mauritania</option><option value="MU">Mauritius</option><option value="YT">Mayotte</option><option value="MX">Mexico</option><option value="FM">Micronesia, Federated States of</option><option value="MD">Moldova, Republic of</option><option value="MC">Monaco</option><option value="MN">Mongolia</option><option value="ME">Montenegro</option><option value="MS">Montserrat</option><option value="MA">Morocco</option><option value="MZ">Mozambique</option><option value="MM">Myanmar</option><option value="NA">Namibia</option><option value="NR">Nauru</option><option value="NP">Nepal</option><option value="NL">Netherlands</option><option value="AN">Netherlands Antilles</option><option value="NC">New Caledonia</option><option value="NZ">New Zealand</option><option value="NI">Nicaragua</option><option value="NE">Niger</option><option value="NG">Nigeria</option><option value="NU">Niue</option><option value="NF">Norfolk Island</option><option value="MP">Northern Mariana Islands</option><option value="NO">Norway</option><option value="OM">Oman</option><option value="PK">Pakistan</option><option value="PW">Palau</option><option value="PS">Palestinian Territory, Occupied</option><option value="PA">Panama</option><option value="PG">Papua New Guinea</option><option value="PY">Paraguay</option><option value="PE">Peru</option><option value="PH">Philippines</option><option value="PN">Pitcairn</option><option value="PL">Poland</option><option value="PT">Portugal</option><option value="PR">Puerto Rico</option><option value="QA">Qatar</option><option value="RE">Reunion Réunion</option><option value="RO">Romania</option><option value="RU">Russian Federation</option><option value="RW">Rwanda</option><option value="BL">Saint Barthélemy</option><option value="SH">Saint Helena</option><option value="KN">Saint Kitts and Nevis</option><option value="LC">Saint Lucia</option><option value="MF">Saint Martin (French part)</option><option value="PM">Saint Pierre and Miquelon</option><option value="VC">Saint Vincent and the Grenadines</option><option value="WS">Samoa</option><option value="SM">San Marino</option><option value="ST">Sao Tome and Principe</option><option value="SA">Saudi Arabia</option><option value="SN">Senegal</option><option value="RS">Serbia</option><option value="SC">Seychelles</option><option value="SL">Sierra Leone</option><option value="SG">Singapore</option><option value="SK">Slovakia</option><option value="SI">Slovenia</option><option value="SB">Solomon Islands</option><option value="SO">Somalia</option><option value="ZA">South Africa</option><option value="GS">South Georgia and the South Sandwich Islands</option><option value="ES">Spain</option><option value="LK">Sri Lanka</option><option value="SD">Sudan</option><option value="SR">Suriname</option><option value="SJ">Svalbard and Jan Mayen</option><option value="SZ">Swaziland</option><option value="SE">Sweden</option><option value="CH">Switzerland</option><option value="SY">Syrian Arab Republic</option><option value="TW">Taiwan</option><option value="TJ">Tajikistan</option><option value="TZ">Tanzania, United Republic of</option><option value="TH">Thailand</option><option value="TL">Timor-Leste</option><option value="TG">Togo</option><option value="TK">Tokelau</option><option value="TO">Tonga</option><option value="TT">Trinidad and Tobago</option><option value="TN">Tunisia</option><option value="TR">Turkey</option><option value="TM">Turkmenistan</option><option value="TC">Turks and Caicos Islands</option><option value="TV">Tuvalu</option><option value="UG">Uganda</option><option value="UA">Ukraine</option><option value="AE">United Arab Emirates</option><option value="UM">United States Minor Outlying Islands</option><option value="UY">Uruguay</option><option value="UZ">Uzbekistan</option><option value="VU">Vanuatu</option><option value="VE">Venezuela, Bolivarian Republic of</option><option value="VN">Viet Nam</option><option value="VG">Virgin Islands, British</option><option value="VI">Virgin Islands, U.S.</option><option value="WF">Wallis and Futuna</option><option value="EH">Western Sahara</option><option value="YE">Yemen</option><option value="ZM">Zambia</option><option value="ZW">Zimbabwe</option></select> <svg width="15" height="10" class="custom-select__arrow">
<use xlink:href="/application/themes/rawnet/app/images/sprite.svg#arrow"></use>
</svg>
</div>
<div id="select-errors-1"></div>
</div>
</div>
</div>
</div>
<div class="form-group grid grid--align-center u-mb-half">
<div class="grid__item grid__item--75">
<p class="text-small u-mb0">Does the child have the same emergency contact details as the adult?</p>
</div>
<div class="grid__item grid__item--25 u-align-right">
<label for="adult[__id__][child][__child_id__][sameContactDetails]">
<div class="input-toggle">
<input type="checkbox" id="adult[__id__][child][__child_id__][sameContactDetails]" name="adult[__id__][child][__child_id__][sameContactDetails]" class="input-toggle__input ccm-input-checkbox" data-behaviour="toggle-class" data-target="child-emergency__child_id__" value="1" checked="checked" /> <span class="input-toggle__handle"></span>
</div>
</label>
</div>
</div>
<div class="u-hide" data-element="child-emergency__child_id__" data-class="u-hide">
<div class="form-group">
<label for="adult[__id__][child][__child_id__][emergencyContactName]" class="field-label control-label">Emergency Contact Name</label> <input type="text" id="adult[__id__][child][__child_id__][emergencyContactName]" name="adult[__id__][child][__child_id__][emergencyContactName]" value="" class="input form-control ccm-input-text" /> </div>
<div class="form-group">
<label for="adult[__id__][child][__child_id__][emergencyContactNumber]" class="field-label control-label">Emergency Contact Number</label> <input type="text" id="adult[__id__][child][__child_id__][emergencyContactNumber]" name="adult[__id__][child][__child_id__][emergencyContactNumber]" value="" class="input form-control ccm-input-text" data-parsley-minlength="6" data-parsley-minlength-message="Must be a minimum of 6 numbers" data-parsley-type="digits" data-parsley-type-message="Only numbers allowed" data-input="phone" /> </div>
</div>
<div class="form-group">
<label for="adult[__id__][child][__child_id__][additionalInformation]" class="field-label control-label">Additional Information</label> <textarea id="adult[__id__][child][__child_id__][additionalInformation]" name="adult[__id__][child][__child_id__][additionalInformation]" class="input form-control"></textarea> </div>
</div>