<div class="brz-forms__fields css-10cwydl">
<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">You are a *</label>[radio Youarea default:0 "Parent" "Professional"]</div>

<div class="brz-forms__fields css-10cwydl">
<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Your contact Number *</label>[tel* contactNumber minlength:10 maxlength:12]</div>

<div class="brz-forms__fields css-10cwydl">
<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Email address *</label>[email* email]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Child's Name / बच्चे का नाम *</label>[text* your-childname]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Name of the parent / caregiver who will be attending the webinar. / माता-पिता / देखभाल करने वाले का नाम जो वेबिनार में भाग लेंगे। *</label>[text* your-name]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Your Child's date of Birth / बच्चे की जन्म तिथि *</label>[date* childdateofbirth min:1930-01-01 max:2021-01-31]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Mother's / Father's mobile number (Whatsapp Number) / माता या पिता का मोबाइल नंबर। (व्हाट्सएप नंबर) *</label>[tel* phone-number minlength:10 maxlength:12]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Degree of Hearing loss / सुनवाई हानि की डिग्री *</label>[radio DegreeofHearingloss default:0 "Moderate / मॉडरेट" "Severe / सिविर" "Profound / प्रोफाउंड"]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Hearing devices / श्रवण यंत्र *</label>[radio Hearingdevices default:0 "Hearing Aid / हिरिंग ऐड" "Cochlear Implant / कॉकलीयर इम्प्लांट" "Baha/ बाहा"]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">Are you an existing parent of VConnect Foundation. क्या आप VConnect Foundation का हिस्सा हो? *</label>[radio existingparent default:0 "Yes / हां" "No / ना"]</div>

<div class="fw-col-sm-6" style="padding-bottom: 20px;"><label class="contactform">If you are not from Vconnect Foundation then do mention the organisation who are associated with .यदि आप VConnect Foundation से नहीं हैं, तो उस संगठन का उल्लेख करें जिस से जुड़े हैं। *</label>[text* organisationassociation]</div>

<div class="fw-col-sm-12">
[submit class:vconnect-submit "Send"]</div></div>
1
VConnect Foundation - Workshop Registration
[your-name] <[email]>
contact@vconnectfoundation.org
Area: [Youarea]
Contact No: [contactNumber]

From: [your-name]

Email: <[email]>

Phone: [phone-number]

City: [your-city]

Child Name: [your-childname]

Child Date of Birth: [childdateofbirth]

Degree of Hearing Loss: [DegreeofHearingloss]

Hearing Devices: [Hearingdevices]

Existing Parent: [existingparent]

Organisation associated: [organisationassociation]
Reply-To: [email]



1
VConnect Foundation - Workshop Registration
VConnect Foundation <contact@vconnectfoundation.org>
[your-name] <[email]>
Dear [your-name],<br />

You’ve been successfully registered for our workshop.<br /><br />
Here is your invitation to the Zoom meeting.<br /><br />
Topic: Unique Disability ID (UDID)<br />
Date/Time: Jul 3, 2021 04:00 PM Mumbai, Kolkata, New Delhi<br /><br />
Join Zoom Meeting<br />
<a href="https://us02web.zoom.us/j/89558183801?pwd=VFI2dkdHVVkwNmdNL3ZLVUhGdDZ1QT09" target="_blank" rel="noopener noreferrer">https://us02web.zoom.us/j/89558183801?pwd=VFI2dkdHVVkwNmdNL3ZLVUhGdDZ1QT09</a><br /><br />
Meeting ID: 895 5818 3801<br />
Password: 117373<br /><br />
Incase you have missed out on downloading your copy of the Mainstream Guide, you can do so from here: <a href="https://www.vconnectfoundation.org/resources.html" target="_blank" rel="noopener noreferrer">https://www.vconnectfoundation.org/resources.html</a><br /><br />

For any assistance, write to us on contact@vconnectfoundation.org<br /><br />

Regards,<br />
Team VConnect Foundation<br />
<a href="https://www.vconnectfoundation.org" target="_blank" rel="noopener noreferrer">www.vconnectfoundation.org</a><br />
Stay Connected: <a href="https://www.facebook.com/VConnectfoundation/" target="_blank" rel="noopener noreferrer">Facebook</a> | <a href="#" target="_blank" rel="noopener noreferrer">LinkedIn</a> | <a href="https://www.instagram.com/vconnectfoundation/" target="_blank" rel="noopener noreferrer">Instagram</a> | <a href="https://www.youtube.com/channel/UC1ptCMLYAdzA2oxPIPmzpxw" target="_blank" rel="noopener noreferrer">YouTube</a>
Reply-To: contact@vconnectfoundation.org

1

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