{"id":16247,"date":"2024-01-07T23:30:48","date_gmt":"2024-01-07T23:30:48","guid":{"rendered":"https:\/\/adolesco.org\/dossier-de-inscripcion\/"},"modified":"2024-01-07T23:31:42","modified_gmt":"2024-01-07T23:31:42","slug":"dossier-de-inscripcion","status":"publish","type":"page","link":"https:\/\/adolesco.org\/es\/dossier-de-inscripcion\/","title":{"rendered":"Dossier de inscripci\u00f3n"},"content":{"rendered":"<script>\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<\/script>\n\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_45' style='display:none'><div id='gf_45' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">2.2_Spain<\/h2>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_45'  action='\/es\/wp-json\/wp\/v2\/pages\/16247#gf_45' data-formid='45' novalidate>\n        <div id='gf_progressbar_wrapper_45' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<p class=\"gf_progressbar_title\">Paso <span class='gf_step_current_page'>1<\/span> de <span class='gf_step_page_count'>13<\/span><span class='gf_step_page_name'><\/span>\n        \t<\/p>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_7' style='width:7%;'><span>7%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_45_1' class='gform_page ' data-js='page-field-id-0' >\n\t\t\t\t\t<div class='gform_page_fields'><div id='gform_fields_45' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_6\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_6'><span class='gform-field-label__text'>Apellidos del candidato\/a<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_45_6' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_5\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_5'><span class='gform-field-label__text'>Nombre del candidato\/a<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_45_5' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_514\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_514'><span class='gform-field-label__text'>Apodo (opcional)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_514' id='input_45_514' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Direcci\u00f3n e informaci\u00f3n de contacto<\/h3><\/div><fieldset id=\"field_45_406\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full 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' ><span class='gform-field-label__text'>Datos de la madre<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_45_406'>\n                            \n                            <span id='input_45_406_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_406.3' id='input_45_406_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_406_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_45_406_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_406.6' id='input_45_406_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_406_6' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_45_18\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international 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_45_18'><span class='gform-field-label__text'>Tel\u00e9fono m\u00f3vil<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_18' id='input_45_18' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_19\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international 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_45_19'><span class='gform-field-label__text'>Tel\u00e9fono del trabajo<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_19' id='input_45_19' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_36\" 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_45_36'><span class='gform-field-label__text'>\u00bfCu\u00e1ndo es el mejor momento para contactar? (por ejemplo, 7am &#8211; 5pm, o despu\u00e9s de 3 pm)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_36' id='input_45_36' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_38\" 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_45_38'><span class='gform-field-label__text'>\u00bfHasta qu\u00e9 hora podemos llamar?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_38' id='input_45_38' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_407\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full 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' ><span class='gform-field-label__text'>Datos del padre<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_45_407'>\n                            \n                            <span id='input_45_407_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_407.3' id='input_45_407_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_407_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_45_407_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_407.6' id='input_45_407_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_407_6' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_45_20\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international 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_45_20'><span class='gform-field-label__text'>Tel\u00e9fono m\u00f3vil<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_20' id='input_45_20' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_21\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international 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_45_21'><span class='gform-field-label__text'>Tel\u00e9fono del trabajo<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_21' id='input_45_21' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_408\" 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_45_408'><span class='gform-field-label__text'>\u00bfCu\u00e1ndo es el mejor momento para contactar? (por ejemplo, 7am &#8211; 5pm, o despu\u00e9s de 3 pm)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_408' id='input_45_408' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_409\" 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_45_409'><span class='gform-field-label__text'>\u00bfHasta qu\u00e9 hora podemos llamar?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_409' id='input_45_409' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_538\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_538'><span class='gform-field-label__text'>\u00bfEl candidato tiene m\u00e1s de un domicilio?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_538' id='input_45_538' class='large gfield_select'  aria-describedby=\"gfield_description_45_538\"   aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_538'>Por favor, responda afirmativo s\u00f3lo si el candidato tiene padres con custodia compartida que viven separados y el candidato se muda regularmente entre dos hogares.<\/div><\/div><div id=\"field_45_296\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_296'><span class='gform-field-label__text'>Direcci\u00f3n principal del candidato\/a<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_296' id='input_45_296' type='text' value='' class='large'  aria-describedby=\"gfield_description_45_296\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_45_296'>NOTA: Si el candidato divide su tiempo entre dos hogares (padres con custodia compartida que viven por separado) por favor, complete esta secci\u00f3n con la direcci\u00f3n en la que el candidato pasa la mayor parte de su tiempo. Ponga la segunda direcci\u00f3n en el apartado siguiente.<\/div><\/div><div id=\"field_45_297\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_297'><span class='gform-field-label__text'>Segunda direcci\u00f3n (Especificar a qu\u00e9 progenitor pertenece)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_297' id='input_45_297' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_298\" 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_45_298'><span class='gform-field-label__text'>Poblaci\u00f3n y provincia<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_298' id='input_45_298' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_300\" 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_45_300'><span class='gform-field-label__text'>C\u00f3digo postal<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_300' id='input_45_300' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_45_299\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full 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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_299'><span class='gform-field-label__text'>D\u00e9partement (pas le code)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_299' id='input_45_299' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_301\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_301'><span class='gform-field-label__text'>Ciudad m\u00e1s cercana<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_301' id='input_45_301' type='text' value='' class='large'  aria-describedby=\"gfield_description_45_301\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_45_301'>Por ejemplo, 20 km de Madrid.<\/div><\/div><div id=\"field_45_302\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_302'><span class='gform-field-label__text'>Pa\u00eds<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_302' id='input_45_302' class='large gfield_select'     aria-invalid=\"false\" ><option value='Espa\u00f1a' >Espa\u00f1a<\/option><option value='Francia' >Francia<\/option><option value='Alemania' >Alemania<\/option><option value='Italia' >Italia<\/option><option value='EEUU' >EEUU<\/option><option value='Canad\u00e1' >Canad\u00e1<\/option><option value='Gran Breeta\u00f1a' >Gran Breeta\u00f1a<\/option><option value='Irlanda' >Irlanda<\/option><option value='Otro' >Otro<\/option><\/select><\/div><\/div><div id=\"field_45_34\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_34'><span class='gform-field-label__text'>Tel\u00e9fono fijo de casa<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_34' id='input_45_34' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_387\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_387'><span class='gform-field-label__text'>Correo electr\u00f3nico de la madre<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_387' id='input_45_387' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_45_389\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_389'><span class='gform-field-label__text'>Correo electr\u00f3nico del padre<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_389' id='input_45_389' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_45_388\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_388'><span class='gform-field-label__text'>Correo electr\u00f3nico del candidato\/a<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_388' id='input_45_388' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                         <button type='button' id='gform_next_button_45_279' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_2_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_2' class='gform_page' data-js='page-field-id-279' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_2' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_287\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Candidato\/a<\/h3><\/div><fieldset id=\"field_45_47\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-third 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' ><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/legend><div id='input_45_47' class='ginput_container ginput_complex gform-grid-row'>\n                                    <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_45_47_2_container'>\n                                        <input type='number' maxlength='2' name='input_47[]' id='input_45_47_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_45_47_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>D\u00eda<\/label>\n                                    <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_45_47_1_container'>\n                                    <input type='number' maxlength='2' name='input_47[]' id='input_45_47_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                    <label for='input_45_47_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mes<\/label>\n                               <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_45_47_3_container'>\n                                    <input type='number' maxlength='4' name='input_47[]' id='input_45_47_3' value=''   aria-required='false'   placeholder='AAAA' min='1920' max='2027' step='1'\/>\n                                    <label for='input_45_47_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>A\u00f1o<\/label>\n                               <\/div>\n                            <\/div><\/fieldset><div id=\"field_45_516\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_516'><span class='gform-field-label__text'>Lugar de nacimiento<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_516' id='input_45_516' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_517\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_517'><span class='gform-field-label__text'>Nacionalidad<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_517' id='input_45_517' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_405\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_405'><span class='gform-field-label__text'>Sexo\/g\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_405' id='input_45_405' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_365\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_365'><span class='gform-field-label__text'>Altura<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_365' id='input_45_365' type='text' value='' class='small'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_55\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_55'><span class='gform-field-label__text'>Peso<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_55' id='input_45_55' type='number' step='any'   value='' class='small'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_45_518\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_518'><span class='gform-field-label__text'>\u00bfEl candidato\/a es adoptado\/a?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_518' id='input_45_518' class='large gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_57\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_57'><span class='gform-field-label__text'>Descripci\u00f3n corta de la personalidad de vuestro hijo\/a: car\u00e1cter, sensibilidad, relaci\u00f3n con otras personas, etc<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_57' id='input_45_57' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_526\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Complete esta secci\u00f3n con el\/la joven interesado\/a<\/h3><\/div><div id=\"field_45_60\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_60'><span class='gform-field-label__text'>\u00bfPractica alguna religi\u00f3n u otra actividad espiritual?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_60' id='input_45_60' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_61\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_61'><span class='gform-field-label__text'>\u00bfLe gusta leer?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_61' id='input_45_61' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_62\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_62'><span class='gform-field-label__text'>\u00bfToca alg\u00fan instrumento? \u00bfDesde hace cu\u00e1nto tiempo?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_62' id='input_45_62' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_63\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_63'><span class='gform-field-label__text'>\u00bfQu\u00e9 tipo de salidas le gusta realizar? (Cine, museo, biblioteca, parque, etc)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_63' id='input_45_63' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_64\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_64'><span class='gform-field-label__text'>\u00bfPertenece a alguna asociaci\u00f3n, club, taller u otra actividad? (pintura, escultura, scouts, etc.)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_64' id='input_45_64' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_65\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_65'><span class='gform-field-label__text'>\u00bfHace deporte o pertenece a un club deportivo, \u00bfdesde hace cu\u00e1nto tiempo?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_65' id='input_45_65' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_66\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_66'><span class='gform-field-label__text'>\u00bfPractica deporte por su cuenta o con amigos o familia?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_66' id='input_45_66' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_67\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_67'><span class='gform-field-label__text'>\u00bfEs competitivo\/a?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_67' id='input_45_67' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_45_68\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u00bfSabe nadar?<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_45_68'><div class='gchoice gchoice_45_68_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.1' type='checkbox'  value='S\u00ed'  id='choice_45_68_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_68_1' id='label_45_68_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_68_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_68.2' type='checkbox'  value='No'  id='choice_45_68_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_68_2' id='label_45_68_2' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_69\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_69'><span class='gform-field-label__text'>\u00bfQu\u00e9 distancia puede nadar?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_69' id='input_45_69' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Menos de 1.000 metros (40 largos en una piscina de 25 metros)' selected='selected'>Menos de 1.000 metros (40 largos en una piscina de 25 metros)<\/option><option value='M\u00e1s de 1.000 metros (40 largos en una piscina de 25 metros)' >M\u00e1s de 1.000 metros (40 largos en una piscina de 25 metros)<\/option><\/select><\/div><\/div><div id=\"field_45_70\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_70'><span class='gform-field-label__text'>De media, \u00bfCu\u00e1ntas horas a la semana le dedica al deporte?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_70' id='input_45_70' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_71\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_71'><span class='gform-field-label__text'>\u00bfCu\u00e1les son sus ocupaciones favoritas fuera del tiempo escolar?  (juegos, relajaci\u00f3n, cine, TV, quedar con amigos, cocinar, video juegos,etc.)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_71' id='input_45_71' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_45_304\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Haz a tu hijo\/a esta pregunta: \u00bfCrees que ser\u00e1s capaz de dejar tu tel\u00e9fono m\u00f3vil en Espa\u00f1a durante tu estancia en el extranjero? Marca la respuesta.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_304'>\n\t\t\t<div class='gchoice gchoice_45_304_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_304' type='radio' value='S\u00ed, no tengo m\u00f3vil'  id='choice_45_304_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_45_304\"   \/>\n\t\t\t\t\t<label for='choice_45_304_0' id='label_45_304_0' class='gform-field-label gform-field-label--type-inline'>S\u00ed, no tengo m\u00f3vil<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_304_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_304' type='radio' value='S\u00ed, f\u00e1cilmente'  id='choice_45_304_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_304_1' id='label_45_304_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed, f\u00e1cilmente<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_304_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_304' type='radio' value='Quiz\u00e1s, no ser\u00e1 f\u00e1cil'  id='choice_45_304_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_304_2' id='label_45_304_2' class='gform-field-label gform-field-label--type-inline'>Quiz\u00e1s, no ser\u00e1 f\u00e1cil<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_304_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_304' type='radio' value='No, dependo mucho de \u00e9l y lo utilizo todo el tiempo. No tengo intenci\u00f3n de dejarlo'  id='choice_45_304_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_304_3' id='label_45_304_3' class='gform-field-label gform-field-label--type-inline'>No, dependo mucho de \u00e9l y lo utilizo todo el tiempo. No tengo intenci\u00f3n de dejarlo<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_45_304'>(Hablaremos de este tema durante la reuni\u00f3n general o la entrevista familiar)<\/div><\/fieldset><div id=\"field_45_75\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_75'><span class='gform-field-label__text'>\u00bfHa pasado vuestro hijo\/a tiempo fuera de la familia? \u00bfPor cu\u00e1nto tiempo? \u00bfPor qu\u00e9 motivo?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_75' id='input_45_75' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_45_76\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_list_4col field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>\u00bfCu\u00e1l\/les de los siguientes apartados definen a vuestro hijo\/a?<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_45_76'><div class='gchoice gchoice_45_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='(su habitaci\u00f3n y su mesa est\u00e1n siempre bien recogidas)'  id='choice_45_76_1'   aria-describedby=\"gfield_description_45_76\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_1' id='label_45_76_1' class='gform-field-label gform-field-label--type-inline'>Ordenado\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.2' type='checkbox'  value='(no se preocupa mucho de recoger las cosas)'  id='choice_45_76_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_2' id='label_45_76_2' class='gform-field-label gform-field-label--type-inline'>Desordenado\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.3' type='checkbox'  value='(siempre listo a la hora)'  id='choice_45_76_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_3' id='label_45_76_3' class='gform-field-label gform-field-label--type-inline'>Puntual<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.4' type='checkbox'  value='(est\u00e1 a menudo en las nubes)'  id='choice_45_76_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_4' id='label_45_76_4' class='gform-field-label gform-field-label--type-inline'>So\u00f1ador<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.5' type='checkbox'  value='(siempre con los pies en la tierra)'  id='choice_45_76_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_5' id='label_45_76_5' class='gform-field-label gform-field-label--type-inline'>Realista<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.6' type='checkbox'  value='(los comentarios de otras personas le afectan mucho)'  id='choice_45_76_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_6' id='label_45_76_6' class='gform-field-label gform-field-label--type-inline'>Sensible<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.7' type='checkbox'  value='(tiene mucha imaginaci\u00f3n)'  id='choice_45_76_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_7' id='label_45_76_7' class='gform-field-label gform-field-label--type-inline'>Creativo\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.8' type='checkbox'  value='(no se rinde ante el primer obst\u00e1culo)'  id='choice_45_76_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_8' id='label_45_76_8' class='gform-field-label gform-field-label--type-inline'>Luchador\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.9' type='checkbox'  value='(se ruboriza f\u00e1cilmente)'  id='choice_45_76_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_9' id='label_45_76_9' class='gform-field-label gform-field-label--type-inline'>Emotivo\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.11' type='checkbox'  value='(no pierde la ocasi\u00f3n de comentar lo que sucede alrededor)'  id='choice_45_76_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_11' id='label_45_76_11' class='gform-field-label gform-field-label--type-inline'>Charlat\u00e1n\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.12' type='checkbox'  value='(piensa antes de reaccionar)'  id='choice_45_76_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_12' id='label_45_76_12' class='gform-field-label gform-field-label--type-inline'>Reflexivo\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.13' type='checkbox'  value='(reacciona muy deprisa y dice lo que piensa)'  id='choice_45_76_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_13' id='label_45_76_13' class='gform-field-label gform-field-label--type-inline'>Espont\u00e1neo\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.14' type='checkbox'  value='(sonr\u00ede con facilidad)'  id='choice_45_76_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_14' id='label_45_76_14' class='gform-field-label gform-field-label--type-inline'>Sonriente<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_15'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.15' type='checkbox'  value='(tiende a ser t\u00edmido\/a con los adultos)'  id='choice_45_76_15'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_15' id='label_45_76_15' class='gform-field-label gform-field-label--type-inline'>Reservado\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_16'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.16' type='checkbox'  value='(detesta no tener nada que hacer y le gusta cambiar de actividad con frecuencia)'  id='choice_45_76_16'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_16' id='label_45_76_16' class='gform-field-label gform-field-label--type-inline'>Activo\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_17'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.17' type='checkbox'  value='(se interesa por cualquier cosa)'  id='choice_45_76_17'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_17' id='label_45_76_17' class='gform-field-label gform-field-label--type-inline'>Curioso\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_18'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.18' type='checkbox'  value='(no le gustan los lugares ruidosos y llenos de gente)'  id='choice_45_76_18'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_18' id='label_45_76_18' class='gform-field-label gform-field-label--type-inline'>Tranquilo\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_19'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.19' type='checkbox'  value=''  id='choice_45_76_19'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_19' id='label_45_76_19' class='gform-field-label gform-field-label--type-inline'>T\u00edmido\/a<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_76_21'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.21' type='checkbox'  value='(a menudo se le olvidan las cosas)'  id='choice_45_76_21'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_76_21' id='label_45_76_21' class='gform-field-label gform-field-label--type-inline'>Despistado\/a<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_45_76'>Seleccionad lo que sea aplicable.<\/div><\/fieldset><div id=\"field_45_77\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_77'><span class='gform-field-label__text'>\u00bfPiensa tu hijo\/a que tiene alg\u00fan defecto? \u00bfCu\u00e1l?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_77' id='input_45_77' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_78\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_78'><span class='gform-field-label__text'>\u00bfCu\u00e1les son sus principales virtudes?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_78' id='input_45_78' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_303' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_303' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_3_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_3' class='gform_page' data-js='page-field-id-303' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_90\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Salud<\/h3><div class='gsection_description' id='gfield_description_45_90'>Esta p\u00e1gina puede ser retirada del dossier por la familia extranjera en caso de emergencia.<\/div><\/div><fieldset id=\"field_45_448\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-half 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' ><span class='gform-field-label__text'>Datos del candidato\/a<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_45_448'>\n                            \n                            <span id='input_45_448_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_448.3' id='input_45_448_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_448_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_45_448_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_448.6' id='input_45_448_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_448_6' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_45_449\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_449'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_449'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_449'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_449' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_449' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_449' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_450\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Vacunas y enfermedades infantiles<\/h3><div class='gsection_description' id='gfield_description_45_450'>Nota: En los campos siguientes, indique la fecha M\u00c1S RECIENTE (vacuna inicial o refuerzo, lo que sea aplicable).<\/div><\/div><fieldset id=\"field_45_454\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Difteria<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_454'>\n\t\t\t<div class='gchoice gchoice_45_454_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_454' type='radio' value='Vacuna\/refuerzo'  id='choice_45_454_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_454_0' id='label_45_454_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_454_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_454' type='radio' value='Enfermedad'  id='choice_45_454_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_454_1' id='label_45_454_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_454_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_454' type='radio' value='Ninguna'  id='choice_45_454_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_454_2' id='label_45_454_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_455\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_455'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_455'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_455'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_455' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_455' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_455' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_500\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Tosferina<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_500'>\n\t\t\t<div class='gchoice gchoice_45_500_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_500' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_500_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_500_0' id='label_45_500_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_500_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_500' type='radio' value='Enfermedad'  id='choice_45_500_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_500_1' id='label_45_500_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_500_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_500' type='radio' value='Ninguna'  id='choice_45_500_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_500_2' id='label_45_500_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_502\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_502'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_502'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_502'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_502' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_502' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_502' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_499\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>T\u00e9tanos<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_499'>\n\t\t\t<div class='gchoice gchoice_45_499_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_499' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_499_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_499_0' id='label_45_499_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_499_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_499' type='radio' value='Enfermedad'  id='choice_45_499_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_499_1' id='label_45_499_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_499_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_499' type='radio' value='Ninguna'  id='choice_45_499_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_499_2' id='label_45_499_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_501\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_501'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_501'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_501'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_501' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_501' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_501' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_495\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Polio<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_495'>\n\t\t\t<div class='gchoice gchoice_45_495_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_495' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_495_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_495_0' id='label_45_495_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_495_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_495' type='radio' value='Enfermedad'  id='choice_45_495_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_495_1' id='label_45_495_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_495_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_495' type='radio' value='Ninguna'  id='choice_45_495_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_495_2' id='label_45_495_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_496\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_496'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_496'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_496'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_496' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_496' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_496' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_456\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Sarampi\u00f3n<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_456'>\n\t\t\t<div class='gchoice gchoice_45_456_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_456' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_456_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_456_0' id='label_45_456_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_456_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_456' type='radio' value='Enfermedad'  id='choice_45_456_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_456_1' id='label_45_456_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_456_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_456' type='radio' value='Ninguna'  id='choice_45_456_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_456_2' id='label_45_456_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_457\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_457'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_457'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_457'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_457' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_457' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_457' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_503\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Paperas<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_503'>\n\t\t\t<div class='gchoice gchoice_45_503_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_503' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_503_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_503_0' id='label_45_503_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_503_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_503' type='radio' value='Enfermedad'  id='choice_45_503_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_503_1' id='label_45_503_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_503_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_503' type='radio' value='Ninguna'  id='choice_45_503_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_503_2' id='label_45_503_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_505\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_505'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_505'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_505'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_505' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_505' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_505' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_497\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Rubeola<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_497'>\n\t\t\t<div class='gchoice gchoice_45_497_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_497' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_497_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_497_0' id='label_45_497_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_497_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_497' type='radio' value='Enfermedad'  id='choice_45_497_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_497_1' id='label_45_497_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_497_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_497' type='radio' value='Ninguna'  id='choice_45_497_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_497_2' id='label_45_497_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_498\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_498'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_498'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_498'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_498' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_498' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_498' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_507\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Varicela<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_507'>\n\t\t\t<div class='gchoice gchoice_45_507_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_507' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_507_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_507_0' id='label_45_507_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_507_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_507' type='radio' value='Enfermedad'  id='choice_45_507_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_507_1' id='label_45_507_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_507_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_507' type='radio' value='Ninguna'  id='choice_45_507_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_507_2' id='label_45_507_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_508\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_508'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_508'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_508'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_508' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_508' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_508' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_504\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Tuberculosis<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_504'>\n\t\t\t<div class='gchoice gchoice_45_504_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_504' type='radio' value='Vacuna\/Refuerzo'  id='choice_45_504_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_504_0' id='label_45_504_0' class='gform-field-label gform-field-label--type-inline'>Vacuna\/Refuerzo<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_504_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_504' type='radio' value='Enfermedad'  id='choice_45_504_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_504_1' id='label_45_504_1' class='gform-field-label gform-field-label--type-inline'>Enfermedad<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_504_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_504' type='radio' value='Ninguna'  id='choice_45_504_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_504_2' id='label_45_504_2' class='gform-field-label gform-field-label--type-inline'>Ninguna<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_506\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_506'><span class='gform-field-label__text'>Fecha<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_506'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_506'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_506' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_506' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_506' aria-label='Fecha: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><fieldset id=\"field_45_410\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfHa sido vuestro\/a hijo\/a operado alguna vez?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_410'>\n\t\t\t<div class='gchoice gchoice_45_410_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='No'  id='choice_45_410_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_410_0' id='label_45_410_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_410_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_410' type='radio' value='S\u00ed'  id='choice_45_410_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_410_1' id='label_45_410_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_92\" 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_45_92'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_45_92' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_417\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfHa sido anestesiado\/a alguna vez con anestesia local o general?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_417'>\n\t\t\t<div class='gchoice gchoice_45_417_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_417' type='radio' value='No'  id='choice_45_417_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_417_0' id='label_45_417_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_417_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_417' type='radio' value='S\u00ed'  id='choice_45_417_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_417_1' id='label_45_417_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_418\" 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_45_418'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_418' id='input_45_418' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_419\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene alergia a alg\u00fan medicamento? .<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_419'>\n\t\t\t<div class='gchoice gchoice_45_419_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_419' type='radio' value='No'  id='choice_45_419_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_419_0' id='label_45_419_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_419_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_419' type='radio' value='S\u00ed'  id='choice_45_419_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_419_1' id='label_45_419_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_420\" 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_45_420'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_420' id='input_45_420' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_421\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene alguna alergia alimentaria?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_421'>\n\t\t\t<div class='gchoice gchoice_45_421_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_421' type='radio' value='No'  id='choice_45_421_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_421_0' id='label_45_421_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_421_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_421' type='radio' value='S\u00ed'  id='choice_45_421_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_421_1' id='label_45_421_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_422\" 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_45_422'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_422' id='input_45_422' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_411\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfHa tenido crisis epil\u00e9pticas?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_411'>\n\t\t\t<div class='gchoice gchoice_45_411_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_411' type='radio' value='No'  id='choice_45_411_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_411_0' id='label_45_411_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_411_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_411' type='radio' value='S\u00ed'  id='choice_45_411_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_411_1' id='label_45_411_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_104\" 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_45_104'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_104' id='input_45_104' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_412\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfEs asm\u00e1tico\/a?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_412'>\n\t\t\t<div class='gchoice gchoice_45_412_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_412' type='radio' value='No'  id='choice_45_412_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_412_0' id='label_45_412_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_412_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_412' type='radio' value='S\u00ed'  id='choice_45_412_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_412_1' id='label_45_412_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_106\" 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_45_106'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_106' id='input_45_106' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_423\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene alg\u00fan problema con el sue\u00f1o? \u00bfLe cuesta dormirse? \u00bfPesadillas frecuentes?\u00bfSonambulismo?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_423'>\n\t\t\t<div class='gchoice gchoice_45_423_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_423' type='radio' value='No'  id='choice_45_423_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_423_0' id='label_45_423_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_423_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_423' type='radio' value='S\u00ed'  id='choice_45_423_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_423_1' id='label_45_423_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_424\" 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_45_424'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_424' id='input_45_424' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_413\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfSufre eneuresis nocturna (micci\u00f3n involuntaria de la orina)?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_413'>\n\t\t\t<div class='gchoice gchoice_45_413_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_413' type='radio' value='No'  id='choice_45_413_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_413_0' id='label_45_413_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_413_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_413' type='radio' value='S\u00ed.'  id='choice_45_413_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_413_1' id='label_45_413_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed.<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_122\" 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_45_122'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_122' id='input_45_122' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_425\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene dolor de cabeza frecuentemente?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_425'>\n\t\t\t<div class='gchoice gchoice_45_425_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_425' type='radio' value='No'  id='choice_45_425_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_425_0' id='label_45_425_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_425_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_425' type='radio' value='S\u00ed'  id='choice_45_425_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_425_1' id='label_45_425_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_426\" 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_45_426'><span class='gform-field-label__text'>Precisar si en necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_426' id='input_45_426' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_427\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene dolor de est\u00f3mago frecuente?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_427'>\n\t\t\t<div class='gchoice gchoice_45_427_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_427' type='radio' value='No'  id='choice_45_427_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_427_0' id='label_45_427_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_427_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_427' type='radio' value='S\u00ed'  id='choice_45_427_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_427_1' id='label_45_427_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_428\" 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_45_428'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_428' id='input_45_428' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_429\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfEstre\u00f1imiento o diarrea?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_429'>\n\t\t\t<div class='gchoice gchoice_45_429_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_429' type='radio' value='No'  id='choice_45_429_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_429_0' id='label_45_429_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_429_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_429' type='radio' value='S\u00ed'  id='choice_45_429_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_429_1' id='label_45_429_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_430\" 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_45_430'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_430' id='input_45_430' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_431\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene alg\u00fan problema en la piel?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_431'>\n\t\t\t<div class='gchoice gchoice_45_431_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_431' type='radio' value='No'  id='choice_45_431_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_431_0' id='label_45_431_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_431_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_431' type='radio' value='S\u00ed'  id='choice_45_431_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_431_1' id='label_45_431_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_432\" 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_45_432'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_432' id='input_45_432' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_433\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfHa tenido problemas de v\u00e9rtigo o de desmayos con p\u00e9rdida de conocimiento?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_433'>\n\t\t\t<div class='gchoice gchoice_45_433_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_433' type='radio' value='No'  id='choice_45_433_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_433_0' id='label_45_433_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_433_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_433' type='radio' value='S\u00ed'  id='choice_45_433_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_433_1' id='label_45_433_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_434\" 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_45_434'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_434' id='input_45_434' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_435\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfToma alguna medicaci\u00f3n habitualmente?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_435'>\n\t\t\t<div class='gchoice gchoice_45_435_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_435' type='radio' value='No'  id='choice_45_435_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_435_0' id='label_45_435_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_435_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_435' type='radio' value='S\u00ed'  id='choice_45_435_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_435_1' id='label_45_435_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_436\" 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_45_436'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_436' id='input_45_436' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_437\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfLleva gafas?\u00bfTodo el tiempo?\u00bfO s\u00f3lamente durante algunos momentos, ver la TV, lectura, etc?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_437'>\n\t\t\t<div class='gchoice gchoice_45_437_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_437' type='radio' value='No'  id='choice_45_437_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_437_0' id='label_45_437_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_437_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_437' type='radio' value='S\u00ed'  id='choice_45_437_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_437_1' id='label_45_437_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_438\" 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_45_438'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_438' id='input_45_438' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_439\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfLleva aparato odontol\u00f3gico?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_439'>\n\t\t\t<div class='gchoice gchoice_45_439_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_439' type='radio' value='No'  id='choice_45_439_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_439_0' id='label_45_439_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_439_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_439' type='radio' value='S\u00ed'  id='choice_45_439_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_439_1' id='label_45_439_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_440\" 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_45_440'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_440' id='input_45_440' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_414\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene alguna enfermedad que no se haya mencionado?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_414'>\n\t\t\t<div class='gchoice gchoice_45_414_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_414' type='radio' value='No'  id='choice_45_414_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_414_0' id='label_45_414_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_414_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_414' type='radio' value='S\u00ed'  id='choice_45_414_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_414_1' id='label_45_414_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_128\" 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_45_128'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_128' id='input_45_128' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_415\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfTiene alg\u00fan problema m\u00e9dico por el que no pueda hacer deporte?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_415'>\n\t\t\t<div class='gchoice gchoice_45_415_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_415' type='radio' value='No'  id='choice_45_415_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_415_0' id='label_45_415_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_415_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_415' type='radio' value='S\u00ed'  id='choice_45_415_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_415_1' id='label_45_415_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_136\" 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_45_136'><span class='gform-field-label__text'>Especificar en caso afirmativo.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_45_136' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_441\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Si la joven es una chica, \u00bftiene ya la menstruaci\u00f3n?.<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_441'>\n\t\t\t<div class='gchoice gchoice_45_441_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_441' type='radio' value='No'  id='choice_45_441_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_441_0' id='label_45_441_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_441_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_441' type='radio' value='S\u00ed'  id='choice_45_441_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_441_1' id='label_45_441_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_442\" 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_45_442'><span class='gform-field-label__text'>Precisar si es necesario.<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_442' id='input_45_442' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_443\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_443'><span class='gform-field-label__text'>Grupo sangu\u00edneo, si lo conoc\u00e9is.<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_443' id='input_45_443' class='large gfield_select'     aria-invalid=\"false\" ><option value='A +' >A +<\/option><option value='A -' >A &#8211;<\/option><option value='B +' >B +<\/option><option value='B -' >B &#8211;<\/option><option value='AB +' >AB +<\/option><option value='AB -' >AB &#8211;<\/option><option value='O +' >O +<\/option><option value='O -' >O &#8211;<\/option><\/select><\/div><\/div><div id=\"field_45_140\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_140'><span class='gform-field-label__text'>Anotaciones diversas: alergias, sue\u00f1o, migra\u00f1as, minusval\u00edas, anorexia (en el presente o en el pasado), mareo en el coche, deficiencia auditiva, dislexia, etc.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_140' id='input_45_140' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_141\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_141'><span class='gform-field-label__text'>\u00bfHa consultado vuestro hijo\/a a un psic\u00f3logo? En caso afirmativo, precisad.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_141' id='input_45_141' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_142\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_142'><span class='gform-field-label__text'>Si en vuestra familia ten\u00e9is alguna forma de medicina alternativa o no habitual de tratar o cuidar a sus hijos, por favor indicadla.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_142' id='input_45_142' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_444\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_444'><span class='gform-field-label__text'>\u00bfTiene vuestro\/a hijo\/a o vuestra familia alg\u00fan h\u00e1bito especial referente a la alimentaci\u00f3n? \u00bfSon vegetarianos? \u00bfHay alguna comida, alimento o bebida que no le guste a vuestro hijo\/a? (sin contar con las que no puede tomar por razones m\u00e9dicas, religiosas o filos\u00f3ficas).<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_444' id='input_45_444' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_305' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_305' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_4_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_4' class='gform_page' data-js='page-field-id-305' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_4' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_307\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Colegio<\/h3><\/div><fieldset id=\"field_45_308\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>\u00bfEst\u00e1 vuestro hijo\/a siendo educado\/a en casa, sin estar escolarizado?<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_45_308'>\n\t\t\t<div class='gchoice gchoice_45_308_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_308' type='radio' value='No'  id='choice_45_308_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_308_0' id='label_45_308_0' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_45_308_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_308' type='radio' value='S\u00ed'  id='choice_45_308_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_45_308_1' id='label_45_308_1' class='gform-field-label gform-field-label--type-inline'>S\u00ed<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_309\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_309'><span class='gform-field-label__text'>Etapa educativa<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_309' id='input_45_309' class='large gfield_select'     aria-invalid=\"false\" ><option value='Educaci\u00f3n Primaria' >Educaci\u00f3n Primaria<\/option><option value='Educaci\u00f3n Secundaria' >Educaci\u00f3n Secundaria<\/option><option value='Bachillerato' >Bachillerato<\/option><\/select><\/div><\/div><div id=\"field_45_310\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_310'><span class='gform-field-label__text'>Tipo de colegio<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_310' id='input_45_310' class='large gfield_select'     aria-invalid=\"false\" ><option value='P\u00fablico' >P\u00fablico<\/option><option value='Concertado' >Concertado<\/option><option value='Privado' >Privado<\/option><\/select><\/div><\/div><div id=\"field_45_311\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_311'><span class='gform-field-label__text'>Modelo educacional<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_311' id='input_45_311' class='large gfield_select'     aria-invalid=\"false\" ><option value='Mixto' >Mixto<\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><\/select><\/div><\/div><div id=\"field_45_445\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_445'><span class='gform-field-label__text'>N\u00famero de alumnado aproximado en el centro<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_445' id='input_45_445' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_45_312\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_312'><span class='gform-field-label__text'>Nombre del colegio<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_312' id='input_45_312' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_313\" 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_45_313'><span class='gform-field-label__text'>Calle y n\u00famero<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_313' id='input_45_313' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_314\" 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_45_314'><span class='gform-field-label__text'>Poblaci\u00f3n<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_314' id='input_45_314' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_315\" 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_45_315'><span class='gform-field-label__text'>Provincia<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_315' id='input_45_315' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_316\" 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_45_316'><span class='gform-field-label__text'>C\u00f3digo Postal<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_316' id='input_45_316' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_317\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_317'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_317' id='input_45_317' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_318\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_318'><span class='gform-field-label__text'>Correo electr\u00f3nico<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_318' id='input_45_318' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_45_319\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_319'><span class='gform-field-label__text'>P\u00e1gina web<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_319' id='input_45_319' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_45_527\" 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_45_527'><span class='gform-field-label__text'>Nombre del Director\/a<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_527' id='input_45_527' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_528\" 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_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_528'><span class='gform-field-label__text'>Nombre del Tutor\/a<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_528' id='input_45_528' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_321\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_321'><span class='gform-field-label__text'>Curso en el que est\u00e1 actualmente<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_321' id='input_45_321' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_519\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_519'><span class='gform-field-label__text'>Capacidades escolares de vuestro\/a hijo\/a<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_519' id='input_45_519' class='large gfield_select'  aria-describedby=\"gfield_description_45_519\"   aria-invalid=\"false\" ><option value='Muy por encima de la media' >Muy por encima de la media<\/option><option value='Por encima de la media' >Por encima de la media<\/option><option value='En la media' >En la media<\/option><option value='Por debajo de la media' >Por debajo de la media<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_519'>Por favor, sed objetivos.<\/div><\/div><div id=\"field_45_520\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_520'><span class='gform-field-label__text'>Alg\u00fan detalle que quer\u00e1is destacar<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_520' id='input_45_520' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_325\" 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_45_325'><span class='gform-field-label__text'>\u00bfCu\u00e1nto tiempo se tarda en llegar al colegio desde vuestro domicilio?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_325' id='input_45_325' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_326\" 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_45_326'><span class='gform-field-label__text'>Medio de transporte<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_326' id='input_45_326' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_366\" 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_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_366'><span class='gform-field-label__text'>Votre \u00e9tablissement scolaire est en Zone:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_366' id='input_45_366' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_367\" 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_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_367'><span class='gform-field-label__text'>C&#039;est \u00e0 dire dans l&#039;Acad\u00e9mie de:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_367' id='input_45_367' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_530\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Para el pr\u00f3ximo curso (s\u00f3lo si ser\u00e1 diferente al curso actual)<\/h3><\/div><div id=\"field_45_531\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_531'><span class='gform-field-label__text'>Nombre del colegio<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_531' id='input_45_531' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_529\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full 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' ><span class='gform-field-label__text'>Direcci\u00f3n<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_state has_zip ginput_container_address gform-grid-row' id='input_45_529' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_45_529_1_container' >\n                                        <input type='text' name='input_529.1' id='input_45_529_1' value=''    aria-required='false'    \/>\n                                        <label for='input_45_529_1' id='input_45_529_1_label' class='gform-field-label gform-field-label--type-sub '>Calle y n\u00famero<\/label>\n                                    <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_45_529_4_container' >\n                                        <input type='text' name='input_529.4' id='input_45_529_4' value=''      aria-required='false'    \/>\n                                        <label for='input_45_529_4' id='input_45_529_4_label' class='gform-field-label gform-field-label--type-sub '>Comunidad Aut\u00f3noma<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_45_529_5_container' >\n                                    <input type='text' name='input_529.5' id='input_45_529_5' value=''    aria-required='false'    \/>\n                                    <label for='input_45_529_5' id='input_45_529_5_label' class='gform-field-label gform-field-label--type-sub '>C\u00f3digo Postal<\/label>\n                                <\/span><input type='hidden' class='gform_hidden' name='input_529.6' id='input_45_529_6' value='' \/>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_45_532\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international 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_45_532'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_532' id='input_45_532' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_533\" class=\"gfield gfield--type-website gfield--input-type-website 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_45_533'><span class='gform-field-label__text'>P\u00e1gina web<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_533' id='input_45_533' type='url' value='' class='large'    placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_45_534\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_534'><span class='gform-field-label__text'>Nombre del Director\/a<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_534' id='input_45_534' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_194' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_194' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_5_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_5' class='gform_page' data-js='page-field-id-194' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_510\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermanos y hermanas<\/h3><\/div><div id=\"field_45_195\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermano\/a #1<\/h3><\/div><div id=\"field_45_196\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_196'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_196' id='input_45_196' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_197\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_197'><span class='gform-field-label__text'>G\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_197' id='input_45_197' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><option value='No binario \/ Tercer g\u00e9nero' >No binario \/ Tercer g\u00e9nero<\/option><option value='Prefiere no decirlo' >Prefiere no decirlo<\/option><\/select><\/div><\/div><div id=\"field_45_198\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_198'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_198'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_198'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_198' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_198' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_198' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_199\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_199'><span class='gform-field-label__text'>\u00bfVive en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_199' id='input_45_199' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_201\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermano\/a  #2<\/h3><\/div><div id=\"field_45_202\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_202'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_202' id='input_45_202' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_203\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_203'><span class='gform-field-label__text'>G\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_203' id='input_45_203' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><option value='No binario\/Tercer g\u00e9nero' >No binario\/Tercer g\u00e9nero<\/option><option value='Prefiere no decirlo' >Prefiere no decirlo<\/option><\/select><\/div><\/div><div id=\"field_45_204\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_204'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_204'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_204'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_204' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_204' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_204' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_205\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_205'><span class='gform-field-label__text'>\u00bfVive en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_205' id='input_45_205' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_207\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermano\/a  #3<\/h3><\/div><div id=\"field_45_208\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_208'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_208' id='input_45_208' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_209\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_209'><span class='gform-field-label__text'>G\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_209' id='input_45_209' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><option value='No binario\/Tercer g\u00e9nero' >No binario\/Tercer g\u00e9nero<\/option><option value='Prefiere no decirlo' >Prefiere no decirlo<\/option><\/select><\/div><\/div><div id=\"field_45_210\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_210'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_210'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_210'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_210' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_210' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_210' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_211\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_211'><span class='gform-field-label__text'>\u00bfVive en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_211' id='input_45_211' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='S\u00cd' >S\u00cd<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_327\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermano\/a  #4<\/h3><\/div><div id=\"field_45_328\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_328'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_328' id='input_45_328' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_329\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_329'><span class='gform-field-label__text'>G\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_329' id='input_45_329' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><option value='No binario \/ Tercer g\u00e9nero' >No binario \/ Tercer g\u00e9nero<\/option><option value='Prefiere no decirlo' >Prefiere no decirlo<\/option><\/select><\/div><\/div><div id=\"field_45_330\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_330'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_330'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_330'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_330' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_330' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_330' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_331\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_331'><span class='gform-field-label__text'>\u00bfVive en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_331' id='input_45_331' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_332\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermano\/a  #5<\/h3><\/div><div id=\"field_45_333\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_333'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_333' id='input_45_333' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_334\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_334'><span class='gform-field-label__text'>G\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_334' id='input_45_334' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><option value='No binario \/ Tercer g\u00e9nero' >No binario \/ Tercer g\u00e9nero<\/option><option value='Prefiere no decirlo' >Prefiere no decirlo<\/option><\/select><\/div><\/div><div id=\"field_45_335\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_335'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_335'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_335'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_335' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_335' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_335' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_336\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_336'><span class='gform-field-label__text'>\u00bfVive en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_336' id='input_45_336' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_337\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermano\/a  #6<\/h3><\/div><div id=\"field_45_338\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_338'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_338' id='input_45_338' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_339\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_339'><span class='gform-field-label__text'>G\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_339' id='input_45_339' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><option value='No binario\/Tercer g\u00e9nero' >No binario\/Tercer g\u00e9nero<\/option><option value='Prefiere no decirlo' >Prefiere no decirlo<\/option><\/select><\/div><\/div><div id=\"field_45_340\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_340'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_340'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_340'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_340' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_340' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_340' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_341\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_341'><span class='gform-field-label__text'>\u00bfVive en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_341' id='input_45_341' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_342\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Hermano\/a  #7<\/h3><\/div><div id=\"field_45_343\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_343'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_343' id='input_45_343' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_344\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_344'><span class='gform-field-label__text'>G\u00e9nero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_344' id='input_45_344' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='Femenino' >Femenino<\/option><option value='Masculino' >Masculino<\/option><option value='No binario\/Tercer g\u00e9nero' >No binario\/Tercer g\u00e9nero<\/option><option value='Prefiere no decirlo' >Prefiere no decirlo<\/option><\/select><\/div><\/div><div id=\"field_45_345\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_345'><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_345'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_345'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_345' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_345' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_345' aria-label='Fecha de nacimiento: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_346\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_346'><span class='gform-field-label__text'>\u00bfVive en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_346' id='input_45_346' class='medium gfield_select'     aria-invalid=\"false\" ><option value='' ><\/option><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_511\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_45_222\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_222'><span class='gform-field-label__text'>\u00bfTiene un hermano\/a gemelo\/a o mellizo\/a?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_222' id='input_45_222' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_223\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_223'><span class='gform-field-label__text'>\u00bfEst\u00e1is esperando un nuevo hijo\/a?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_223' id='input_45_223' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_224\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_224'><span class='gform-field-label__text'>\u00bfAlguno de los hermanos\/as tiene alg\u00fan tipo de discapacidad? En caso afirmativo, explicad de qu\u00e9 tipo.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_224' id='input_45_224' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_227\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_227'><span class='gform-field-label__text'>Describid brevemente la relaci\u00f3n del candidato\/a con el resto de hermanos\/as?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_227' id='input_45_227' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_58' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_58' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_6_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_6' class='gform_page' data-js='page-field-id-58' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_350\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Madre ( o pareja del padre que conviva en el domicilio)<\/h3><\/div><div id=\"field_45_351\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_351'><span class='gform-field-label__text'>Apellidos<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_351' id='input_45_351' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_352\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter 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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_352'><span class='gform-field-label__text'>Maiden Name<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_352' id='input_45_352' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_353\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_353'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_353' id='input_45_353' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_147\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_147'><span class='gform-field-label__text'>Apodo (si es diferente)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_147' id='input_45_147' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_540\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_540'><span class='gform-field-label__text'>Apodo (si es diferente)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_540' id='input_45_540' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_148\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-third 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' ><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/legend><div id='input_45_148' class='ginput_container ginput_complex gform-grid-row'>\n                                    <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_45_148_2_container'>\n                                        <input type='number' maxlength='2' name='input_148[]' id='input_45_148_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_45_148_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>D\u00eda<\/label>\n                                    <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_45_148_1_container'>\n                                    <input type='number' maxlength='2' name='input_148[]' id='input_45_148_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                    <label for='input_45_148_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mes<\/label>\n                               <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_45_148_3_container'>\n                                    <input type='number' maxlength='4' name='input_148[]' id='input_45_148_3' value=''   aria-required='false'   placeholder='AAAA' min='1920' max='2027' step='1'\/>\n                                    <label for='input_45_148_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>A\u00f1o<\/label>\n                               <\/div>\n                            <\/div><\/fieldset><div id=\"field_45_151\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_151'><span class='gform-field-label__text'>\u00bfDivorciada?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_151' id='input_45_151' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_152\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_152'><span class='gform-field-label__text'>\u00bfSeparada?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_152' id='input_45_152' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_153\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_153'><span class='gform-field-label__text'>\u00bfTienes alg\u00fan problema de salud o alguna limitaci\u00f3n?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_153' id='input_45_153' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_154\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_154'><span class='gform-field-label__text'>\u00bfFumas?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_154' id='input_45_154' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_155\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_155'><span class='gform-field-label__text'>En caso afirmativo, \u00bfcu\u00e1ntos cigarrillos al d\u00eda?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_155' id='input_45_155' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_156\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_156'><span class='gform-field-label__text'>\u00bfFumas dentro de casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_156' id='input_45_156' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_157\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_157'><span class='gform-field-label__text'>Religi\u00f3n, pr\u00e1cticas religiosas u otras formas de espiritualidad<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_157' id='input_45_157' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_158\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_158'><span class='gform-field-label__text'>\u00bfC\u00f3mo describir\u00edas tu car\u00e1cter?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_158' id='input_45_158' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_159\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_159'><span class='gform-field-label__text'>Profesi\u00f3n (detallando los horarios en que se est\u00e1 fuera de casa)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_159' id='input_45_159' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_161\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_161'><span class='gform-field-label__text'>Aficiones y gustos:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_161' id='input_45_161' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_162\" 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_45_162'><span class='gform-field-label__text'>Nivel de estudios:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_162' id='input_45_162' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_535\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_535'><span class='gform-field-label__text'>\u00bfEs el espa\u00f1ol tu lengua materna?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_535' id='input_45_535' class='large gfield_select'     aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_163\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Nivel en idiomas<\/h3><\/div><div id=\"field_45_166\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_166'><span class='gform-field-label__text'>Franc\u00e9s<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_166' id='input_45_166' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_164\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_164'><span class='gform-field-label__text'>Alem\u00e1n<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_164' id='input_45_164' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_289\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_289'><span class='gform-field-label__text'>Italiano<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_289' id='input_45_289' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_165\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_165'><span class='gform-field-label__text'>Ingl\u00e9s<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_165' id='input_45_165' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_167\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_167'><span class='gform-field-label__text'>\u00bfParticipaste de joven en alg\u00fan intercambio en el extranjero?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_167' id='input_45_167' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_168\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_168'><span class='gform-field-label__text'>En caso afirmativo, explica d\u00f3nde y cu\u00e1nto tiempo:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_168' id='input_45_168' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_169' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_169' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_7_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_7' class='gform_page' data-js='page-field-id-169' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_7' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_354\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Padre (o pareja de la madre que conviva en el domicilio<\/h3><\/div><div id=\"field_45_355\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_355'><span class='gform-field-label__text'>Apellidos<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_355' id='input_45_355' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_356\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_356'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_356' id='input_45_356' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_172\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_172'><span class='gform-field-label__text'>Apodo (si es diferente)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_172' id='input_45_172' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_173\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full 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' ><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/legend><div id='input_45_173' class='ginput_container ginput_complex gform-grid-row'>\n                                    <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_45_173_2_container'>\n                                        <input type='number' maxlength='2' name='input_173[]' id='input_45_173_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_45_173_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>D\u00eda<\/label>\n                                    <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_45_173_1_container'>\n                                    <input type='number' maxlength='2' name='input_173[]' id='input_45_173_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                    <label for='input_45_173_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mes<\/label>\n                               <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_45_173_3_container'>\n                                    <input type='number' maxlength='4' name='input_173[]' id='input_45_173_3' value=''   aria-required='false'   placeholder='AAAA' min='1920' max='2027' step='1'\/>\n                                    <label for='input_45_173_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>A\u00f1o<\/label>\n                               <\/div>\n                            <\/div><\/fieldset><div id=\"field_45_512\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_512'><span class='gform-field-label__text'>\u00bfDivorciado?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_512' id='input_45_512' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_513\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_513'><span class='gform-field-label__text'>\u00bfSeparado?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_513' id='input_45_513' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_178\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_178'><span class='gform-field-label__text'>\u00bfTienes alg\u00fan problema de salud o alguna limitaci\u00f3n?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_178' id='input_45_178' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_179\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_179'><span class='gform-field-label__text'>\u00bfFumas?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_179' id='input_45_179' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_180\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_180'><span class='gform-field-label__text'>En caso afirmativo, \u00bfcu\u00e1ntos cigarrillos al d\u00eda?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_180' id='input_45_180' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_181\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_181'><span class='gform-field-label__text'>\u00bfFumas dentro de casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_181' id='input_45_181' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_182\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_182'><span class='gform-field-label__text'>Religi\u00f3n, pr\u00e1cticas religiosas u otras formas de espiritualidad<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_182' id='input_45_182' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_183\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_183'><span class='gform-field-label__text'>\u00bfC\u00f3mo describir\u00edas tu car\u00e1cter?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_183' id='input_45_183' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_184\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_184'><span class='gform-field-label__text'>Profesi\u00f3n (detallando los horarios en que se est\u00e1 fuera de casa)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_184' id='input_45_184' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_186\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_186'><span class='gform-field-label__text'>Aficiones y gustos:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_186' id='input_45_186' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_187\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_187'><span class='gform-field-label__text'>Nivel de estudios<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_187' id='input_45_187' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_536\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_536'><span class='gform-field-label__text'>\u00bfEs el espa\u00f1ol tu lengua materna?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_536' id='input_45_536' class='large gfield_select'     aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_188\" class=\"gfield gfield--type-section gfield--input-type-section gsection [margin-top: 50px;] field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Nivel en idiomas<\/h3><\/div><div id=\"field_45_191\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_191'><span class='gform-field-label__text'>Franc\u00e9s<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_191' id='input_45_191' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_189\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_189'><span class='gform-field-label__text'>Alem\u00e1n<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_189' id='input_45_189' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_285\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_285'><span class='gform-field-label__text'>Italiano<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_285' id='input_45_285' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_190\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_190'><span class='gform-field-label__text'>Ingl\u00e9s<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_190' id='input_45_190' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Nada' >Nada<\/option><option value='Con dificultad' >Con dificultad<\/option><option value='Medianamente' >Medianamente<\/option><option value='Con fluidez' >Con fluidez<\/option><\/select><\/div><\/div><div id=\"field_45_192\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_192'><span class='gform-field-label__text'>\u00bfParticipaste de joven en alg\u00fan intercambio en el extranjero?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_192' id='input_45_192' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_193\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_193'><span class='gform-field-label__text'>En caso afirmativo, explica d\u00f3nde y cu\u00e1nto tiempo:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_193' id='input_45_193' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_357' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_357' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_8_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_8' class='gform_page' data-js='page-field-id-357' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_8' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_229\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Lugar donde viv\u00eds<\/h3><\/div><div id=\"field_45_236\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_236'><span class='gform-field-label__text'>Tu casa est\u00e1 en:<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_236' id='input_45_236' class='medium gfield_select'     aria-invalid=\"false\" ><option value='En el centro de la ciudad' >En el centro de la ciudad<\/option><option value='En las afueras de la ciudad' >En las afueras de la ciudad<\/option><option value='En un pueblo' >En un pueblo<\/option><\/select><\/div><\/div><div id=\"field_45_358\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_358'><span class='gform-field-label__text'>Home, other:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_358' id='input_45_358' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_237\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_237'><span class='gform-field-label__text'>Localalizado en:<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_237' id='input_45_237' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Una calle principal' >Una calle principal<\/option><option value='Una calle secundaria' >Una calle secundaria<\/option><option value='Una urbanizaci\u00f3n' >Una urbanizaci\u00f3n<\/option><\/select><\/div><\/div><div id=\"field_45_238\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_238'><span class='gform-field-label__text'>Es:<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_238' id='input_45_238' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Una casa independiente' >Una casa independiente<\/option><option value='Una casa adosada' >Una casa adosada<\/option><option value='Un piso' >Un piso<\/option><\/select><\/div><\/div><div id=\"field_45_359\" 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_45_359'><span class='gform-field-label__text'>Si es un piso \u00bfen qu\u00e9 nivel?<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_359' id='input_45_359' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_45_239\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_239'><span class='gform-field-label__text'>\u00bfTiene patio o jard\u00edn?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_239' id='input_45_239' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_240\" 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_45_240'><span class='gform-field-label__text'>\u00bfDe qu\u00e9 dimensi\u00f3n?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_240' id='input_45_240' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_241\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_241'><span class='gform-field-label__text'>Durante la estancia, el ni\u00f1o\/a al que recibir\u00edais podr\u00e1:<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_241' id='input_45_241' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Tener su propia habitaci\u00f3n' >Tener su propia habitaci\u00f3n<\/option><option value='Compartir\u00e1 habitaci\u00f3n' >Compartir\u00e1 habitaci\u00f3n<\/option><option value='Podr\u00e1 optar por una habitaci\u00f3n propia o compartir' >Podr\u00e1 optar por una habitaci\u00f3n propia o compartir<\/option><\/select><\/div><\/div><div id=\"field_45_242\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_242'><span class='gform-field-label__text'>Dimensiones de la habitaci\u00f3n que compartir\u00edan:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_242' id='input_45_242' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_360\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_360'><span class='gform-field-label__text'>\u00bfPodr\u00e1 elegir tener su propia habitaci\u00f3n o compartir?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_360' id='input_45_360' class='large gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_458\" 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_45_458'><span class='gform-field-label__text'>N\u00famero de personas que viven en la casa durante la semana<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_458' id='input_45_458' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_45_459\" 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_45_459'><span class='gform-field-label__text'>\u00bfY el fin de semana?<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_459' id='input_45_459' type='number' step='any'   value='' class='large'      aria-invalid=\"false\"  \/><\/div><\/div><div id=\"field_45_348\" 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_45_348'><span class='gform-field-label__text'>\u00bfViene regularmente alguien a casa para ayudar en los deberes u otras labores?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_348' id='input_45_348' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_349\" 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_45_349'><span class='gform-field-label__text'>Si es as\u00ed, detallar nombre, edad y con qu\u00e9 frecuencia<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_349' id='input_45_349' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_245\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_245'><span class='gform-field-label__text'>\u00bfCu\u00e1ntos coches ten\u00e9is?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_245' id='input_45_245' class='medium gfield_select'     aria-invalid=\"false\" ><option value='0' >0<\/option><option value='1' >1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><\/select><\/div><\/div><div id=\"field_45_361\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third 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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_361'><span class='gform-field-label__text'>\u00bfCu\u00e1ntas motos o scooters ten\u00e9is?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_361' id='input_45_361' class='medium gfield_select'     aria-invalid=\"false\" ><option value='0' >0<\/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><\/select><\/div><\/div><div id=\"field_45_246\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_246'><span class='gform-field-label__text'>\u00bfCu\u00e1ntas bicicletas?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_246' id='input_45_246' class='medium gfield_select'     aria-invalid=\"false\" ><option value='0' >0<\/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><\/select><\/div><\/div><div id=\"field_45_248\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_248'><span class='gform-field-label__text'>\u00bfMascotas? (Decid cu\u00e1les y cu\u00e1ntas)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_248' id='input_45_248' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_45_247\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Se\u00f1alad si ten\u00e9is:<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_45_247'><div class='gchoice gchoice_45_247_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_247.1' type='checkbox'  value='Televisi\u00f3n'  id='choice_45_247_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_247_1' id='label_45_247_1' class='gform-field-label gform-field-label--type-inline'>Televisi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_247_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_247.2' type='checkbox'  value='Reproductor DVD'  id='choice_45_247_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_247_2' id='label_45_247_2' class='gform-field-label gform-field-label--type-inline'>Reproductor DVD<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_247_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_247.3' type='checkbox'  value='Piano'  id='choice_45_247_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_247_3' id='label_45_247_3' class='gform-field-label gform-field-label--type-inline'>Piano<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_247_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_247.4' type='checkbox'  value='Video consola'  id='choice_45_247_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_247_4' id='label_45_247_4' class='gform-field-label gform-field-label--type-inline'>Video consola<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_249\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_249'><span class='gform-field-label__text'>\u00bfTen\u00e9is armas de fuego en casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_249' id='input_45_249' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_250\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_250'><span class='gform-field-label__text'>En caso afirmativo, explicad:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_250' id='input_45_250' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_521\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Seguro<\/h3><\/div><div id=\"field_45_522\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_522'><span class='gform-field-label__text'>Compa\u00f1\u00eda<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_522' id='input_45_522' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_524\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full 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' ><span class='gform-field-label__text'>Direcci\u00f3n de la compa\u00f1\u00eda<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_45_524' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_45_524_1_container' >\n                                        <input type='text' name='input_524.1' id='input_45_524_1' value=''    aria-required='false'    \/>\n                                        <label for='input_45_524_1' id='input_45_524_1_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_45_524_2_container' >\n                                        <input type='text' name='input_524.2' id='input_45_524_2' value=''     aria-required='false'   \/>\n                                        <label for='input_45_524_2' id='input_45_524_2_label' class='gform-field-label gform-field-label--type-sub '>Direcci\u00f3n 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_45_524_3_container' >\n                                    <input type='text' name='input_524.3' id='input_45_524_3' value=''    aria-required='false'    \/>\n                                    <label for='input_45_524_3' id='input_45_524_3_label' class='gform-field-label gform-field-label--type-sub '>Ciudad<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_45_524_4_container' >\n                                        <input type='text' name='input_524.4' id='input_45_524_4' value=''      aria-required='false'    \/>\n                                        <label for='input_45_524_4' id='input_45_524_4_label' class='gform-field-label gform-field-label--type-sub '>Provincia<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_45_524_5_container' >\n                                    <input type='text' name='input_524.5' id='input_45_524_5' value=''    aria-required='false'    \/>\n                                    <label for='input_45_524_5' id='input_45_524_5_label' class='gform-field-label gform-field-label--type-sub '>C\u00f3digo Postal<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_45_524_6_container' >\n                                        <select name='input_524.6' id='input_45_524_6'   aria-required='false'    ><option value='' ><\/option><option value='AF' >Afghanist\u00e1n<\/option><option value='AL' >Albania<\/option><option value='DE' >Alemania<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Ant\u00e1rtida<\/option><option value='AG' >Antigua y Barbuda<\/option><option value='SA' >Arabia Saudita<\/option><option value='DZ' >Argelia<\/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' >Azerbaiy\u00e1n<\/option><option value='BS' >Bahamas<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BH' >Bar\u00e9in<\/option><option value='BE' >B\u00e9lgica<\/option><option value='BZ' >Belice<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhut\u00e1n<\/option><option value='BY' >Bielorusia<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, San Eustaquio y Saba<\/option><option value='BA' >Bosnia y Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BR' >Brasil<\/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='CV' >Cabo Verde<\/option><option value='KH' >Camboya<\/option><option value='CM' >Camer\u00fan<\/option><option value='CA' >Canada<\/option><option value='TD' >Chad<\/option><option value='CZ' >Chequia<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CY' >Chipre<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoras<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Rep\u00fablica Democr\u00e1tica del<\/option><option value='KR' >Corea, Rep\u00fablica de<\/option><option value='KP' >Corea, Rep\u00fablica Popular Democr\u00e1tica de<\/option><option value='CI' >Costa de Marfil<\/option><option value='CR' >Costa Rica<\/option><option value='HR' >Croacia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Curazao<\/option><option value='DK' >Dinamarca<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egipto<\/option><option value='SV' >El Salvador<\/option><option value='AE' >Emiratos \u00c1rabes Unidos<\/option><option value='ER' >Eritrea<\/option><option value='SK' >Eslovaquia<\/option><option value='SI' >Eslovenia<\/option><option value='ES' >Espa\u00f1a<\/option><option value='US' >Estados Unidos<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Esuatini<\/option><option value='ET' >Etiop\u00eda<\/option><option value='RU' >Federaci\u00f3n Rusa<\/option><option value='FJ' >Fiji<\/option><option value='PH' >Filipinas<\/option><option value='FI' >Finlandia<\/option><option value='FR' >Francia<\/option><option value='GA' >Gab\u00f3n<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GD' >Granada<\/option><option value='GR' >Grecia<\/option><option value='GL' >Groenlandia<\/option><option value='GP' >Guadalupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GY' >Guayana<\/option><option value='GF' >Guayana Francesa<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea Bissau<\/option><option value='GQ' >Guinea Ecuatorial<\/option><option value='HT' >Hait\u00ed<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungr\u00eda<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Ir\u00e1n<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Irlanda<\/option><option value='BV' >Isla Bouvet<\/option><option value='IM' >Isla de Man<\/option><option value='CX' >Isla de Navidad<\/option><option value='NF' >Isla Norfolk<\/option><option value='IS' >Islandia<\/option><option value='AX' >Islas \u00c5land<\/option><option value='KY' >Islas Caim\u00e1n<\/option><option value='CC' >Islas Cocos<\/option><option value='CK' >Islas Cook<\/option><option value='FO' >Islas Faroe<\/option><option value='HM' >Islas Heard y McDonald<\/option><option value='FK' >Islas Malvinas<\/option><option value='MP' >Islas Marianas del Norte<\/option><option value='MH' >Islas Marshall<\/option><option value='SB' >Islas Salom\u00f3n<\/option><option value='TC' >Islas Turcas y Caicos<\/option><option value='UM' >Islas Ultramarinas Menores de Estados Unidos<\/option><option value='VG' >Islas V\u00edrgenes Brit\u00e1nicas<\/option><option value='VI' >Islas V\u00edrgenes de los Estados Unidos<\/option><option value='IL' >Israel<\/option><option value='IT' >Italia<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Jap\u00f3n<\/option><option value='JE' >Jersey<\/option><option value='GS' >Ji\u017en\u00ed Georgie a Ji\u017en\u00ed Sandwichovy ostrovy<\/option><option value='JO' >Jord\u00e1n<\/option><option value='KZ' >Kazajist\u00e1n<\/option><option value='KE' >Kenia<\/option><option value='KG' >Kirguist\u00e1n<\/option><option value='KI' >Kiribati<\/option><option value='KW' >Kuwait<\/option><option value='LS' >Lesoto<\/option><option value='LB' >L\u00edbano<\/option><option value='LR' >Liberia<\/option><option value='LY' >LIbia<\/option><option value='LI' >Liechtenstein<\/option><option value='LV' >Lituania<\/option><option value='LT' >Lituania<\/option><option value='LU' >Luxemburgo<\/option><option value='MO' >Macau<\/option><option value='MK' >Macedonia del Norte<\/option><option value='MG' >Madagascar<\/option><option value='MY' >Malasia<\/option><option value='MW' >Malawi<\/option><option value='MV' >Maldivas<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MA' >Marruecos<\/option><option value='MQ' >Martinica<\/option><option value='MU' >Mauricio<\/option><option value='MR' >Mauritania<\/option><option value='YT' >Mayotte<\/option><option value='MX' >M\u00e9xico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldavia<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/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='NI' >Nicaragua<\/option><option value='NE' >N\u00edger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NO' >Noruega<\/option><option value='NC' >Nueva Caledonia<\/option><option value='NZ' >Nueva Zelanda<\/option><option value='OM' >Om\u00e1n<\/option><option value='NL' >Paises Bajos<\/option><option value='PK' >Pakist\u00e1n<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestina, Estado de<\/option><option value='PA' >Panam\u00e1<\/option><option value='PG' >Pap\u00faa Nueva Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Per\u00fa<\/option><option value='PN' >Pitcairn<\/option><option value='PF' >Polinesia Francesa<\/option><option value='PL' >Polonia<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='GB' >Reino Unido<\/option><option value='SY' >Rep\u00fablica \u00c1rabe de Siria<\/option><option value='CF' >Rep\u00fablica Centroafricana<\/option><option value='LA' >Rep\u00fablica Democr\u00e1tica Popular de Laos<\/option><option value='DO' >Rep\u00fablica Dominicana<\/option><option value='RE' >Reuni\u00f3n<\/option><option value='RW' >Ruanda<\/option><option value='RO' >Ruman\u00eda<\/option><option value='EH' >Sahara Occidental<\/option><option value='WS' >Samoa<\/option><option value='AS' >Samoa Americana<\/option><option value='BL' >San Bartolom\u00e9<\/option><option value='KN' >San Crist\u00f3bal y Nieves<\/option><option value='SM' >San Marino<\/option><option value='MF' >San Mart\u00edn<\/option><option value='PM' >San Pedro y Miquel\u00f3n<\/option><option value='VC' >San Vicente y las Granadinas<\/option><option value='SH' >Santa Elena, Ascensi\u00f3n y Trist\u00e1n de Acu\u00f1a<\/option><option value='LC' >Santa Luc\u00eda<\/option><option value='VA' >Santa Sede<\/option><option value='ST' >Santo Tom\u00e9 y Principe<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leona<\/option><option value='SG' >Singapur<\/option><option value='SX' >Sint Maarten<\/option><option value='SO' >Somalia<\/option><option value='LK' >Sri Lanka<\/option><option value='ZA' >Sud\u00e1frica<\/option><option value='SD' >Sud\u00e1n<\/option><option value='SS' >Sud\u00e1n del Sur<\/option><option value='SE' >Suecia<\/option><option value='CH' >Suiza<\/option><option value='SR' >Surinam<\/option><option value='SJ' >Svalbard y Jan Mayen<\/option><option value='TH' >Tailandia<\/option><option value='TW' >Taiwan<\/option><option value='TZ' >Tanzania (Rep\u00fablica Unida de)<\/option><option value='TJ' >Tayikist\u00e1n<\/option><option value='IO' >Territorio Brit\u00e1nico del Oc\u00e9ano \u00cdndico<\/option><option value='TF' >Tierras Australes y Ant\u00e1rticas Francesas<\/option><option value='TL' >Timor Oriental<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad y Tobago<\/option><option value='TN' >T\u00fanez<\/option><option value='TM' >Turkmenist\u00e1n<\/option><option value='TR' >Turqu\u00eda<\/option><option value='TV' >Tuvalu<\/option><option value='UA' >Ucrania<\/option><option value='UG' >Uganda<\/option><option value='UY' >Uruguay<\/option><option value='UZ' >Uzbekist\u00e1n<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Vietnam<\/option><option value='WF' >Wallis y Futuna<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbaue<\/option><\/select>\n                                        <label for='input_45_524_6' id='input_45_524_6_label' class='gform-field-label gform-field-label--type-sub '>Pa\u00eds<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_45_523\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_523'><span class='gform-field-label__text'>N\u00famero de p\u00f3liza del seguro<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_523' id='input_45_523' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_525\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_525'><span class='gform-field-label__text'>\u00bfTen\u00e9is alg\u00fan seguro m\u00e9dico privado?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_525' id='input_45_525' class='large gfield_select'     aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_364' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_364' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_9_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_9' class='gform_page' data-js='page-field-id-364' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_9' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_252\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Ambiente Familiar y Amistades<\/h3><div class='gsection_description' id='gfield_description_45_252'>Para que el ni\u00f1o\/a o adolescente se adapte a su nueva familia, es recomendable que conozca el modo de educar, costumbres y normas de quienes le acogen.<\/div><\/div><div id=\"field_45_253\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_253'><span class='gform-field-label__text'>\u00bfC\u00f3mo correg\u00eds a vuestro hijo\/a cuando no se comporta bien o cuando se equivoca? \u00bfTend\u00e9is a pensar que hay situaciones que se corrigen solas con el tiempo o que hay que reaccionar inmediatamente?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_253' id='input_45_253' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_254\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_254'><span class='gform-field-label__text'>\u00bfC\u00f3mo reaccion\u00e1is cuando vuestros hijos\/as sobrepasan los l\u00edmites establecidos? \u00bfHay castigos o consecuencias de alg\u00fan tipo?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_254' id='input_45_254' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_256\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_256'><span class='gform-field-label__text'>\u00bfCom\u00e9is juntos en familia? \u00bfDesayuno, comida, cena? \u00bfDurante la semana? \u00bfLos fines de semana?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_256' id='input_45_256' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_463\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_463'><span class='gform-field-label__text'>\u00bfTen\u00e9is normas de comportamiento en la mesa?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_463' id='input_45_463' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_465\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_465'><span class='gform-field-label__text'>\u00bfCome golosinas y chuches a menudo? \u00bfQu\u00e9 h\u00e1bitos alimenticios ten\u00e9is?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_465' id='input_45_465' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_462\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_462'><span class='gform-field-label__text'>\u00bfSois generalmente estrictos o indulgentes con el comportamiento en la casa?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_462' id='input_45_462' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_461\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_461'><span class='gform-field-label__text'>Contad las tareas de casa que tienen que hacer vuestros hijos (hacerse la cama, poner y quitar la mesa, recoger la ropa\u2026) y tambi\u00e9n decid qu\u00e9 responsabilidades esper\u00e1is del joven de intercambio.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_461' id='input_45_461' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_464\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_464'><span class='gform-field-label__text'>\u00bfRevis\u00e1is sus tareas del colegio, extraescolares, etc?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_464' id='input_45_464' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_261\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_261'><span class='gform-field-label__text'>\u00bfTienen acceso libre a un ordenador familiar? \u00bfY a internet? \u00bfD\u00f3nde est\u00e1 el ordenador familiar?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_261' id='input_45_261' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_45_262\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Vuestro hijo\/a tiene en su propia habitaci\u00f3n:<\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_45_262'><div class='gchoice gchoice_45_262_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_262.1' type='checkbox'  value='Televisi\u00f3n'  id='choice_45_262_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_262_1' id='label_45_262_1' class='gform-field-label gform-field-label--type-inline'>Televisi\u00f3n<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_262_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_262.2' type='checkbox'  value='Ordenador'  id='choice_45_262_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_262_2' id='label_45_262_2' class='gform-field-label gform-field-label--type-inline'>Ordenador<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_262_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_262.3' type='checkbox'  value='Port\u00e1til'  id='choice_45_262_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_262_3' id='label_45_262_3' class='gform-field-label gform-field-label--type-inline'>Port\u00e1til<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_45_262_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_262.4' type='checkbox'  value='Tablet'  id='choice_45_262_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_45_262_4' id='label_45_262_4' class='gform-field-label gform-field-label--type-inline'>Tablet<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_45_263\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_263'><span class='gform-field-label__text'>\u00bfTiene m\u00f3vil tu hijo\/a?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_263' id='input_45_263' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_264\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_264'><span class='gform-field-label__text'>Limitaci\u00f3n de tiempo para usarlos: \u00bfCu\u00e1nto tiempo pasa de media delante de una pantalla?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_264' id='input_45_264' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_274\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_274'><span class='gform-field-label__text'>Contad c\u00f3mo es un d\u00eda normal en vuestra familia:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_274' id='input_45_274' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_275\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_275'><span class='gform-field-label__text'>Contad las tareas de casa que tienen que hacer vuestros hijos (hacerse la cama, poner y quitar la mesa, recoger la ropa\u2026) y tambi\u00e9n decid qu\u00e9 responsabilidades esper\u00e1is del joven de intercambio.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_275' id='input_45_275' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_268\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_268'><span class='gform-field-label__text'>\u00bfSe adapta su hijo\/a f\u00e1cilmente a la convivencia en grupo? \u00bfRespeta a los otros y sus posesiones?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_268' id='input_45_268' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_460\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_460'><span class='gform-field-label__text'>\u00bfSe permite al candidato salir de la casa sin acompa\u00f1ante, ya sea de d\u00eda o de noche? En caso afirmativo, por favor, describa:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_460' id='input_45_460' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_471\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_471'><span class='gform-field-label__text'>Explicad el grado de libertad que vais a dar al ni\u00f1o\/a o joven de intercambio (salidas por la noche, hora de llegada\u2026)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_471' id='input_45_471' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_469\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_469'><span class='gform-field-label__text'>\u00bfPermit\u00eds que beban alcohol o fumen y\/o que salgan con amigos que lo hacen?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_469' id='input_45_469' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_468\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_468'><span class='gform-field-label__text'>\u00bfConoc\u00e9is bien a los amigos\/as de su hijo\/a?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_468' id='input_45_468' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_466\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_466'><span class='gform-field-label__text'>\u00bfLe dais dinero de bolsillo regularmente?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_466' id='input_45_466' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_470\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_470'><span class='gform-field-label__text'>\u00bfVen a menudo a sus abuelos?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_470' id='input_45_470' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_467\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_467'><span class='gform-field-label__text'>\u00bfPermit\u00eds que vuestros hijos viajen solos?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_467' id='input_45_467' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_278\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_278'><span class='gform-field-label__text'>\u00bfC\u00f3mo os gustar\u00eda que fuera la familia de intercambio? \u00bfQu\u00e9 no os gustar\u00eda en absoluto?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_278' id='input_45_278' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_472\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_472'><span class='gform-field-label__text'>\u00bfQu\u00e9 actividades ten\u00e9is planeado hacer en familia durante la estancia del joven de intercambio?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_472' id='input_45_472' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_494' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_494' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_10_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_10' class='gform_page' data-js='page-field-id-494' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_10' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_80\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Selecci\u00f3n de Pa\u00edses<\/h3><div class='gsection_description' id='gfield_description_45_80'>Por favor, clasifique su elecci\u00f3n de destino asignando un n\u00famero a cada pa\u00eds (las opciones deben sumar 100): por ejemplo, si est\u00e1 interesado en Francia y Alemania por igual, asigne 50 (%) a Francia y 50 (%) a Alemania. Si por el contrario, est\u00e1 interesado en un s\u00f3lo pa\u00eds asigne 100 (%) al mismo. Se respetar\u00e1 el orden de elecci\u00f3n comenzando por el de mayor porcentaje, aunque si no se encontrara candidato\/a af\u00edn a su hijo\/a entre las primeras opciones, se considerar\u00eda las restantes aunque s\u00f3lo tengan un 1 (%).<\/div><\/div><div id=\"field_45_81\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_81'><span class='gform-field-label__text'>Alemania<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_81' id='input_45_81' type='number' step='any' min='0' max='100' value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_45_81\" \/><div class='gfield_description instruction ' id='gfield_instruction_45_81'>Por favor, escribe un n\u00famero entre <strong>0<\/strong> y <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_45_370\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--has-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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_370'><span class='gform-field-label__text'>English in Europe<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_370' id='input_45_370' type='number' step='any' min='0' max='100' value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_45_370 gfield_description_45_370\" \/><div class='gfield_description instruction ' id='gfield_instruction_45_370'>Por favor, escribe un n\u00famero entre <strong>0<\/strong> y <strong>100<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_45_370'>Please enter a number from 0 to 100.<\/div><\/div><div id=\"field_45_369\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_369'><span class='gform-field-label__text'>EEUU<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_369' id='input_45_369' type='number' step='any' min='0' max='100' value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_45_369\" \/><div class='gfield_description instruction ' id='gfield_instruction_45_369'>Por favor, escribe un n\u00famero entre <strong>0<\/strong> y <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_45_82\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter 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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_82'><span class='gform-field-label__text'>Spain<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_82' id='input_45_82' type='number' step='any' min='0' max='100' value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_45_82\" \/><div class='gfield_description instruction ' id='gfield_instruction_45_82'>Por favor, escribe un n\u00famero entre <strong>0<\/strong> y <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_45_83\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_83'><span class='gform-field-label__text'>Francia<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_83' id='input_45_83' type='number' step='any' min='0' max='100' value='' class='medium'      aria-invalid=\"false\" aria-describedby=\"gfield_instruction_45_83\" \/><div class='gfield_description instruction ' id='gfield_instruction_45_83'>Por favor, escribe un n\u00famero entre <strong>0<\/strong> y <strong>100<\/strong>.<\/div><\/div><\/div><div id=\"field_45_283\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-quarter field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_283'><span class='gform-field-label__text'>Italia<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_283' id='input_45_283' type='number' step='any'   value='' class='large'      aria-invalid=\"false\" aria-describedby=\"gfield_description_45_283\" \/><\/div><div class='gfield_description' id='gfield_description_45_283'>Por favor, escribe un n\u00famero entre 0 y 100<\/div><\/div><div id=\"field_45_84\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_84'><span class='gform-field-label__text'>Explicad las razones de vuestras preferencias.  Cu\u00e1nto m\u00e1s abiertos se\u00e1is en la elecci\u00f3n de idiomas, m\u00e1s posibilidades habr\u00e1 de que Adolesco encuentre intercambio para vuestro  hijo\/a.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_84' id='input_45_84' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_85\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_85'><span class='gform-field-label__text'>\u00bfCu\u00e1nto os gustar\u00eda que durara la estancia de vuestro hijo\/a en el extranjero?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_85' id='input_45_85' class='medium gfield_select'     aria-invalid=\"false\" ><option value='3-6 semanas' >3-6 semanas<\/option><option value='6-9 semanas' >6-9 semanas<\/option><option value='9-12 semanas' >9-12 semanas<\/option><option value='Abierto, 3-12 semanas' >Abierto, 3-12 semanas<\/option><\/select><\/div><\/div><div id=\"field_45_87\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_87'><span class='gform-field-label__text'>\u00bfVuestro hijo\/a tiene preferencia por un amigo\/a de qu\u00e9 g\u00e9nero?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_45_87' class='medium gfield_select'     aria-invalid=\"false\" ><option value='S\u00f3lo chico' >S\u00f3lo chico<\/option><option value='S\u00f3lo chica' >S\u00f3lo chica<\/option><option value='Chico o chica' >Chico o chica<\/option><\/select><\/div><\/div><div id=\"field_45_88\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon 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_45_88'><span class='gform-field-label__text'>Si su hijo\/a es mayor de 16 a\u00f1os, por favor, indique la fecha de su 18 cumplea\u00f1os.<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_88'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_88'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_88' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_88' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_88' aria-label='Si su hijo\/a es mayor de 16 a\u00f1os, por favor, indique la fecha de su 18 cumplea\u00f1os.: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_371' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_371' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_11_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_11' class='gform_page' data-js='page-field-id-371' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_11' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_59\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Familias de Referencia<\/h3><div class='gsection_description' id='gfield_description_45_59'>Dadnos, por favor, los nombres de dos familias o personas que conozcan bien a vuestro\/a hijo\/a, sin ser familiares vuestros. Nosotros \ncontactaremos con ellos (Comprobad, por favor, que el tel\u00e9fono y la direcci\u00f3n de correo electr\u00f3nico sean los correctos)<\/div><\/div><fieldset id=\"field_45_446\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full 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' ><span class='gform-field-label__text'>Nombre &#8211; Familia 1<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_45_446'>\n                            \n                            <span id='input_45_446_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_446.3' id='input_45_446_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_446_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_45_446_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_446.6' id='input_45_446_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_446_6' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_45_372\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_372'><span class='gform-field-label__text'>Profesi\u00f3n<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_372' id='input_45_372' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_374\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international 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_45_374'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_374' id='input_45_374' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_23\" class=\"gfield gfield--type-email gfield--input-type-email 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_45_23'><span class='gform-field-label__text'>Correo electr\u00f3nico<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_23' id='input_45_23' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_45_447\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full 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' ><span class='gform-field-label__text'>Nombre &#8211; Familia 2<\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_45_447'>\n                            \n                            <span id='input_45_447_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_447.3' id='input_45_447_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_447_3' class='gform-field-label gform-field-label--type-sub '>Nombre<\/label>\n                                                <\/span>\n                            \n                            <span id='input_45_447_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_447.6' id='input_45_447_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_45_447_6' class='gform-field-label gform-field-label--type-sub '>Apellidos<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_45_376\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_376'><span class='gform-field-label__text'>Profesi\u00f3n<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_376' id='input_45_376' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_377\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--phone-format-international 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_45_377'><span class='gform-field-label__text'>Tel\u00e9fono<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_377' id='input_45_377' type='tel' value='' class='large'    aria-invalid=\"false\"    \/><\/div><\/div><div id=\"field_45_378\" class=\"gfield gfield--type-email gfield--input-type-email 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_45_378'><span class='gform-field-label__text'>Correo electr\u00f3nico<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_378' id='input_45_378' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_45_379\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Experiencias Previas<\/h3><\/div><div id=\"field_45_380\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_380'><span class='gform-field-label__text'>\u00bfHa participado vuestra familia en un intercambio cultural largo con alguien del extranjero?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_380' id='input_45_380' class='large gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_381\" 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_45_381'><span class='gform-field-label__text'>En caso afirmativo, \u00bfcon qu\u00e9 organizaci\u00f3n?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_381' id='input_45_381' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_382\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_382'><span class='gform-field-label__text'>Con su permiso, por favor, escribid la direcci\u00f3n, el correo electr\u00f3nico y el tel\u00e9fono de cada familia extranjera con la que hay\u00e1is tenido relaci\u00f3n. Tal vez nos  pongamos en contacto con ellos.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_382' id='input_45_382' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_383\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_383'><span class='gform-field-label__text'>\u00bfC\u00f3mo hab\u00e9is conocido Adolesco? En caso de que sea una persona, decidnos su nombre con su permiso, por favor.<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_383' id='input_45_383' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_390' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_390' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_12_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_12' class='gform_page' data-js='page-field-id-390' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_12' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_473\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Padre\/Madre biol\u00f3gico\/a<\/h3><div class='gsection_description' id='gfield_description_45_473'>Por favor, completad este apartado con los datos del padre\/madre que no viva normalmente con el candidato\/a.<\/div><\/div><div id=\"field_45_474\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_474'><span class='gform-field-label__text'>Apellidos<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_474' id='input_45_474' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_475\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_475'><span class='gform-field-label__text'>Nombre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_475' id='input_45_475' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_476\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third 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=\"Este campo est\u00e1 oculto cuando se visualiza el formulario\"><\/i><span>Este campo est\u00e1 oculto cuando se visualiza el formulario<\/span><\/div><label class='gfield_label gform-field-label' for='input_45_476'><span class='gform-field-label__text'>Known As (if different)<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_476' id='input_45_476' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_45_477\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datefield gfield--width-full 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' ><span class='gform-field-label__text'>Fecha de nacimiento<\/span><\/legend><div id='input_45_477' class='ginput_container ginput_complex gform-grid-row'>\n                                    <div class='gfield_date_day ginput_container ginput_container_date gform-grid-col' id='input_45_477_2_container'>\n                                        <input type='number' maxlength='2' name='input_477[]' id='input_45_477_2' value=''   aria-required='false'   placeholder='DD' min='1' max='31' step='1'\/>\n                                        <label for='input_45_477_2' class='gform-field-label gform-field-label--type-sub screen-reader-text'>D\u00eda<\/label>\n                                    <\/div><div class='gfield_date_month ginput_container ginput_container_date gform-grid-col' id='input_45_477_1_container'>\n                                    <input type='number' maxlength='2' name='input_477[]' id='input_45_477_1' value=''   aria-required='false'   placeholder='MM' min='1' max='12' step='1'\/>\n                                    <label for='input_45_477_1' class='gform-field-label gform-field-label--type-sub screen-reader-text'>Mes<\/label>\n                               <\/div><div class='gfield_date_year ginput_container ginput_container_date gform-grid-col' id='input_45_477_3_container'>\n                                    <input type='number' maxlength='4' name='input_477[]' id='input_45_477_3' value=''   aria-required='false'   placeholder='AAAA' min='1920' max='2027' step='1'\/>\n                                    <label for='input_45_477_3' class='gform-field-label gform-field-label--type-sub screen-reader-text'>A\u00f1o<\/label>\n                               <\/div>\n                            <\/div><\/fieldset><div id=\"field_45_478\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_478'><span class='gform-field-label__text'>\u00bfTienes alg\u00fan problema de salud o limitaci\u00f3n?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_478' id='input_45_478' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_479\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_479'><span class='gform-field-label__text'>\u00bfFumas?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_479' id='input_45_479' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_480\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_480'><span class='gform-field-label__text'>En caso afirmativo, \u00bfcu\u00e1nto al d\u00eda?<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_480' id='input_45_480' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_481\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_481'><span class='gform-field-label__text'>\u00bfFumas dentro de casa?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_481' id='input_45_481' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_482\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_482'><span class='gform-field-label__text'>Religi\u00f3n, pr\u00e1cticas religiosas u otras formas de espiritualidad<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_482' id='input_45_482' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_483\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_483'><span class='gform-field-label__text'>\u00bfC\u00f3mo describir\u00edas tu car\u00e1cter?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_483' id='input_45_483' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_484\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_484'><span class='gform-field-label__text'>Profesi\u00f3n actual (detallando los horarios en que se est\u00e1 fuera de casa y los horarios o acuerdos para el cuidado del hijo\/a)<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_484' id='input_45_484' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_485\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_485'><span class='gform-field-label__text'>Aficiones y gustos:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_485' id='input_45_485' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_45_486\" 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_45_486'><span class='gform-field-label__text'>Nivel de estudios:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_486' id='input_45_486' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_539\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_539'><span class='gform-field-label__text'>\u00bfEs el castellano tu lengua materna?<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_539' id='input_45_539' class='large gfield_select'     aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><\/div><div id=\"field_45_487\" class=\"gfield gfield--type-section gfield--input-type-section gsection [margin-top: 50px;] field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Nivel de idiomas<\/h3><\/div><div id=\"field_45_488\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_488'><span class='gform-field-label__text'>Franc\u00e9s<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_488' id='input_45_488' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Ninguno' >Ninguno<\/option><option value='B\u00e1sico' >B\u00e1sico<\/option><option value='Intermedio' >Intermedio<\/option><option value='Avanzado' >Avanzado<\/option><\/select><\/div><\/div><div id=\"field_45_489\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_489'><span class='gform-field-label__text'>Alem\u00e1n<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_489' id='input_45_489' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Ninguno' >Ninguno<\/option><option value='B\u00e1sico' >B\u00e1sico<\/option><option value='Intermedio' >Intermedio<\/option><option value='Avanzado' >Avanzado<\/option><\/select><\/div><\/div><div id=\"field_45_490\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_490'><span class='gform-field-label__text'>Italiano<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_490' id='input_45_490' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Ninguno' >Ninguno<\/option><option value='B\u00e1sico' >B\u00e1sico<\/option><option value='Intermedio' >Intermedio<\/option><option value='Avanzado' >Avanzado<\/option><\/select><\/div><\/div><div id=\"field_45_491\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-quarter field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_491'><span class='gform-field-label__text'>Espa\u00f1ol<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_491' id='input_45_491' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Ninguno' >Ninguno<\/option><option value='B\u00e1sico' >B\u00e1sico<\/option><option value='Intermedio' >Intermedio<\/option><option value='Avanzado' >Avanzado<\/option><\/select><\/div><\/div><div id=\"field_45_492\" class=\"gfield gfield--type-select gfield--input-type-select 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_45_492'><span class='gform-field-label__text'>\u00bfDe joven participaste en alg\u00fan intercambio  en el extranjero<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_492' id='input_45_492' class='medium gfield_select'     aria-invalid=\"false\" ><option value='No' >No<\/option><option value='S\u00ed' >S\u00ed<\/option><\/select><\/div><\/div><div id=\"field_45_493\" class=\"gfield gfield--type-textarea gfield--input-type-textarea 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_45_493'><span class='gform-field-label__text'>En caso afirmativo, \u00bfd\u00f3nde y cu\u00e1nto tiempo?<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_493' id='input_45_493' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><\/div>\n                    <\/div>\n                    <div class='gform-page-footer gform_page_footer top_label'>\n                        <button type='button' id='gform_previous_button_45_509' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='previous' >Previous<\/button> <button type='button' id='gform_next_button_45_509' class='gform_next_button gform-theme-button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='next' >Next<\/button> <button type='button'  id='gform_save_45_13_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button'  ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0 8a4 4 0 004 4h3v3a1 1 0 102 0v-3h3a4 4 0 100-8 4 4 0 10-8 0 4 4 0 00-4 4zm9 4H7V7.414L5.707 8.707a1 1 0 01-1.414-1.414l3-3a1 1 0 011.414 0l3 3a1 1 0 01-1.414 1.414L9 7.414V12z\" fill=\"#6B7280\"\/><\/svg> Save &#038; Continue<\/button>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_45_13' class='gform_page' data-js='page-field-id-509' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <div id='gform_fields_45_13' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_45_391\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Protecci\u00f3n de datos<\/h3><div class='gsection_description' id='gfield_description_45_391'>Seleccione ACEPTAR o RECHAZAR en las siguientes preguntas. Consulte nuestra pol\u00edtica de protecci\u00f3n de datos en nuestro sitio web:  https:\/\/adolesco.org\/es\/aprender\/<\/div><\/div><div id=\"field_45_392\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_392'><span class='gform-field-label__text'>Nombre de la madre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_392' id='input_45_392' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_393\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_393'><span class='gform-field-label__text'>Fecha de cumplimentaci\u00f3n<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_393'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_393'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_393' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_393' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_393' aria-label='Fecha de cumplimentaci\u00f3n: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_395\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_395'><span class='gform-field-label__text'>Uso de la informaci\u00f3n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_395' id='input_45_395' class='large gfield_select'  aria-describedby=\"gfield_description_45_395\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_395'>Al enviar este documento, acepto que la informaci\u00f3n que \naporto y la que sea enviada m\u00e1s adelante por m\u00ed a \nAdolesco v\u00eda correo electr\u00f3nico, puede ser usada para \nencontrar un candidato\/a de intercambio a mi hijo\/a, as\u00ed \ncomo para trabajar con los representantes extranjeros \nde Adolesco y para ponerse en contacto conmigo.<\/div><\/div><div id=\"field_45_396\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_396'><span class='gform-field-label__text'>Preinscripci\u00f3n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_396' id='input_45_396' class='large gfield_select'  aria-describedby=\"gfield_description_45_396\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_396'>Acepto que la preinscripci\u00f3n sea enviada, como parte de la informaci\u00f3n requerida para un intercambio de Adolesco, a un \nrepresentante local que me visite.<\/div><\/div><div id=\"field_45_397\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_397'><span class='gform-field-label__text'>Comunicaci\u00f3n Futura<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_397' id='input_45_397' class='large gfield_select'  aria-describedby=\"gfield_description_45_397\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_397'>Acepto que, si mi hijo\/a obtuviera intercambio, Adolesco \nse ponga en contacto conmigo en el futuro para pedir mi \ntestimonio o para ayudar a otra familia a obtener un \nintercambio<\/div><\/div><div id=\"field_45_398\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_398'><span class='gform-field-label__text'>Actualizaciones<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_398' id='input_45_398' class='large gfield_select'  aria-describedby=\"gfield_description_45_398\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_398'>Acepto recibir informaci\u00f3n sobre Adolesco, actividades y \nnuevos destinos.<\/div><\/div><div id=\"field_45_399\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_399'><span class='gform-field-label__text'>Nombre del padre<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_399' id='input_45_399' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_45_400\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_400'><span class='gform-field-label__text'>Fecha de cumplimentaci\u00f3n<\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='dd\/mm\/aaaa'\n\t\t\t\t\tid='input_45_400'\n\t\t\t\t\tclass='datepicker gform-datepicker dmy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_400'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\t\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_45_400' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_45_400' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_45_400' aria-label='Fecha de cumplimentaci\u00f3n: Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/div><div id=\"field_45_401\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_401'><span class='gform-field-label__text'>Uso de la informaci\u00f3n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_401' id='input_45_401' class='large gfield_select'  aria-describedby=\"gfield_description_45_401\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_401'>Al enviar este documento, acepto que la informaci\u00f3n que \naporto y la que sea enviada m\u00e1s adelante por m\u00ed a \nAdolesco v\u00eda correo electr\u00f3nico, puede ser usada para \nencontrar un candidato\/a de intercambio a mi hijo\/a, as\u00ed \ncomo para trabajar con los representantes extranjeros \nde Adolesco y para ponerse en contacto conmigo.<\/div><\/div><div id=\"field_45_402\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_402'><span class='gform-field-label__text'>Preinscripci\u00f3n<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_402' id='input_45_402' class='large gfield_select'  aria-describedby=\"gfield_description_45_402\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_402'>Acepto que la preinscripci\u00f3n sea enviada, como parte de la informaci\u00f3n requerida para un intercambio de Adolesco, a un \nrepresentante local que me visite . <\/div><\/div><div id=\"field_45_403\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_403'><span class='gform-field-label__text'>Comunicaci\u00f3n Futura<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_403' id='input_45_403' class='large gfield_select'  aria-describedby=\"gfield_description_45_403\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' >S\u00ed<\/option><option value='No' >No<\/option><\/select><\/div><div class='gfield_description' id='gfield_description_45_403'>Acepto que, si mi hijo\/a obtuviera intercambio, Adolesco \nse ponga en contacto conmigo en el futuro para pedir mi \ntestimonio o para ayudar a otra familia a obtener un \nintercambio.<\/div><\/div><div id=\"field_45_404\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_45_404'><span class='gform-field-label__text'>Actualizaciones<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Obligatorio)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_404' id='input_45_404' class='large gfield_select'  aria-describedby=\"gfield_description_45_404\"  aria-required=\"true\" aria-invalid=\"false\" ><option value='S\u00ed' 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