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Sign up to receive emails about future Columbus Crew SC Camps and Training Programs!</div> </div> </div> </li> <li class="form-line jf-required" data-type="control_textbox" id="id_1"><label class="form-label form-label-left form-label-auto" for="input_1" id="label_1">First Name: <span class="form-required"> * </span> </label> <div class="form-input jf-required" id="cid_1"><input class="form-textbox validate[required]" data-type="input-textbox" id="input_1" name="q1_firstName" size="20" type="text" value="" /></div> </li> <li class="form-line jf-required" data-type="control_textbox" id="id_17"><label class="form-label form-label-left form-label-auto" for="input_17" id="label_17">Last Name <span class="form-required"> * </span> </label> <div class="form-input jf-required" id="cid_17"><input class="form-textbox validate[required]" data-type="input-textbox" id="input_17" name="q17_lastName17" size="20" type="text" value="" /></div> </li> <li class="form-line jf-required" data-type="control_email" id="id_56"><label class="form-label form-label-left form-label-auto" for="input_56" id="label_56">E-mail <span class="form-required"> * </span> </label> <div class="form-input jf-required" id="cid_56"><input class="form-textbox validate[required, Email]" id="input_56" name="q56_email" size="30" type="email" value="" /></div> </li> <li class="form-line jf-required" data-type="control_dropdown" id="id_51"><label class="form-label form-label-left form-label-auto" for="input_51" id="label_51">Child&#39;s Birth Year <span class="form-required"> * </span> </label> <div class="form-input jf-required" id="cid_51"><select class="form-dropdown validate[required]" id="input_51" name="q51_childsBirth" style="width:150px"><option value=""></option><option value="2013">2013</option><option value="2012">2012</option><option value="2011">2011</option><option value="2010">2010</option><option value="2009">2009</option><option value="2008">2008</option><option value="2007">2007</option><option value="2006">2006</option><option value="2005">2005</option><option value="2004">2004</option><option value="2003">2003</option><option value="2002">2002</option><option value="2001">2001</option><option value="2000">2000</option><option value="1999">1999</option><option value="1998">1998</option><option value="1997">1997</option> </select></div> </li> <li class="form-line jf-required" data-type="control_checkbox" id="id_60"><label class="form-label form-label-left form-label-auto" for="input_60" id="label_60">Closest City <span class="form-required"> * </span> </label> <div class="form-input jf-required" id="cid_60"> <div class="form-single-column"><span class="form-checkbox-item" style="clear:left;"><input class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_60_0" name="q60_closestCity60[]" type="checkbox" value="Columbus, OH" /> <label for="input_60_0" id="label_input_60_0"> Columbus, OH </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_60_1" name="q60_closestCity60[]" type="checkbox" value="Dayton, OH" /> <label for="input_60_1" id="label_input_60_1"> Dayton, OH </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_60_2" name="q60_closestCity60[]" type="checkbox" value="Cleveland, OH" /> <label for="input_60_2" id="label_input_60_2"> Cleveland, OH </label> </span> <span class="form-checkbox-item" style="clear:left;"> <span class="dragger-item"> </span> <input class="form-checkbox validate[required, minSelection]" data-minselection="1" id="input_60_3" name="q60_closestCity60[]" type="checkbox" value="Cincinnati, OH" /> <label for="input_60_3" id="label_input_60_3"> Cincinnati, OH </label> </span> <span class="form-checkbox-item" style="clear:left"> <input class="form-checkbox-other form-checkbox validate[required, minSelection]" id="other_60" name="q60_closestCity60[other]" type="checkbox" value="other" /> <input class="form-checkbox-other-input form-textbox" data-otherhint="Other" id="input_60" name="q60_closestCity60[other]" size="15" type="text" /> </span></div> </div> </li> <li class="form-line jf-required" data-type="control_dropdown" id="id_62"><label class="form-label form-label-left form-label-auto" for="input_62" id="label_62">Are you interested in Goalkeeping Camps? 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