{"id":86782,"date":"2025-04-08T17:47:38","date_gmt":"2025-04-08T16:47:38","guid":{"rendered":"https:\/\/www.siyuanbalance.com\/demande-de-certification-si-yuan\/"},"modified":"2025-04-08T17:47:38","modified_gmt":"2025-04-08T16:47:38","slug":"demande-de-certification-si-yuan","status":"publish","type":"page","link":"https:\/\/www.siyuanbalance.com\/fr\/demande-de-certification-si-yuan\/","title":{"rendered":"Demande de certification Si Yuan"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"86782\" class=\"elementor elementor-86782 elementor-86204\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2d85992c e-flex e-con-boxed e-con e-parent\" data-id=\"2d85992c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4ff6ead8 elementor-widget__width-inherit elementor-widget thim-ekits-heading elementor-widget-thim-heading\" data-id=\"4ff6ead8\" data-element_type=\"widget\" data-widget_type=\"thim-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"sc_heading\"><h1 class=\"title\">Formulaire de demande <\/h1><span class=\"line\"><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-556d8119 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"556d8119\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Ce formulaire est r\u00e9serv\u00e9 aux candidatures aux certifications de premier niveau, interm\u00e9diaire et sup\u00e9rieur.<br>Pour les \u00e9tudes de cas, veuillez suivre la proc\u00e9dure d\u00e9crite sur la page des <a href=\"https:\/\/dev.siyuanbalance.com\/certification\/case-study-guidelines\/\">directives suivantes<\/a><\/p><p><strong>Veuillez vous assurer d&rsquo;avoir effectu\u00e9 votre paiement AVANT de remplir ce formulaire.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1d230a2c elementor-widget elementor-widget-text-editor\" data-id=\"1d230a2c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\n                <div class='gf_browser_gecko gform_wrapper' id='gform_wrapper_1' style='display:none'><a id='gf_1' class='gform_anchor' ><\/a><form method='post' enctype='multipart\/form-data'  id='gform_1'  action='\/fr\/wp-json\/wp\/v2\/pages\/86782#gf_1'>\n                        <div class='gform_heading'>\n                            <h3 class='gform_title'>Si Yuan Certification Application Form<\/h3>\n                        <\/div>\n        <div id='gf_progressbar_wrapper_1' class='gf_progressbar_wrapper'>\n            <h3 class='gf_progressbar_title'>\u00c9tape 1 de 10 &#8211; Identity\n        <\/h3>\n            <div class='gf_progressbar'>\n                <div class='gf_progressbar_percentage percentbar_custom percentbar_10' style='width:10%; color:#ffffff; background-color:#AC863A;'><span>10%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform_body'><div id='gform_page_1_1' class='gform_page' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_1' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_42' class='gfield gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above field_description_above' >Missing or illegible information will result in delay or\nrejection of your application.\n\nBefore completing this form, please make sure you have paid the application fee and have all the following documents ready for upload: \n<ul>\n<li> Certificates of participation for each course<\/li>\n<li> Letter of introduction and motivation<\/li>\n<li> All case studies and corresponding attachments<\/li>\n<li> Photo ID or picture<\/li>\n<\/ul><\/li><li id='field_1_1' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_1_3' >Name<span class='gfield_required'>*<\/span><\/label><div class='ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gfield_trigger_change' id='input_1_1'>\n                            \n                            <span id='input_1_1_3_container' class='name_first' >\n                                                    <label for='input_1_1_3' >First name<\/label>\n                                                    <input type='text' name='input_1.3' id='input_1_1_3' value='' aria-label='Pr\u00e9nom' tabindex='2'  aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                <\/span>\n                            \n                            <span id='input_1_1_6_container' class='name_last' >\n                                                            <label for='input_1_1_6' >Last name<\/label>\n                                                            <input type='text' name='input_1.6' id='input_1_1_6' value='' aria-label='Nom' tabindex='4'  aria-required=\"true\" aria-invalid=\"false\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id='field_1_5' class='gfield gf_left_half gfield_contains_required field_sublabel_above field_description_below' ><label class='gfield_label' for='input_1_5' >Name as it should appear on certificate<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_1_5' type='text' value='' class='medium'  tabindex='6'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><div class='gfield_description'>(Including titles like \u201cDr.\u201d, \u201cL.Ac\u201d etc\u2026\u201d)<\/div><\/li><li id='field_1_33' class='gfield gf_right_half gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_33' >ID photo<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_33' id='input_1_33' type='file' class='medium' aria-describedby='extensions_message' tabindex='7' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><\/div><\/li><li id='field_1_505' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_505' >Email<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_505' id='input_1_505' type='text' value='' class='medium' tabindex='8'   \/>\n                        <\/div><\/li><li id='field_1_4' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_4_1' >Shipping address for your certificate<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gfield_trigger_change' id='input_1_4' >\n                         <span class='ginput_full address_line_1' id='input_1_4_1_container' >\n                                        <label for='input_1_4_1' id='input_1_4_1_label' >Adresse postale<\/label>\n                                        <input type='text' name='input_4.1' id='input_1_4_1' value='' tabindex='9'  \/>\n                                    <\/span><span class='ginput_full address_line_2' id='input_1_4_2_container' >\n                                        <label for='input_1_4_2' id='input_1_4_2_label' >Adresse ligne 1<\/label>\n                                        <input type='text' name='input_4.2' id='input_1_4_2' value='' tabindex='10'  \/>\n                                    <\/span><span class='ginput_left address_city' id='input_1_4_3_container' >\n                                    <label for='input_1_4_3' id='input_1_4_3_label' >Ville<\/label>\n                                    <input type='text' name='input_4.3' id='input_1_4_3' value='' tabindex='11'  \/>\n                                 <\/span><span class='ginput_right address_state' id='input_1_4_4_container' >\n                                        <label for='input_1_4_4' id='input_1_4_4_label' >\u00c9tat \/ Province \/ R\u00e9gion<\/label>\n                                        <input type='text' name='input_4.4' id='input_1_4_4' value='' tabindex='13'    \/>\n                                      <\/span><span class='ginput_left address_zip' id='input_1_4_5_container' >\n                                    <label for='input_1_4_5' id='input_1_4_5_label' >ZIP \/ Code postal<\/label>\n                                    <input type='text' name='input_4.5' id='input_1_4_5' value='' tabindex='14'  \/>\n                                <\/span><span class='ginput_right address_country' id='input_1_4_6_container' >\n                                        <label for='input_1_4_6' id='input_1_4_6_label' >Pays<\/label>\n                                        <select name='input_4.6' id='input_1_4_6' tabindex='15' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_40' class='gfield gf_left_half gfield_contains_required field_sublabel_above field_description_below' ><label class='gfield_label' for='input_1_40' >Order Number<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_40' id='input_1_40' type='text' value='' class='medium'  tabindex='16'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><div class='gfield_description'>From payment of your application fees<\/div><\/li><li id='field_1_3' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_3' >License Number<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_1_3' type='text' value='' class='medium'  tabindex='17'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_6' class='gfield gf_list_3col gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Level you wish to apply for<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_1_6'><li class='gchoice_1_6_0'><input name='input_6' type='radio' value='First Level'  id='choice_1_6_0' tabindex='18'    \/><label for='choice_1_6_0' id='label_1_6_0'>First Level<\/label><\/li><li class='gchoice_1_6_1'><input name='input_6' type='radio' value='Middle Level'  id='choice_1_6_1' tabindex='19'    \/><label for='choice_1_6_1' id='label_1_6_1'>Middle Level<\/label><\/li><li class='gchoice_1_6_2'><input name='input_6' type='radio' value='Upper Level'  id='choice_1_6_2' tabindex='20'    \/><label for='choice_1_6_2' id='label_1_6_2'>Upper Level<\/label><\/li><\/ul><\/div><\/li><li id='field_1_506' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_506' >Letter of introduction and motivation<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_506' id='input_1_506' type='file' class='medium' aria-describedby='extensions_message' tabindex='21' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : pdf, doc, docx, odt.<\/span><\/div><\/li><li id='field_1_7' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Classes you have attended at least once<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_7'><li class='gchoice_1_7_1'>\n\t\t\t\t\t\t\t\t<input name='input_7.1' type='checkbox'  value='Core Foundations track training (or equivalent if before 2014)'  id='choice_1_7_1' tabindex='22'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_1' id='label_1_7_1'>Core Foundations track training (or equivalent if before 2014)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_7_2'>\n\t\t\t\t\t\t\t\t<input name='input_7.2' type='checkbox'  value='Advanced class : &quot;Dr. Tan\u2019s Strategy of Twelve Magical Points&quot;'  id='choice_1_7_2' tabindex='23'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_2' id='label_1_7_2'>Advanced class : \u00ab\u00a0Dr. Tan\u2019s Strategy of Twelve Magical Points\u00a0\u00bb<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_7_3'>\n\t\t\t\t\t\t\t\t<input name='input_7.3' type='checkbox'  value='Advanced class : &quot;Treating Zang-Fu disorders with Meridian Conversion Therapy&quot;'  id='choice_1_7_3' tabindex='24'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_3' id='label_1_7_3'>Advanced class : \u00ab\u00a0Treating Zang-Fu disorders with Meridian Conversion Therapy\u00a0\u00bb<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_7_4'>\n\t\t\t\t\t\t\t\t<input name='input_7.4' type='checkbox'  value='Advanced class : &quot;Balancing the Five Elements&quot;'  id='choice_1_7_4' tabindex='25'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_4' id='label_1_7_4'>Advanced class : \u00ab\u00a0Balancing the Five Elements\u00a0\u00bb<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_7_5'>\n\t\t\t\t\t\t\t\t<input name='input_7.5' type='checkbox'  value='Advanced class : &quot;Seasonal Balance&quot;'  id='choice_1_7_5' tabindex='26'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_5' id='label_1_7_5'>Advanced class : \u00ab\u00a0Seasonal Balance\u00a0\u00bb<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_7_6'>\n\t\t\t\t\t\t\t\t<input name='input_7.6' type='checkbox'  value='Advanced class : &quot;Balancing the 8 Extra+Scalp acupuncture&quot;'  id='choice_1_7_6' tabindex='27'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_6' id='label_1_7_6'>Advanced class : \u00ab\u00a0Balancing the 8 Extra+Scalp acupuncture\u00a0\u00bb<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_7_7'>\n\t\t\t\t\t\t\t\t<input name='input_7.7' type='checkbox'  value='Advanced class : &quot;Smart Combos : how to integrate various Balance Method Strategies&quot;'  id='choice_1_7_7' tabindex='28'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_7' id='label_1_7_7'>Advanced class : \u00ab\u00a0Smart Combos : how to integrate various Balance Method Strategies\u00a0\u00bb<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_7_8'>\n\t\t\t\t\t\t\t\t<input name='input_7.8' type='checkbox'  value='Other classes, interview or internships with Si Yuan'  id='choice_1_7_8' tabindex='29'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_7_8' id='label_1_7_8'>Other classes, interview or internships with Si Yuan<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                         <input type='button' id='gform_next_button_1_76' class='gform_next_button button' value='Next' tabindex='31' onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='30' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_2' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_2' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_77' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>List of Core Foundations Track trainings you have attended<\/h2><\/li><li id='field_1_78' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_78' >How many times have you attended &quot;Core foundations track training&quot; ?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_78' id='input_1_78' onchange='gf_apply_rules(1,[16,16,88,88,96,96,104,104,112,112,113,113]);' class='medium gfield_select' tabindex='32'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_16' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_80' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_80' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_80' id='input_1_80'  class='medium gfield_select' tabindex='33'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_29' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_29' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_1_29' type='text' value='' class='medium'  tabindex='34'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_85' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_85' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_85' id='input_1_85' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='35'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_85' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_37' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_37' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_37' id='input_1_37' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='36'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_37' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_83' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_83'><li class='gchoice_1_83_1'>\n\t\t\t\t\t\t\t\t<input name='input_83.1' type='checkbox'  value='Day 1'  id='choice_1_83_1' tabindex='37'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_83_1' id='label_1_83_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_83_2'>\n\t\t\t\t\t\t\t\t<input name='input_83.2' type='checkbox'  value='Day 2'  id='choice_1_83_2' tabindex='38'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_83_2' id='label_1_83_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_83_3'>\n\t\t\t\t\t\t\t\t<input name='input_83.3' type='checkbox'  value='Day 3'  id='choice_1_83_3' tabindex='39'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_83_3' id='label_1_83_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_83_4'>\n\t\t\t\t\t\t\t\t<input name='input_83.4' type='checkbox'  value='Day 4'  id='choice_1_83_4' tabindex='40'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_83_4' id='label_1_83_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_14' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_14_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_14' >\n                        <span class='ginput_left address_city' id='input_1_14_3_container' >\n                                    <label for='input_1_14_3' id='input_1_14_3_label' >Ville<\/label>\n                                    <input type='text' name='input_14.3' id='input_1_14_3' value='' tabindex='42'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_14.4' id='input_1_14_4' value=''\/><span class='ginput_left address_country' id='input_1_14_6_container' >\n                                        <label for='input_1_14_6' id='input_1_14_6_label' >Pays<\/label>\n                                        <select name='input_14.6' id='input_1_14_6' tabindex='44' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_22' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_22' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_22&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_22&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_22&quot;,&quot;filelist&quot;:&quot;gform_preview_1_22&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:22},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_22&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_22' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_22' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='45' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_22'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_22'><\/div><\/li><li id='field_1_88' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_95' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_95' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_95' id='input_1_95'  class='medium gfield_select' tabindex='46'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_94' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_94' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_1_94' type='text' value='' class='medium'  tabindex='47'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_93' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_93' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_93' id='input_1_93' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='48'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_93' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_92' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_92' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_92' id='input_1_92' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='49'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_92' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_91' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_91'><li class='gchoice_1_91_1'>\n\t\t\t\t\t\t\t\t<input name='input_91.1' type='checkbox'  value='Day 1'  id='choice_1_91_1' tabindex='50'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_91_1' id='label_1_91_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_91_2'>\n\t\t\t\t\t\t\t\t<input name='input_91.2' type='checkbox'  value='Day 2'  id='choice_1_91_2' tabindex='51'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_91_2' id='label_1_91_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_91_3'>\n\t\t\t\t\t\t\t\t<input name='input_91.3' type='checkbox'  value='Day 3'  id='choice_1_91_3' tabindex='52'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_91_3' id='label_1_91_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_91_4'>\n\t\t\t\t\t\t\t\t<input name='input_91.4' type='checkbox'  value='Day 4'  id='choice_1_91_4' tabindex='53'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_91_4' id='label_1_91_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_90' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_90_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_90' >\n                        <span class='ginput_left address_city' id='input_1_90_3_container' >\n                                    <label for='input_1_90_3' id='input_1_90_3_label' >Ville<\/label>\n                                    <input type='text' name='input_90.3' id='input_1_90_3' value='' tabindex='55'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_90.4' id='input_1_90_4' value=''\/><span class='ginput_left address_country' id='input_1_90_6_container' >\n                                        <label for='input_1_90_6' id='input_1_90_6_label' >Pays<\/label>\n                                        <select name='input_90.6' id='input_1_90_6' tabindex='57' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_89' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_89' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_89&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_89&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_89&quot;,&quot;filelist&quot;:&quot;gform_preview_1_89&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:89},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_89&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_89' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_89' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='58' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_89'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_89'><\/div><\/li><li id='field_1_96' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_103' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_103' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_103' id='input_1_103'  class='medium gfield_select' tabindex='59'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_102' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_102' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_102' id='input_1_102' type='text' value='' class='medium'  tabindex='60'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_101' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_101' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_101' id='input_1_101' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='61'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_101' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_100' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_100' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_100' id='input_1_100' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='62'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_100' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_99' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_99'><li class='gchoice_1_99_1'>\n\t\t\t\t\t\t\t\t<input name='input_99.1' type='checkbox'  value='Day 1'  id='choice_1_99_1' tabindex='63'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_99_1' id='label_1_99_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_99_2'>\n\t\t\t\t\t\t\t\t<input name='input_99.2' type='checkbox'  value='Day 2'  id='choice_1_99_2' tabindex='64'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_99_2' id='label_1_99_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_99_3'>\n\t\t\t\t\t\t\t\t<input name='input_99.3' type='checkbox'  value='Day 3'  id='choice_1_99_3' tabindex='65'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_99_3' id='label_1_99_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_99_4'>\n\t\t\t\t\t\t\t\t<input name='input_99.4' type='checkbox'  value='Day 4'  id='choice_1_99_4' tabindex='66'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_99_4' id='label_1_99_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_98' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_98_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_98' >\n                        <span class='ginput_left address_city' id='input_1_98_3_container' >\n                                    <label for='input_1_98_3' id='input_1_98_3_label' >Ville<\/label>\n                                    <input type='text' name='input_98.3' id='input_1_98_3' value='' tabindex='68'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_98.4' id='input_1_98_4' value=''\/><span class='ginput_left address_country' id='input_1_98_6_container' >\n                                        <label for='input_1_98_6' id='input_1_98_6_label' >Pays<\/label>\n                                        <select name='input_98.6' id='input_1_98_6' tabindex='70' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_97' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_97' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_97&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_97&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_97&quot;,&quot;filelist&quot;:&quot;gform_preview_1_97&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:97},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_97&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_97' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_97' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='71' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_97'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_97'><\/div><\/li><li id='field_1_104' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_111' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_111' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_111' id='input_1_111'  class='medium gfield_select' tabindex='72'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_110' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_110' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_110' id='input_1_110' type='text' value='' class='medium'  tabindex='73'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_109' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_109' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_109' id='input_1_109' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='74'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_109' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_108' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_108' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_108' id='input_1_108' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='75'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_108' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_107' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_107'><li class='gchoice_1_107_1'>\n\t\t\t\t\t\t\t\t<input name='input_107.1' type='checkbox'  value='Day 1'  id='choice_1_107_1' tabindex='76'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_107_1' id='label_1_107_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_107_2'>\n\t\t\t\t\t\t\t\t<input name='input_107.2' type='checkbox'  value='Day 2'  id='choice_1_107_2' tabindex='77'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_107_2' id='label_1_107_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_107_3'>\n\t\t\t\t\t\t\t\t<input name='input_107.3' type='checkbox'  value='Day 3'  id='choice_1_107_3' tabindex='78'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_107_3' id='label_1_107_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_107_4'>\n\t\t\t\t\t\t\t\t<input name='input_107.4' type='checkbox'  value='Day 4'  id='choice_1_107_4' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_107_4' id='label_1_107_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_106' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_106_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_106' >\n                        <span class='ginput_left address_city' id='input_1_106_3_container' >\n                                    <label for='input_1_106_3' id='input_1_106_3_label' >Ville<\/label>\n                                    <input type='text' name='input_106.3' id='input_1_106_3' value='' tabindex='81'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_106.4' id='input_1_106_4' value=''\/><span class='ginput_left address_country' id='input_1_106_6_container' >\n                                        <label for='input_1_106_6' id='input_1_106_6_label' >Pays<\/label>\n                                        <select name='input_106.6' id='input_1_106_6' tabindex='83' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_105' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_105' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_105&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_105&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_105&quot;,&quot;filelist&quot;:&quot;gform_preview_1_105&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:105},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_105&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_105' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_105' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='84' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_105'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_105'><\/div><\/li><li id='field_1_112' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_120' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_120' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_120' id='input_1_120'  class='medium gfield_select' tabindex='85'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_119' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_119' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_119' id='input_1_119' type='text' value='' class='medium'  tabindex='86'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_118' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_118' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_118' id='input_1_118' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='87'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_118' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_117' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_117' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_117' id='input_1_117' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='88'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_117' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_116' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_116'><li class='gchoice_1_116_1'>\n\t\t\t\t\t\t\t\t<input name='input_116.1' type='checkbox'  value='Day 1'  id='choice_1_116_1' tabindex='89'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_116_1' id='label_1_116_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_116_2'>\n\t\t\t\t\t\t\t\t<input name='input_116.2' type='checkbox'  value='Day 2'  id='choice_1_116_2' tabindex='90'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_116_2' id='label_1_116_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_116_3'>\n\t\t\t\t\t\t\t\t<input name='input_116.3' type='checkbox'  value='Day 3'  id='choice_1_116_3' tabindex='91'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_116_3' id='label_1_116_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_116_4'>\n\t\t\t\t\t\t\t\t<input name='input_116.4' type='checkbox'  value='Day 4'  id='choice_1_116_4' tabindex='92'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_116_4' id='label_1_116_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_115' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_115_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_115' >\n                        <span class='ginput_left address_city' id='input_1_115_3_container' >\n                                    <label for='input_1_115_3' id='input_1_115_3_label' >Ville<\/label>\n                                    <input type='text' name='input_115.3' id='input_1_115_3' value='' tabindex='94'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_115.4' id='input_1_115_4' value=''\/><span class='ginput_left address_country' id='input_1_115_6_container' >\n                                        <label for='input_1_115_6' id='input_1_115_6_label' >Pays<\/label>\n                                        <select name='input_115.6' id='input_1_115_6' tabindex='96' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_114' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_114' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_114&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_114&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_114&quot;,&quot;filelist&quot;:&quot;gform_preview_1_114&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:114},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_114&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_114' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_114' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='97' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_114'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_114'><\/div><\/li><li id='field_1_113' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_127' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_127' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_127' id='input_1_127'  class='medium gfield_select' tabindex='98'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_126' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_126' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_126' id='input_1_126' type='text' value='' class='medium'  tabindex='99'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_125' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_125' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_125' id='input_1_125' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='100'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_125' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_124' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_124' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_124' id='input_1_124' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='101'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_124' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_123' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_123'><li class='gchoice_1_123_1'>\n\t\t\t\t\t\t\t\t<input name='input_123.1' type='checkbox'  value='Day 1'  id='choice_1_123_1' tabindex='102'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_123_1' id='label_1_123_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_123_2'>\n\t\t\t\t\t\t\t\t<input name='input_123.2' type='checkbox'  value='Day 2'  id='choice_1_123_2' tabindex='103'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_123_2' id='label_1_123_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_123_3'>\n\t\t\t\t\t\t\t\t<input name='input_123.3' type='checkbox'  value='Day 3'  id='choice_1_123_3' tabindex='104'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_123_3' id='label_1_123_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_123_4'>\n\t\t\t\t\t\t\t\t<input name='input_123.4' type='checkbox'  value='Day 4'  id='choice_1_123_4' tabindex='105'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_123_4' id='label_1_123_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_122' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_122_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_122' >\n                        <span class='ginput_left address_city' id='input_1_122_3_container' >\n                                    <label for='input_1_122_3' id='input_1_122_3_label' >Ville<\/label>\n                                    <input type='text' name='input_122.3' id='input_1_122_3' value='' tabindex='107'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_122.4' id='input_1_122_4' value=''\/><span class='ginput_left address_country' id='input_1_122_6_container' >\n                                        <label for='input_1_122_6' id='input_1_122_6_label' >Pays<\/label>\n                                        <select name='input_122.6' id='input_1_122_6' tabindex='109' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_121' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_121' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_121&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_121&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_121&quot;,&quot;filelist&quot;:&quot;gform_preview_1_121&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:121},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_121&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_121' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_121' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='110' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_121'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_121'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_19' class='gform_previous_button button' value='Previous' tabindex='113' onclick='jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"1\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_19' class='gform_next_button button' value='Next' tabindex='112' onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='111' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_3' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_3' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_41' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Attendance of the Advanced Class : &quot;Dr. Tan\u2019s Strategy of Twelve Magical Points&quot;<\/h2><\/li><li id='field_1_461' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_461' >How many times have you attended &quot;Dr. Tan\u2019s Strategy of Twelve Magical Points&quot; Advanced class ?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_461' id='input_1_461' onchange='gf_apply_rules(1,[462,462,470,470,474,474,473,473,472,472,471,471]);' class='medium gfield_select' tabindex='114'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_462' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_463' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_463' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_463' id='input_1_463'  class='medium gfield_select' tabindex='115'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_464' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_464' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_464' id='input_1_464' type='text' value='' class='medium'  tabindex='116'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_465' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_465' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_465' id='input_1_465' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='117'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_465' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_466' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_466' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_466' id='input_1_466' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='118'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_466' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_467' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_467'><li class='gchoice_1_467_1'>\n\t\t\t\t\t\t\t\t<input name='input_467.1' type='checkbox'  value='Day 1'  id='choice_1_467_1' tabindex='119'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_467_1' id='label_1_467_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_467_2'>\n\t\t\t\t\t\t\t\t<input name='input_467.2' type='checkbox'  value='Day 2'  id='choice_1_467_2' tabindex='120'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_467_2' id='label_1_467_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_467_3'>\n\t\t\t\t\t\t\t\t<input name='input_467.3' type='checkbox'  value='Day 3'  id='choice_1_467_3' tabindex='121'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_467_3' id='label_1_467_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_467_4'>\n\t\t\t\t\t\t\t\t<input name='input_467.4' type='checkbox'  value='Day 4'  id='choice_1_467_4' tabindex='122'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_467_4' id='label_1_467_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_468' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_468_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_468' >\n                        <span class='ginput_left address_city' id='input_1_468_3_container' >\n                                    <label for='input_1_468_3' id='input_1_468_3_label' >Ville<\/label>\n                                    <input type='text' name='input_468.3' id='input_1_468_3' value='' tabindex='124'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_468.4' id='input_1_468_4' value=''\/><span class='ginput_left address_country' id='input_1_468_6_container' >\n                                        <label for='input_1_468_6' id='input_1_468_6_label' >Pays<\/label>\n                                        <select name='input_468.6' id='input_1_468_6' tabindex='126' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_469' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_469' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_469&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_469&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_469&quot;,&quot;filelist&quot;:&quot;gform_preview_1_469&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:469},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_469&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_469' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_469' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='127' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_469'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_469'><\/div><\/li><li id='field_1_470' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_479' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_479' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_479' id='input_1_479'  class='medium gfield_select' tabindex='128'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_484' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_484' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_484' id='input_1_484' type='text' value='' class='medium'  tabindex='129'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_489' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_489' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_489' id='input_1_489' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='130'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_489' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_494' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_494' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_494' id='input_1_494' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='131'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_494' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_500' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_500_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_500' >\n                        <span class='ginput_left address_city' id='input_1_500_3_container' >\n                                    <label for='input_1_500_3' id='input_1_500_3_label' >Ville<\/label>\n                                    <input type='text' name='input_500.3' id='input_1_500_3' value='' tabindex='133'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_500.4' id='input_1_500_4' value=''\/><span class='ginput_left address_country' id='input_1_500_6_container' >\n                                        <label for='input_1_500_6' id='input_1_500_6_label' >Pays<\/label>\n                                        <select name='input_500.6' id='input_1_500_6' tabindex='135' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_504' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_504' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_504&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_504&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_504&quot;,&quot;filelist&quot;:&quot;gform_preview_1_504&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:504},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_504&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_504' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_504' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='136' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_504'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_504'><\/div><\/li><li id='field_1_474' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_478' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_478' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_478' id='input_1_478'  class='medium gfield_select' tabindex='137'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_483' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_483' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_483' id='input_1_483' type='text' value='' class='medium'  tabindex='138'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_488' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_488' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_488' id='input_1_488' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='139'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_488' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_493' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_493' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_493' id='input_1_493' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='140'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_493' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_498' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_498_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_498' >\n                        <span class='ginput_left address_city' id='input_1_498_3_container' >\n                                    <label for='input_1_498_3' id='input_1_498_3_label' >Ville<\/label>\n                                    <input type='text' name='input_498.3' id='input_1_498_3' value='' tabindex='142'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_498.4' id='input_1_498_4' value=''\/><span class='ginput_left address_country' id='input_1_498_6_container' >\n                                        <label for='input_1_498_6' id='input_1_498_6_label' >Pays<\/label>\n                                        <select name='input_498.6' id='input_1_498_6' tabindex='144' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_499' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_499' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_499&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_499&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_499&quot;,&quot;filelist&quot;:&quot;gform_preview_1_499&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:499},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_499&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_499' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_499' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='145' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_499'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_499'><\/div><\/li><li id='field_1_473' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_477' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_477' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_477' id='input_1_477'  class='medium gfield_select' tabindex='146'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_482' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_482' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_482' id='input_1_482' type='text' value='' class='medium'  tabindex='147'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_487' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_487' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_487' id='input_1_487' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='148'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_487' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_492' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_492' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_492' id='input_1_492' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='149'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_492' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_497' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_497_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_497' >\n                        <span class='ginput_left address_city' id='input_1_497_3_container' >\n                                    <label for='input_1_497_3' id='input_1_497_3_label' >Ville<\/label>\n                                    <input type='text' name='input_497.3' id='input_1_497_3' value='' tabindex='151'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_497.4' id='input_1_497_4' value=''\/><span class='ginput_left address_country' id='input_1_497_6_container' >\n                                        <label for='input_1_497_6' id='input_1_497_6_label' >Pays<\/label>\n                                        <select name='input_497.6' id='input_1_497_6' tabindex='153' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_503' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_503' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_503&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_503&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_503&quot;,&quot;filelist&quot;:&quot;gform_preview_1_503&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:503},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_503&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_503' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_503' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='154' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_503'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_503'><\/div><\/li><li id='field_1_472' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_476' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_476' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_476' id='input_1_476'  class='medium gfield_select' tabindex='155'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_481' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_481' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_481' id='input_1_481' type='text' value='' class='medium'  tabindex='156'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_486' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_486' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_486' id='input_1_486' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='157'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_486' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_491' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_491' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_491' id='input_1_491' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='158'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_491' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_496' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_496_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_496' >\n                        <span class='ginput_left address_city' id='input_1_496_3_container' >\n                                    <label for='input_1_496_3' id='input_1_496_3_label' >Ville<\/label>\n                                    <input type='text' name='input_496.3' id='input_1_496_3' value='' tabindex='160'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_496.4' id='input_1_496_4' value=''\/><span class='ginput_left address_country' id='input_1_496_6_container' >\n                                        <label for='input_1_496_6' id='input_1_496_6_label' >Pays<\/label>\n                                        <select name='input_496.6' id='input_1_496_6' tabindex='162' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_502' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_502' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_502&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_502&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_502&quot;,&quot;filelist&quot;:&quot;gform_preview_1_502&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:502},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_502&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_502' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_502' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='163' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_502'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_502'><\/div><\/li><li id='field_1_471' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_475' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_475' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_475' id='input_1_475'  class='medium gfield_select' tabindex='164'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_480' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_480' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_480' id='input_1_480' type='text' value='' class='medium'  tabindex='165'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_485' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_485' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_485' id='input_1_485' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='166'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_485' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_490' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_490' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_490' id='input_1_490' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='167'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_490' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_495' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_495_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_495' >\n                        <span class='ginput_left address_city' id='input_1_495_3_container' >\n                                    <label for='input_1_495_3' id='input_1_495_3_label' >Ville<\/label>\n                                    <input type='text' name='input_495.3' id='input_1_495_3' value='' tabindex='169'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_495.4' id='input_1_495_4' value=''\/><span class='ginput_left address_country' id='input_1_495_6_container' >\n                                        <label for='input_1_495_6' id='input_1_495_6_label' >Pays<\/label>\n                                        <select name='input_495.6' id='input_1_495_6' tabindex='171' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_501' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_501' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_501&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_501&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_501&quot;,&quot;filelist&quot;:&quot;gform_preview_1_501&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:501},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_501&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_501' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_501' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='172' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_501'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_501'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_459' class='gform_previous_button button' value='Previous' tabindex='175' onclick='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"2\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_459' class='gform_next_button button' value='Next' tabindex='174' onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='173' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_4' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_4' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_460' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Attendance of the Advanced Class : &quot;Treating Zang-Fu Disorders with Meridian Conversion Therapy&quot;<\/h2><\/li><li id='field_1_20' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_20' >How many times have you attended &quot;Treating Zang-Fu Disorders with meridian Conversion Therapy&quot; Advanced class ?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_20' id='input_1_20' onchange='gf_apply_rules(1,[79,79,17,17,43,43,51,51,59,59,67,67]);' class='medium gfield_select' tabindex='176'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_79' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_87' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_87' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_87' id='input_1_87'  class='medium gfield_select' tabindex='177'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_86' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_86' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_86' id='input_1_86' type='text' value='' class='medium'  tabindex='178'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_36' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_36' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_36' id='input_1_36' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='179'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_36' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_84' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_84' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_84' id='input_1_84' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='180'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_84' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_38' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_38'><li class='gchoice_1_38_1'>\n\t\t\t\t\t\t\t\t<input name='input_38.1' type='checkbox'  value='Day 1'  id='choice_1_38_1' tabindex='181'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_38_1' id='label_1_38_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_38_2'>\n\t\t\t\t\t\t\t\t<input name='input_38.2' type='checkbox'  value='Day 2'  id='choice_1_38_2' tabindex='182'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_38_2' id='label_1_38_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_38_3'>\n\t\t\t\t\t\t\t\t<input name='input_38.3' type='checkbox'  value='Day 3'  id='choice_1_38_3' tabindex='183'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_38_3' id='label_1_38_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_38_4'>\n\t\t\t\t\t\t\t\t<input name='input_38.4' type='checkbox'  value='Day 4'  id='choice_1_38_4' tabindex='184'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_38_4' id='label_1_38_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_82' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_82_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_82' >\n                        <span class='ginput_left address_city' id='input_1_82_3_container' >\n                                    <label for='input_1_82_3' id='input_1_82_3_label' >Ville<\/label>\n                                    <input type='text' name='input_82.3' id='input_1_82_3' value='' tabindex='186'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_82.4' id='input_1_82_4' value=''\/><span class='ginput_left address_country' id='input_1_82_6_container' >\n                                        <label for='input_1_82_6' id='input_1_82_6_label' >Pays<\/label>\n                                        <select name='input_82.6' id='input_1_82_6' tabindex='188' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_81' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_81' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_81&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_81&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_81&quot;,&quot;filelist&quot;:&quot;gform_preview_1_81&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:81},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_81&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_81' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_81' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='189' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_81'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_81'><\/div><\/li><li id='field_1_17' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_30' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_30' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_30' id='input_1_30'  class='medium gfield_select' tabindex='190'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_31' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_31' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_1_31' type='text' value='' class='medium'  tabindex='191'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_24' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_24' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_1_24' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='192'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_24' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_34' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_34' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_34' id='input_1_34' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='193'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_34' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_39' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_39'><li class='gchoice_1_39_1'>\n\t\t\t\t\t\t\t\t<input name='input_39.1' type='checkbox'  value='Day 1'  id='choice_1_39_1' tabindex='194'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_1' id='label_1_39_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_39_2'>\n\t\t\t\t\t\t\t\t<input name='input_39.2' type='checkbox'  value='Day 2'  id='choice_1_39_2' tabindex='195'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_2' id='label_1_39_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_39_3'>\n\t\t\t\t\t\t\t\t<input name='input_39.3' type='checkbox'  value='Day 3'  id='choice_1_39_3' tabindex='196'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_3' id='label_1_39_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_39_4'>\n\t\t\t\t\t\t\t\t<input name='input_39.4' type='checkbox'  value='Day 4'  id='choice_1_39_4' tabindex='197'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_39_4' id='label_1_39_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_25' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_25_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_25' >\n                        <span class='ginput_left address_city' id='input_1_25_3_container' >\n                                    <label for='input_1_25_3' id='input_1_25_3_label' >Ville<\/label>\n                                    <input type='text' name='input_25.3' id='input_1_25_3' value='' tabindex='199'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_25.4' id='input_1_25_4' value=''\/><span class='ginput_left address_country' id='input_1_25_6_container' >\n                                        <label for='input_1_25_6' id='input_1_25_6_label' >Pays<\/label>\n                                        <select name='input_25.6' id='input_1_25_6' tabindex='201' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_26' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_26' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_26&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_26&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_26&quot;,&quot;filelist&quot;:&quot;gform_preview_1_26&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:26},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_26&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_26' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_26' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='202' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_26'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_26'><\/div><\/li><li id='field_1_43' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_44' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_44' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_44' id='input_1_44'  class='medium gfield_select' tabindex='203'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_45' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_45' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_45' id='input_1_45' type='text' value='' class='medium'  tabindex='204'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_50' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_50' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_50' id='input_1_50' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='205'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_50' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_49' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_49' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_49' id='input_1_49' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='206'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_49' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_48' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_48'><li class='gchoice_1_48_1'>\n\t\t\t\t\t\t\t\t<input name='input_48.1' type='checkbox'  value='Day 1'  id='choice_1_48_1' tabindex='207'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_48_1' id='label_1_48_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_48_2'>\n\t\t\t\t\t\t\t\t<input name='input_48.2' type='checkbox'  value='Day 2'  id='choice_1_48_2' tabindex='208'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_48_2' id='label_1_48_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_48_3'>\n\t\t\t\t\t\t\t\t<input name='input_48.3' type='checkbox'  value='Day 3'  id='choice_1_48_3' tabindex='209'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_48_3' id='label_1_48_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_48_4'>\n\t\t\t\t\t\t\t\t<input name='input_48.4' type='checkbox'  value='Day 4'  id='choice_1_48_4' tabindex='210'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_48_4' id='label_1_48_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_47' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_47_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_47' >\n                        <span class='ginput_left address_city' id='input_1_47_3_container' >\n                                    <label for='input_1_47_3' id='input_1_47_3_label' >Ville<\/label>\n                                    <input type='text' name='input_47.3' id='input_1_47_3' value='' tabindex='212'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_47.4' id='input_1_47_4' value=''\/><span class='ginput_left address_country' id='input_1_47_6_container' >\n                                        <label for='input_1_47_6' id='input_1_47_6_label' >Pays<\/label>\n                                        <select name='input_47.6' id='input_1_47_6' tabindex='214' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_46' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_46' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_46&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_46&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_46&quot;,&quot;filelist&quot;:&quot;gform_preview_1_46&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:46},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_46&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_46' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_46' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='215' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_46'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_46'><\/div><\/li><li id='field_1_51' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_58' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_58' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_58' id='input_1_58'  class='medium gfield_select' tabindex='216'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_57' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_57' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_1_57' type='text' value='' class='medium'  tabindex='217'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_56' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_56' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_56' id='input_1_56' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='218'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_56' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_55' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_55' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_55' id='input_1_55' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='219'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_55' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_54' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_54'><li class='gchoice_1_54_1'>\n\t\t\t\t\t\t\t\t<input name='input_54.1' type='checkbox'  value='Day 1'  id='choice_1_54_1' tabindex='220'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_54_1' id='label_1_54_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_54_2'>\n\t\t\t\t\t\t\t\t<input name='input_54.2' type='checkbox'  value='Day 2'  id='choice_1_54_2' tabindex='221'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_54_2' id='label_1_54_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_54_3'>\n\t\t\t\t\t\t\t\t<input name='input_54.3' type='checkbox'  value='Day 3'  id='choice_1_54_3' tabindex='222'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_54_3' id='label_1_54_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_54_4'>\n\t\t\t\t\t\t\t\t<input name='input_54.4' type='checkbox'  value='Day 4'  id='choice_1_54_4' tabindex='223'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_54_4' id='label_1_54_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_53' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_53_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_53' >\n                        <span class='ginput_left address_city' id='input_1_53_3_container' >\n                                    <label for='input_1_53_3' id='input_1_53_3_label' >Ville<\/label>\n                                    <input type='text' name='input_53.3' id='input_1_53_3' value='' tabindex='225'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_53.4' id='input_1_53_4' value=''\/><span class='ginput_left address_country' id='input_1_53_6_container' >\n                                        <label for='input_1_53_6' id='input_1_53_6_label' >Pays<\/label>\n                                        <select name='input_53.6' id='input_1_53_6' tabindex='227' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_52' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_52' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_52&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_52&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_52&quot;,&quot;filelist&quot;:&quot;gform_preview_1_52&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:52},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_52&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_52' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_52' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='228' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_52'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_52'><\/div><\/li><li id='field_1_59' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_66' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_66' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_66' id='input_1_66'  class='medium gfield_select' tabindex='229'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_65' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_65' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_1_65' type='text' value='' class='medium'  tabindex='230'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_64' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_64' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_64' id='input_1_64' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='231'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_64' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_75' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_75' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_75' id='input_1_75' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='232'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_75' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_62' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_62'><li class='gchoice_1_62_1'>\n\t\t\t\t\t\t\t\t<input name='input_62.1' type='checkbox'  value='Day 1'  id='choice_1_62_1' tabindex='233'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_62_1' id='label_1_62_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_62_2'>\n\t\t\t\t\t\t\t\t<input name='input_62.2' type='checkbox'  value='Day 2'  id='choice_1_62_2' tabindex='234'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_62_2' id='label_1_62_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_62_3'>\n\t\t\t\t\t\t\t\t<input name='input_62.3' type='checkbox'  value='Day 3'  id='choice_1_62_3' tabindex='235'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_62_3' id='label_1_62_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_62_4'>\n\t\t\t\t\t\t\t\t<input name='input_62.4' type='checkbox'  value='Day 4'  id='choice_1_62_4' tabindex='236'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_62_4' id='label_1_62_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_61' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_61_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_61' >\n                        <span class='ginput_left address_city' id='input_1_61_3_container' >\n                                    <label for='input_1_61_3' id='input_1_61_3_label' >Ville<\/label>\n                                    <input type='text' name='input_61.3' id='input_1_61_3' value='' tabindex='238'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_61.4' id='input_1_61_4' value=''\/><span class='ginput_left address_country' id='input_1_61_6_container' >\n                                        <label for='input_1_61_6' id='input_1_61_6_label' >Pays<\/label>\n                                        <select name='input_61.6' id='input_1_61_6' tabindex='240' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_60' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_60' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_60&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_60&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_60&quot;,&quot;filelist&quot;:&quot;gform_preview_1_60&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:60},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_60&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_60' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_60' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='241' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_60'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_60'><\/div><\/li><li id='field_1_67' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_73' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_73' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_1_73'  class='medium gfield_select' tabindex='242'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_72' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_72' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_72' id='input_1_72' type='text' value='' class='medium'  tabindex='243'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_136' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_136' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_136' id='input_1_136' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='244'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_136' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_70' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_70' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_70' id='input_1_70' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='245'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_70' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_69' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_69'><li class='gchoice_1_69_1'>\n\t\t\t\t\t\t\t\t<input name='input_69.1' type='checkbox'  value='Day 1'  id='choice_1_69_1' tabindex='246'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_69_1' id='label_1_69_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_69_2'>\n\t\t\t\t\t\t\t\t<input name='input_69.2' type='checkbox'  value='Day 2'  id='choice_1_69_2' tabindex='247'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_69_2' id='label_1_69_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_69_3'>\n\t\t\t\t\t\t\t\t<input name='input_69.3' type='checkbox'  value='Day 3'  id='choice_1_69_3' tabindex='248'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_69_3' id='label_1_69_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_69_4'>\n\t\t\t\t\t\t\t\t<input name='input_69.4' type='checkbox'  value='Day 4'  id='choice_1_69_4' tabindex='249'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_69_4' id='label_1_69_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_74' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_74_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_74' >\n                        <span class='ginput_left address_city' id='input_1_74_3_container' >\n                                    <label for='input_1_74_3' id='input_1_74_3_label' >Ville<\/label>\n                                    <input type='text' name='input_74.3' id='input_1_74_3' value='' tabindex='251'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_74.4' id='input_1_74_4' value=''\/><span class='ginput_left address_country' id='input_1_74_6_container' >\n                                        <label for='input_1_74_6' id='input_1_74_6_label' >Pays<\/label>\n                                        <select name='input_74.6' id='input_1_74_6' tabindex='253' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_68' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_68' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_68&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_68&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_68&quot;,&quot;filelist&quot;:&quot;gform_preview_1_68&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:68},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_68&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_68' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_68' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='254' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_68'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_68'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_128' class='gform_previous_button button' value='Previous' tabindex='257' onclick='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"3\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_128' class='gform_next_button button' value='Next' tabindex='256' onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='255' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_5' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_5' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_129' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Attendance of the Advanced Class : &quot;Balancing the five elements&quot;<\/h2><\/li><li id='field_1_130' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_130' >How many times have you attended &quot;Balancing the five elements&quot; Advanced Class ?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_130' id='input_1_130' onchange='gf_apply_rules(1,[131,131,139,139,140,140,141,141,142,142,143,143]);' class='medium gfield_select' tabindex='258'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_131' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_138' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_138' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_138' id='input_1_138'  class='medium gfield_select' tabindex='259'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_137' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_137' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_1_137' type='text' value='' class='medium'  tabindex='260'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_71' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_71' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_71' id='input_1_71' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='261'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_71' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_135' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_135' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_135' id='input_1_135' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='262'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_135' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_134' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_134'><li class='gchoice_1_134_1'>\n\t\t\t\t\t\t\t\t<input name='input_134.1' type='checkbox'  value='Day 1'  id='choice_1_134_1' tabindex='263'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_134_1' id='label_1_134_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_134_2'>\n\t\t\t\t\t\t\t\t<input name='input_134.2' type='checkbox'  value='Day 2'  id='choice_1_134_2' tabindex='264'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_134_2' id='label_1_134_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_134_3'>\n\t\t\t\t\t\t\t\t<input name='input_134.3' type='checkbox'  value='Day 3'  id='choice_1_134_3' tabindex='265'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_134_3' id='label_1_134_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_134_4'>\n\t\t\t\t\t\t\t\t<input name='input_134.4' type='checkbox'  value='Day 4'  id='choice_1_134_4' tabindex='266'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_134_4' id='label_1_134_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_133' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_133_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_133' >\n                        <span class='ginput_left address_city' id='input_1_133_3_container' >\n                                    <label for='input_1_133_3' id='input_1_133_3_label' >Ville<\/label>\n                                    <input type='text' name='input_133.3' id='input_1_133_3' value='' tabindex='268'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_133.4' id='input_1_133_4' value=''\/><span class='ginput_left address_country' id='input_1_133_6_container' >\n                                        <label for='input_1_133_6' id='input_1_133_6_label' >Pays<\/label>\n                                        <select name='input_133.6' id='input_1_133_6' tabindex='270' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_132' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_132' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_132&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_132&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_132&quot;,&quot;filelist&quot;:&quot;gform_preview_1_132&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:132},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_132&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_132' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_132' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='271' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_132'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_132'><\/div><\/li><li id='field_1_139' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_174' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_174' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_174' id='input_1_174'  class='medium gfield_select' tabindex='272'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_169' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_169' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_169' id='input_1_169' type='text' value='' class='medium'  tabindex='273'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_164' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_164' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_164' id='input_1_164' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='274'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_164' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_159' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_159' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_159' id='input_1_159' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='275'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_159' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_154' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_154'><li class='gchoice_1_154_1'>\n\t\t\t\t\t\t\t\t<input name='input_154.1' type='checkbox'  value='Day 1'  id='choice_1_154_1' tabindex='276'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_154_1' id='label_1_154_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_154_2'>\n\t\t\t\t\t\t\t\t<input name='input_154.2' type='checkbox'  value='Day 2'  id='choice_1_154_2' tabindex='277'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_154_2' id='label_1_154_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_154_3'>\n\t\t\t\t\t\t\t\t<input name='input_154.3' type='checkbox'  value='Day 3'  id='choice_1_154_3' tabindex='278'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_154_3' id='label_1_154_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_154_4'>\n\t\t\t\t\t\t\t\t<input name='input_154.4' type='checkbox'  value='Day 4'  id='choice_1_154_4' tabindex='279'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_154_4' id='label_1_154_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_149' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_149_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_149' >\n                        <span class='ginput_left address_city' id='input_1_149_3_container' >\n                                    <label for='input_1_149_3' id='input_1_149_3_label' >Ville<\/label>\n                                    <input type='text' name='input_149.3' id='input_1_149_3' value='' tabindex='281'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_149.4' id='input_1_149_4' value=''\/><span class='ginput_left address_country' id='input_1_149_6_container' >\n                                        <label for='input_1_149_6' id='input_1_149_6_label' >Pays<\/label>\n                                        <select name='input_149.6' id='input_1_149_6' tabindex='283' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_144' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_144' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_144&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_144&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_144&quot;,&quot;filelist&quot;:&quot;gform_preview_1_144&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:144},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_144&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_144' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_144' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='284' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_144'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_144'><\/div><\/li><li id='field_1_140' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_175' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_175' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_175' id='input_1_175'  class='medium gfield_select' tabindex='285'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_170' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_170' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_170' id='input_1_170' type='text' value='' class='medium'  tabindex='286'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_165' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_165' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_165' id='input_1_165' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='287'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_165' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_160' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_160' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_160' id='input_1_160' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='288'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_160' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_156' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_156'><li class='gchoice_1_156_1'>\n\t\t\t\t\t\t\t\t<input name='input_156.1' type='checkbox'  value='Day 1'  id='choice_1_156_1' tabindex='289'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_156_1' id='label_1_156_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_156_2'>\n\t\t\t\t\t\t\t\t<input name='input_156.2' type='checkbox'  value='Day 2'  id='choice_1_156_2' tabindex='290'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_156_2' id='label_1_156_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_156_3'>\n\t\t\t\t\t\t\t\t<input name='input_156.3' type='checkbox'  value='Day 3'  id='choice_1_156_3' tabindex='291'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_156_3' id='label_1_156_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_156_4'>\n\t\t\t\t\t\t\t\t<input name='input_156.4' type='checkbox'  value='Day 4'  id='choice_1_156_4' tabindex='292'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_156_4' id='label_1_156_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_152' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_152_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_152' >\n                        <span class='ginput_left address_city' id='input_1_152_3_container' >\n                                    <label for='input_1_152_3' id='input_1_152_3_label' >Ville<\/label>\n                                    <input type='text' name='input_152.3' id='input_1_152_3' value='' tabindex='294'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_152.4' id='input_1_152_4' value=''\/><span class='ginput_left address_country' id='input_1_152_6_container' >\n                                        <label for='input_1_152_6' id='input_1_152_6_label' >Pays<\/label>\n                                        <select name='input_152.6' id='input_1_152_6' tabindex='296' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_145' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_145' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_145&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_145&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_145&quot;,&quot;filelist&quot;:&quot;gform_preview_1_145&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:145},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_145&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_145' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_145' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='297' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_145'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_145'><\/div><\/li><li id='field_1_141' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_176' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_176' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_176' id='input_1_176'  class='medium gfield_select' tabindex='298'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_171' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_171' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_171' id='input_1_171' type='text' value='' class='medium'  tabindex='299'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_166' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_166' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_166' id='input_1_166' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='300'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_166' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_161' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_161' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_161' id='input_1_161' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='301'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_161' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_155' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_155'><li class='gchoice_1_155_1'>\n\t\t\t\t\t\t\t\t<input name='input_155.1' type='checkbox'  value='Day 1'  id='choice_1_155_1' tabindex='302'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_155_1' id='label_1_155_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_155_2'>\n\t\t\t\t\t\t\t\t<input name='input_155.2' type='checkbox'  value='Day 2'  id='choice_1_155_2' tabindex='303'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_155_2' id='label_1_155_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_155_3'>\n\t\t\t\t\t\t\t\t<input name='input_155.3' type='checkbox'  value='Day 3'  id='choice_1_155_3' tabindex='304'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_155_3' id='label_1_155_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_155_4'>\n\t\t\t\t\t\t\t\t<input name='input_155.4' type='checkbox'  value='Day 4'  id='choice_1_155_4' tabindex='305'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_155_4' id='label_1_155_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_153' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_153_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_153' >\n                        <span class='ginput_left address_city' id='input_1_153_3_container' >\n                                    <label for='input_1_153_3' id='input_1_153_3_label' >Ville<\/label>\n                                    <input type='text' name='input_153.3' id='input_1_153_3' value='' tabindex='307'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_153.4' id='input_1_153_4' value=''\/><span class='ginput_left address_country' id='input_1_153_6_container' >\n                                        <label for='input_1_153_6' id='input_1_153_6_label' >Pays<\/label>\n                                        <select name='input_153.6' id='input_1_153_6' tabindex='309' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_146' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_146' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_146&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_146&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_146&quot;,&quot;filelist&quot;:&quot;gform_preview_1_146&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:146},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_146&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_146' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_146' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='310' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_146'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_146'><\/div><\/li><li id='field_1_142' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_177' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_177' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_177' id='input_1_177'  class='medium gfield_select' tabindex='311'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_172' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_172' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_172' id='input_1_172' type='text' value='' class='medium'  tabindex='312'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_167' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_167' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_167' id='input_1_167' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='313'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_167' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_162' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_162' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_162' id='input_1_162' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='314'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_162' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_157' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_157'><li class='gchoice_1_157_1'>\n\t\t\t\t\t\t\t\t<input name='input_157.1' type='checkbox'  value='Day 1'  id='choice_1_157_1' tabindex='315'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_157_1' id='label_1_157_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_157_2'>\n\t\t\t\t\t\t\t\t<input name='input_157.2' type='checkbox'  value='Day 2'  id='choice_1_157_2' tabindex='316'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_157_2' id='label_1_157_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_157_3'>\n\t\t\t\t\t\t\t\t<input name='input_157.3' type='checkbox'  value='Day 3'  id='choice_1_157_3' tabindex='317'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_157_3' id='label_1_157_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_157_4'>\n\t\t\t\t\t\t\t\t<input name='input_157.4' type='checkbox'  value='Day 4'  id='choice_1_157_4' tabindex='318'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_157_4' id='label_1_157_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_150' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_150_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_150' >\n                        <span class='ginput_left address_city' id='input_1_150_3_container' >\n                                    <label for='input_1_150_3' id='input_1_150_3_label' >Ville<\/label>\n                                    <input type='text' name='input_150.3' id='input_1_150_3' value='' tabindex='320'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_150.4' id='input_1_150_4' value=''\/><span class='ginput_left address_country' id='input_1_150_6_container' >\n                                        <label for='input_1_150_6' id='input_1_150_6_label' >Pays<\/label>\n                                        <select name='input_150.6' id='input_1_150_6' tabindex='322' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_147' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_147' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_147&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_147&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_147&quot;,&quot;filelist&quot;:&quot;gform_preview_1_147&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:147},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_147&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_147' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_147' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='323' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_147'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_147'><\/div><\/li><li id='field_1_143' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_178' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_178' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_178' id='input_1_178'  class='medium gfield_select' tabindex='324'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_173' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_173' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_173' id='input_1_173' type='text' value='' class='medium'  tabindex='325'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_168' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_168' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_168' id='input_1_168' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='326'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_168' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_163' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_163' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_163' id='input_1_163' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='327'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_163' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_158' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_158'><li class='gchoice_1_158_1'>\n\t\t\t\t\t\t\t\t<input name='input_158.1' type='checkbox'  value='Day 1'  id='choice_1_158_1' tabindex='328'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_158_1' id='label_1_158_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_158_2'>\n\t\t\t\t\t\t\t\t<input name='input_158.2' type='checkbox'  value='Day 2'  id='choice_1_158_2' tabindex='329'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_158_2' id='label_1_158_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_158_3'>\n\t\t\t\t\t\t\t\t<input name='input_158.3' type='checkbox'  value='Day 3'  id='choice_1_158_3' tabindex='330'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_158_3' id='label_1_158_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_158_4'>\n\t\t\t\t\t\t\t\t<input name='input_158.4' type='checkbox'  value='Day 4'  id='choice_1_158_4' tabindex='331'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_158_4' id='label_1_158_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_151' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_151_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_151' >\n                        <span class='ginput_left address_city' id='input_1_151_3_container' >\n                                    <label for='input_1_151_3' id='input_1_151_3_label' >Ville<\/label>\n                                    <input type='text' name='input_151.3' id='input_1_151_3' value='' tabindex='333'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_151.4' id='input_1_151_4' value=''\/><span class='ginput_left address_country' id='input_1_151_6_container' >\n                                        <label for='input_1_151_6' id='input_1_151_6_label' >Pays<\/label>\n                                        <select name='input_151.6' id='input_1_151_6' tabindex='335' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_148' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_148' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_148&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_148&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_148&quot;,&quot;filelist&quot;:&quot;gform_preview_1_148&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:148},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_148&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_148' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_148' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='336' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_148'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_148'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_179' class='gform_previous_button button' value='Previous' tabindex='339' onclick='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"4\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_179' class='gform_next_button button' value='Next' tabindex='338' onclick='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='337' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_6' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_6' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_180' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Attendance of the Advanced Class : &quot;Seasonal Balance&quot;<\/h2><\/li><li id='field_1_181' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_181' >How many times have you attended &quot;Seasonal Balance&quot; Advanced Class<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_181' id='input_1_181' onchange='gf_apply_rules(1,[182,182,183,183,184,184,187,187,186,186,185,185]);' class='medium gfield_select' tabindex='340'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_182' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_225' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_225' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_225' id='input_1_225'  class='medium gfield_select' tabindex='341'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_219' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_219' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_219' id='input_1_219' type='text' value='' class='medium'  tabindex='342'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_213' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_213' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_213' id='input_1_213' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='343'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_213' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_207' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_207' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_207' id='input_1_207' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='344'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_207' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_200' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_200'><li class='gchoice_1_200_1'>\n\t\t\t\t\t\t\t\t<input name='input_200.1' type='checkbox'  value='Day 1'  id='choice_1_200_1' tabindex='345'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_200_1' id='label_1_200_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_200_2'>\n\t\t\t\t\t\t\t\t<input name='input_200.2' type='checkbox'  value='Day 2'  id='choice_1_200_2' tabindex='346'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_200_2' id='label_1_200_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_200_3'>\n\t\t\t\t\t\t\t\t<input name='input_200.3' type='checkbox'  value='Day 3'  id='choice_1_200_3' tabindex='347'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_200_3' id='label_1_200_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_200_4'>\n\t\t\t\t\t\t\t\t<input name='input_200.4' type='checkbox'  value='Day 4'  id='choice_1_200_4' tabindex='348'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_200_4' id='label_1_200_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_194' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_194_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_194' >\n                        <span class='ginput_left address_city' id='input_1_194_3_container' >\n                                    <label for='input_1_194_3' id='input_1_194_3_label' >Ville<\/label>\n                                    <input type='text' name='input_194.3' id='input_1_194_3' value='' tabindex='350'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_194.4' id='input_1_194_4' value=''\/><span class='ginput_left address_country' id='input_1_194_6_container' >\n                                        <label for='input_1_194_6' id='input_1_194_6_label' >Pays<\/label>\n                                        <select name='input_194.6' id='input_1_194_6' tabindex='352' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_188' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_188' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_188&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_188&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_188&quot;,&quot;filelist&quot;:&quot;gform_preview_1_188&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:188},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_188&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_188' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_188' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='353' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_188'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_188'><\/div><\/li><li id='field_1_183' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_226' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_226' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_226' id='input_1_226'  class='medium gfield_select' tabindex='354'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_224' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_224' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_224' id='input_1_224' type='text' value='' class='medium'  tabindex='355'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_218' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_218' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_218' id='input_1_218' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='356'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_218' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_212' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_212' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_212' id='input_1_212' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='357'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_212' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_203' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_203'><li class='gchoice_1_203_1'>\n\t\t\t\t\t\t\t\t<input name='input_203.1' type='checkbox'  value='Day 1'  id='choice_1_203_1' tabindex='358'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_203_1' id='label_1_203_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_203_2'>\n\t\t\t\t\t\t\t\t<input name='input_203.2' type='checkbox'  value='Day 2'  id='choice_1_203_2' tabindex='359'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_203_2' id='label_1_203_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_203_3'>\n\t\t\t\t\t\t\t\t<input name='input_203.3' type='checkbox'  value='Day 3'  id='choice_1_203_3' tabindex='360'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_203_3' id='label_1_203_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_203_4'>\n\t\t\t\t\t\t\t\t<input name='input_203.4' type='checkbox'  value='Day 4'  id='choice_1_203_4' tabindex='361'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_203_4' id='label_1_203_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_199' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_199_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_199' >\n                        <span class='ginput_left address_city' id='input_1_199_3_container' >\n                                    <label for='input_1_199_3' id='input_1_199_3_label' >Ville<\/label>\n                                    <input type='text' name='input_199.3' id='input_1_199_3' value='' tabindex='363'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_199.4' id='input_1_199_4' value=''\/><span class='ginput_left address_country' id='input_1_199_6_container' >\n                                        <label for='input_1_199_6' id='input_1_199_6_label' >Pays<\/label>\n                                        <select name='input_199.6' id='input_1_199_6' tabindex='365' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_193' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_193' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_193&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_193&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_193&quot;,&quot;filelist&quot;:&quot;gform_preview_1_193&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:193},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_193&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_193' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_193' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='366' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_193'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_193'><\/div><\/li><li id='field_1_184' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_230' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_230' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_230' id='input_1_230'  class='medium gfield_select' tabindex='367'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_223' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_223' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_223' id='input_1_223' type='text' value='' class='medium'  tabindex='368'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_217' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_217' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_217' id='input_1_217' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='369'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_217' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_211' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_211' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_211' id='input_1_211' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='370'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_211' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_202' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_202'><li class='gchoice_1_202_1'>\n\t\t\t\t\t\t\t\t<input name='input_202.1' type='checkbox'  value='Day 1'  id='choice_1_202_1' tabindex='371'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_202_1' id='label_1_202_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_202_2'>\n\t\t\t\t\t\t\t\t<input name='input_202.2' type='checkbox'  value='Day 2'  id='choice_1_202_2' tabindex='372'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_202_2' id='label_1_202_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_202_3'>\n\t\t\t\t\t\t\t\t<input name='input_202.3' type='checkbox'  value='Day 3'  id='choice_1_202_3' tabindex='373'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_202_3' id='label_1_202_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_202_4'>\n\t\t\t\t\t\t\t\t<input name='input_202.4' type='checkbox'  value='Day 4'  id='choice_1_202_4' tabindex='374'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_202_4' id='label_1_202_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_198' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_198_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_198' >\n                        <span class='ginput_left address_city' id='input_1_198_3_container' >\n                                    <label for='input_1_198_3' id='input_1_198_3_label' >Ville<\/label>\n                                    <input type='text' name='input_198.3' id='input_1_198_3' value='' tabindex='376'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_198.4' id='input_1_198_4' value=''\/><span class='ginput_left address_country' id='input_1_198_6_container' >\n                                        <label for='input_1_198_6' id='input_1_198_6_label' >Pays<\/label>\n                                        <select name='input_198.6' id='input_1_198_6' tabindex='378' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_192' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_192' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_192&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_192&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_192&quot;,&quot;filelist&quot;:&quot;gform_preview_1_192&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:192},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_192&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_192' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_192' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='379' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_192'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_192'><\/div><\/li><li id='field_1_187' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_229' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_229' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_229' id='input_1_229'  class='medium gfield_select' tabindex='380'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_222' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_222' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_222' id='input_1_222' type='text' value='' class='medium'  tabindex='381'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_216' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_216' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_216' id='input_1_216' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='382'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_216' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_210' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_210' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_210' id='input_1_210' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='383'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_210' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_205' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_205'><li class='gchoice_1_205_1'>\n\t\t\t\t\t\t\t\t<input name='input_205.1' type='checkbox'  value='Day 1'  id='choice_1_205_1' tabindex='384'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_205_1' id='label_1_205_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_205_2'>\n\t\t\t\t\t\t\t\t<input name='input_205.2' type='checkbox'  value='Day 2'  id='choice_1_205_2' tabindex='385'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_205_2' id='label_1_205_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_205_3'>\n\t\t\t\t\t\t\t\t<input name='input_205.3' type='checkbox'  value='Day 3'  id='choice_1_205_3' tabindex='386'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_205_3' id='label_1_205_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_205_4'>\n\t\t\t\t\t\t\t\t<input name='input_205.4' type='checkbox'  value='Day 4'  id='choice_1_205_4' tabindex='387'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_205_4' id='label_1_205_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_197' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_197_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_197' >\n                        <span class='ginput_left address_city' id='input_1_197_3_container' >\n                                    <label for='input_1_197_3' id='input_1_197_3_label' >Ville<\/label>\n                                    <input type='text' name='input_197.3' id='input_1_197_3' value='' tabindex='389'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_197.4' id='input_1_197_4' value=''\/><span class='ginput_left address_country' id='input_1_197_6_container' >\n                                        <label for='input_1_197_6' id='input_1_197_6_label' >Pays<\/label>\n                                        <select name='input_197.6' id='input_1_197_6' tabindex='391' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_191' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_191' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_191&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_191&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_191&quot;,&quot;filelist&quot;:&quot;gform_preview_1_191&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:191},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_191&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_191' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_191' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='392' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_191'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_191'><\/div><\/li><li id='field_1_186' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_228' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_228' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_228' id='input_1_228'  class='medium gfield_select' tabindex='393'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_221' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_221' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_221' id='input_1_221' type='text' value='' class='medium'  tabindex='394'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_215' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_215' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_215' id='input_1_215' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='395'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_215' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_209' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_209' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_209' id='input_1_209' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='396'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_209' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_206' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_206'><li class='gchoice_1_206_1'>\n\t\t\t\t\t\t\t\t<input name='input_206.1' type='checkbox'  value='Day 1'  id='choice_1_206_1' tabindex='397'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_206_1' id='label_1_206_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_206_2'>\n\t\t\t\t\t\t\t\t<input name='input_206.2' type='checkbox'  value='Day 2'  id='choice_1_206_2' tabindex='398'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_206_2' id='label_1_206_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_206_3'>\n\t\t\t\t\t\t\t\t<input name='input_206.3' type='checkbox'  value='Day 3'  id='choice_1_206_3' tabindex='399'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_206_3' id='label_1_206_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_206_4'>\n\t\t\t\t\t\t\t\t<input name='input_206.4' type='checkbox'  value='Day 4'  id='choice_1_206_4' tabindex='400'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_206_4' id='label_1_206_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_196' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_196_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_196' >\n                        <span class='ginput_left address_city' id='input_1_196_3_container' >\n                                    <label for='input_1_196_3' id='input_1_196_3_label' >Ville<\/label>\n                                    <input type='text' name='input_196.3' id='input_1_196_3' value='' tabindex='402'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_196.4' id='input_1_196_4' value=''\/><span class='ginput_left address_country' id='input_1_196_6_container' >\n                                        <label for='input_1_196_6' id='input_1_196_6_label' >Pays<\/label>\n                                        <select name='input_196.6' id='input_1_196_6' tabindex='404' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_190' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_190' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_190&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_190&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_190&quot;,&quot;filelist&quot;:&quot;gform_preview_1_190&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:190},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_190&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_190' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_190' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='405' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_190'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_190'><\/div><\/li><li id='field_1_185' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_227' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_227' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_227' id='input_1_227'  class='medium gfield_select' tabindex='406'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_220' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_220' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_220' id='input_1_220' type='text' value='' class='medium'  tabindex='407'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_214' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_214' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_214' id='input_1_214' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='408'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_214' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_208' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_208' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_208' id='input_1_208' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='409'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_208' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_201' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_201'><li class='gchoice_1_201_1'>\n\t\t\t\t\t\t\t\t<input name='input_201.1' type='checkbox'  value='Day 1'  id='choice_1_201_1' tabindex='410'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_1' id='label_1_201_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_201_2'>\n\t\t\t\t\t\t\t\t<input name='input_201.2' type='checkbox'  value='Day 2'  id='choice_1_201_2' tabindex='411'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_2' id='label_1_201_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_201_3'>\n\t\t\t\t\t\t\t\t<input name='input_201.3' type='checkbox'  value='Day 3'  id='choice_1_201_3' tabindex='412'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_3' id='label_1_201_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_201_4'>\n\t\t\t\t\t\t\t\t<input name='input_201.4' type='checkbox'  value='Day 4'  id='choice_1_201_4' tabindex='413'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_201_4' id='label_1_201_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_195' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_195_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_195' >\n                        <span class='ginput_left address_city' id='input_1_195_3_container' >\n                                    <label for='input_1_195_3' id='input_1_195_3_label' >Ville<\/label>\n                                    <input type='text' name='input_195.3' id='input_1_195_3' value='' tabindex='415'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_195.4' id='input_1_195_4' value=''\/><span class='ginput_left address_country' id='input_1_195_6_container' >\n                                        <label for='input_1_195_6' id='input_1_195_6_label' >Pays<\/label>\n                                        <select name='input_195.6' id='input_1_195_6' tabindex='417' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_189' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_189' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_189&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_189&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_189&quot;,&quot;filelist&quot;:&quot;gform_preview_1_189&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:189},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_189&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_189' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_189' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='418' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_189'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_189'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_231' class='gform_previous_button button' value='Previous' tabindex='421' onclick='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"5\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_231' class='gform_next_button button' value='Next' tabindex='420' onclick='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='419' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_7' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_7' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_232' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Attendance of the Advanced Class : &quot;Balancing the 8 Extra+Scalp Acupuncture&quot;<\/h2><\/li><li id='field_1_233' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_233' >How many times have you attended &quot;Balancing the 8 Extra+Scalp Acupuncture&quot; Advanced Class<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_233' id='input_1_233' onchange='gf_apply_rules(1,[245,245,244,244,243,243,242,242,241,241]);' class='medium gfield_select' tabindex='422'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_240' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_282' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_282' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_282' id='input_1_282'  class='medium gfield_select' tabindex='423'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_276' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_276' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_276' id='input_1_276' type='text' value='' class='medium'  tabindex='424'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_270' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_270' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_270' id='input_1_270' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='425'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_270' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_264' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_264' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_264' id='input_1_264' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='426'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_264' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_258' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_258'><li class='gchoice_1_258_1'>\n\t\t\t\t\t\t\t\t<input name='input_258.1' type='checkbox'  value='Day 1'  id='choice_1_258_1' tabindex='427'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_258_1' id='label_1_258_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_258_2'>\n\t\t\t\t\t\t\t\t<input name='input_258.2' type='checkbox'  value='Day 2'  id='choice_1_258_2' tabindex='428'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_258_2' id='label_1_258_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_258_3'>\n\t\t\t\t\t\t\t\t<input name='input_258.3' type='checkbox'  value='Day 3'  id='choice_1_258_3' tabindex='429'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_258_3' id='label_1_258_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_258_4'>\n\t\t\t\t\t\t\t\t<input name='input_258.4' type='checkbox'  value='Day 4'  id='choice_1_258_4' tabindex='430'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_258_4' id='label_1_258_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_254' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_254_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_254' >\n                        <span class='ginput_left address_city' id='input_1_254_3_container' >\n                                    <label for='input_1_254_3' id='input_1_254_3_label' >Ville<\/label>\n                                    <input type='text' name='input_254.3' id='input_1_254_3' value='' tabindex='432'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_254.4' id='input_1_254_4' value=''\/><span class='ginput_left address_country' id='input_1_254_6_container' >\n                                        <label for='input_1_254_6' id='input_1_254_6_label' >Pays<\/label>\n                                        <select name='input_254.6' id='input_1_254_6' tabindex='434' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_246' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_246' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_246&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_246&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_246&quot;,&quot;filelist&quot;:&quot;gform_preview_1_246&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:246},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_246&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_246' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_246' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='435' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_246'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_246'><\/div><\/li><li id='field_1_245' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_287' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_287' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_287' id='input_1_287'  class='medium gfield_select' tabindex='436'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_281' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_281' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_281' id='input_1_281' type='text' value='' class='medium'  tabindex='437'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_275' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_275' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_275' id='input_1_275' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='438'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_275' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_268' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_268' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_268' id='input_1_268' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='439'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_268' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_263' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_263'><li class='gchoice_1_263_1'>\n\t\t\t\t\t\t\t\t<input name='input_263.1' type='checkbox'  value='Day 1'  id='choice_1_263_1' tabindex='440'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_263_1' id='label_1_263_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_263_2'>\n\t\t\t\t\t\t\t\t<input name='input_263.2' type='checkbox'  value='Day 2'  id='choice_1_263_2' tabindex='441'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_263_2' id='label_1_263_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_263_3'>\n\t\t\t\t\t\t\t\t<input name='input_263.3' type='checkbox'  value='Day 3'  id='choice_1_263_3' tabindex='442'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_263_3' id='label_1_263_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_263_4'>\n\t\t\t\t\t\t\t\t<input name='input_263.4' type='checkbox'  value='Day 4'  id='choice_1_263_4' tabindex='443'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_263_4' id='label_1_263_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_255' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_255_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_255' >\n                        <span class='ginput_left address_city' id='input_1_255_3_container' >\n                                    <label for='input_1_255_3' id='input_1_255_3_label' >Ville<\/label>\n                                    <input type='text' name='input_255.3' id='input_1_255_3' value='' tabindex='445'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_255.4' id='input_1_255_4' value=''\/><span class='ginput_left address_country' id='input_1_255_6_container' >\n                                        <label for='input_1_255_6' id='input_1_255_6_label' >Pays<\/label>\n                                        <select name='input_255.6' id='input_1_255_6' tabindex='447' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_251' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_251' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_251&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_251&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_251&quot;,&quot;filelist&quot;:&quot;gform_preview_1_251&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:251},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_251&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_251' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_251' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='448' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_251'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_251'><\/div><\/li><li id='field_1_244' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_286' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_286' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_286' id='input_1_286'  class='medium gfield_select' tabindex='449'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_280' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_280' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_280' id='input_1_280' type='text' value='' class='medium'  tabindex='450'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_274' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_274' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_274' id='input_1_274' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='451'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_274' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_269' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_269' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_269' id='input_1_269' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='452'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_269' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_262' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_262'><li class='gchoice_1_262_1'>\n\t\t\t\t\t\t\t\t<input name='input_262.1' type='checkbox'  value='Day 1'  id='choice_1_262_1' tabindex='453'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_262_1' id='label_1_262_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_262_2'>\n\t\t\t\t\t\t\t\t<input name='input_262.2' type='checkbox'  value='Day 2'  id='choice_1_262_2' tabindex='454'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_262_2' id='label_1_262_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_262_3'>\n\t\t\t\t\t\t\t\t<input name='input_262.3' type='checkbox'  value='Day 3'  id='choice_1_262_3' tabindex='455'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_262_3' id='label_1_262_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_262_4'>\n\t\t\t\t\t\t\t\t<input name='input_262.4' type='checkbox'  value='Day 4'  id='choice_1_262_4' tabindex='456'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_262_4' id='label_1_262_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_256' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_256_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_256' >\n                        <span class='ginput_left address_city' id='input_1_256_3_container' >\n                                    <label for='input_1_256_3' id='input_1_256_3_label' >Ville<\/label>\n                                    <input type='text' name='input_256.3' id='input_1_256_3' value='' tabindex='458'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_256.4' id='input_1_256_4' value=''\/><span class='ginput_left address_country' id='input_1_256_6_container' >\n                                        <label for='input_1_256_6' id='input_1_256_6_label' >Pays<\/label>\n                                        <select name='input_256.6' id='input_1_256_6' tabindex='460' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_250' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_250' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_250&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_250&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_250&quot;,&quot;filelist&quot;:&quot;gform_preview_1_250&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:250},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_250&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_250' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_250' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='461' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_250'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_250'><\/div><\/li><li id='field_1_243' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_285' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_285' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_285' id='input_1_285'  class='medium gfield_select' tabindex='462'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_279' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_279' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_279' id='input_1_279' type='text' value='' class='medium'  tabindex='463'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_273' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_273' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_273' id='input_1_273' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='464'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_273' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_267' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_267' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_267' id='input_1_267' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='465'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_267' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_261' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_261'><li class='gchoice_1_261_1'>\n\t\t\t\t\t\t\t\t<input name='input_261.1' type='checkbox'  value='Day 1'  id='choice_1_261_1' tabindex='466'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_261_1' id='label_1_261_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_261_2'>\n\t\t\t\t\t\t\t\t<input name='input_261.2' type='checkbox'  value='Day 2'  id='choice_1_261_2' tabindex='467'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_261_2' id='label_1_261_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_261_3'>\n\t\t\t\t\t\t\t\t<input name='input_261.3' type='checkbox'  value='Day 3'  id='choice_1_261_3' tabindex='468'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_261_3' id='label_1_261_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_261_4'>\n\t\t\t\t\t\t\t\t<input name='input_261.4' type='checkbox'  value='Day 4'  id='choice_1_261_4' tabindex='469'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_261_4' id='label_1_261_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_257' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_257_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_257' >\n                        <span class='ginput_left address_city' id='input_1_257_3_container' >\n                                    <label for='input_1_257_3' id='input_1_257_3_label' >Ville<\/label>\n                                    <input type='text' name='input_257.3' id='input_1_257_3' value='' tabindex='471'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_257.4' id='input_1_257_4' value=''\/><span class='ginput_left address_country' id='input_1_257_6_container' >\n                                        <label for='input_1_257_6' id='input_1_257_6_label' >Pays<\/label>\n                                        <select name='input_257.6' id='input_1_257_6' tabindex='473' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_249' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_249' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_249&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_249&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_249&quot;,&quot;filelist&quot;:&quot;gform_preview_1_249&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:249},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_249&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_249' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_249' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='474' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_249'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_249'><\/div><\/li><li id='field_1_242' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_284' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_284' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_284' id='input_1_284'  class='medium gfield_select' tabindex='475'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_278' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_278' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_278' id='input_1_278' type='text' value='' class='medium'  tabindex='476'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_272' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_272' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_272' id='input_1_272' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='477'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_272' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_266' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_266' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_266' id='input_1_266' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='478'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_266' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_260' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_260'><li class='gchoice_1_260_1'>\n\t\t\t\t\t\t\t\t<input name='input_260.1' type='checkbox'  value='Day 1'  id='choice_1_260_1' tabindex='479'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_260_1' id='label_1_260_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_260_2'>\n\t\t\t\t\t\t\t\t<input name='input_260.2' type='checkbox'  value='Day 2'  id='choice_1_260_2' tabindex='480'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_260_2' id='label_1_260_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_260_3'>\n\t\t\t\t\t\t\t\t<input name='input_260.3' type='checkbox'  value='Day 3'  id='choice_1_260_3' tabindex='481'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_260_3' id='label_1_260_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_260_4'>\n\t\t\t\t\t\t\t\t<input name='input_260.4' type='checkbox'  value='Day 4'  id='choice_1_260_4' tabindex='482'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_260_4' id='label_1_260_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_252' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_252_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_252' >\n                        <span class='ginput_left address_city' id='input_1_252_3_container' >\n                                    <label for='input_1_252_3' id='input_1_252_3_label' >Ville<\/label>\n                                    <input type='text' name='input_252.3' id='input_1_252_3' value='' tabindex='484'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_252.4' id='input_1_252_4' value=''\/><span class='ginput_left address_country' id='input_1_252_6_container' >\n                                        <label for='input_1_252_6' id='input_1_252_6_label' >Pays<\/label>\n                                        <select name='input_252.6' id='input_1_252_6' tabindex='486' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_248' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_248' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_248&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_248&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_248&quot;,&quot;filelist&quot;:&quot;gform_preview_1_248&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:248},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_248&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_248' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_248' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='487' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_248'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_248'><\/div><\/li><li id='field_1_241' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_283' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_283' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_283' id='input_1_283'  class='medium gfield_select' tabindex='488'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_277' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_277' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_277' id='input_1_277' type='text' value='' class='medium'  tabindex='489'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_271' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_271' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_271' id='input_1_271' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='490'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_271' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_265' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_265' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_265' id='input_1_265' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='491'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_265' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_259' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_259'><li class='gchoice_1_259_1'>\n\t\t\t\t\t\t\t\t<input name='input_259.1' type='checkbox'  value='Day 1'  id='choice_1_259_1' tabindex='492'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_259_1' id='label_1_259_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_259_2'>\n\t\t\t\t\t\t\t\t<input name='input_259.2' type='checkbox'  value='Day 2'  id='choice_1_259_2' tabindex='493'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_259_2' id='label_1_259_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_259_3'>\n\t\t\t\t\t\t\t\t<input name='input_259.3' type='checkbox'  value='Day 3'  id='choice_1_259_3' tabindex='494'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_259_3' id='label_1_259_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_259_4'>\n\t\t\t\t\t\t\t\t<input name='input_259.4' type='checkbox'  value='Day 4'  id='choice_1_259_4' tabindex='495'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_259_4' id='label_1_259_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_253' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_253_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_253' >\n                        <span class='ginput_left address_city' id='input_1_253_3_container' >\n                                    <label for='input_1_253_3' id='input_1_253_3_label' >Ville<\/label>\n                                    <input type='text' name='input_253.3' id='input_1_253_3' value='' tabindex='497'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_253.4' id='input_1_253_4' value=''\/><span class='ginput_left address_country' id='input_1_253_6_container' >\n                                        <label for='input_1_253_6' id='input_1_253_6_label' >Pays<\/label>\n                                        <select name='input_253.6' id='input_1_253_6' tabindex='499' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_247' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_247' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_247&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_247&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_247&quot;,&quot;filelist&quot;:&quot;gform_preview_1_247&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:247},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_247&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_247' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_247' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='500' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_247'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_247'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_234' class='gform_previous_button button' value='Previous' tabindex='503' onclick='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"6\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_234' class='gform_next_button button' value='Next' tabindex='502' onclick='jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='501' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_8' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_8' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_236' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Attendance of the Advanced Class : &quot;Smart Combos : how to integrate various Balance Method Strategies&quot;<\/h2><\/li><li id='field_1_235' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_235' >How many times have you attended &quot;Smart Combos : how to integrate various Balance Method Strategies&quot; Advanced Class ?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_235' id='input_1_235' onchange='gf_apply_rules(1,[294,294,293,293,292,292,291,291,290,290]);' class='medium gfield_select' tabindex='504'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_289' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_330' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_330' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_330' id='input_1_330'  class='medium gfield_select' tabindex='505'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_324' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_324' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_324' id='input_1_324' type='text' value='' class='medium'  tabindex='506'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_318' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_318' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_318' id='input_1_318' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='507'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_318' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_312' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_312' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_312' id='input_1_312' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='508'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_312' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_306' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_306'><li class='gchoice_1_306_1'>\n\t\t\t\t\t\t\t\t<input name='input_306.1' type='checkbox'  value='Day 1'  id='choice_1_306_1' tabindex='509'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_306_1' id='label_1_306_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_306_2'>\n\t\t\t\t\t\t\t\t<input name='input_306.2' type='checkbox'  value='Day 2'  id='choice_1_306_2' tabindex='510'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_306_2' id='label_1_306_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_306_3'>\n\t\t\t\t\t\t\t\t<input name='input_306.3' type='checkbox'  value='Day 3'  id='choice_1_306_3' tabindex='511'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_306_3' id='label_1_306_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_306_4'>\n\t\t\t\t\t\t\t\t<input name='input_306.4' type='checkbox'  value='Day 4'  id='choice_1_306_4' tabindex='512'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_306_4' id='label_1_306_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_300' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_300_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_300' >\n                        <span class='ginput_left address_city' id='input_1_300_3_container' >\n                                    <label for='input_1_300_3' id='input_1_300_3_label' >Ville<\/label>\n                                    <input type='text' name='input_300.3' id='input_1_300_3' value='' tabindex='514'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_300.4' id='input_1_300_4' value=''\/><span class='ginput_left address_country' id='input_1_300_6_container' >\n                                        <label for='input_1_300_6' id='input_1_300_6_label' >Pays<\/label>\n                                        <select name='input_300.6' id='input_1_300_6' tabindex='516' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_296' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_296' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_296&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_296&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_296&quot;,&quot;filelist&quot;:&quot;gform_preview_1_296&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:296},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_296&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_296' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_296' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='517' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_296'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_296'><\/div><\/li><li id='field_1_294' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_334' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_334' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_334' id='input_1_334'  class='medium gfield_select' tabindex='518'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_329' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_329' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_329' id='input_1_329' type='text' value='' class='medium'  tabindex='519'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_323' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_323' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_323' id='input_1_323' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='520'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_323' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_317' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_317' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_317' id='input_1_317' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='521'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_317' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_311' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_311'><li class='gchoice_1_311_1'>\n\t\t\t\t\t\t\t\t<input name='input_311.1' type='checkbox'  value='Day 1'  id='choice_1_311_1' tabindex='522'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_311_1' id='label_1_311_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_311_2'>\n\t\t\t\t\t\t\t\t<input name='input_311.2' type='checkbox'  value='Day 2'  id='choice_1_311_2' tabindex='523'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_311_2' id='label_1_311_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_311_3'>\n\t\t\t\t\t\t\t\t<input name='input_311.3' type='checkbox'  value='Day 3'  id='choice_1_311_3' tabindex='524'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_311_3' id='label_1_311_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_311_4'>\n\t\t\t\t\t\t\t\t<input name='input_311.4' type='checkbox'  value='Day 4'  id='choice_1_311_4' tabindex='525'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_311_4' id='label_1_311_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_301' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_301_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_301' >\n                        <span class='ginput_left address_city' id='input_1_301_3_container' >\n                                    <label for='input_1_301_3' id='input_1_301_3_label' >Ville<\/label>\n                                    <input type='text' name='input_301.3' id='input_1_301_3' value='' tabindex='527'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_301.4' id='input_1_301_4' value=''\/><span class='ginput_left address_country' id='input_1_301_6_container' >\n                                        <label for='input_1_301_6' id='input_1_301_6_label' >Pays<\/label>\n                                        <select name='input_301.6' id='input_1_301_6' tabindex='529' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_297' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_297' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_297&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_297&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_297&quot;,&quot;filelist&quot;:&quot;gform_preview_1_297&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:297},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_297&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_297' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_297' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='530' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_297'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_297'><\/div><\/li><li id='field_1_293' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_335' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_335' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_335' id='input_1_335'  class='medium gfield_select' tabindex='531'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_328' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_328' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_328' id='input_1_328' type='text' value='' class='medium'  tabindex='532'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_322' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_322' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_322' id='input_1_322' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='533'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_322' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_316' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_316' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_316' id='input_1_316' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='534'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_316' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_310' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_310'><li class='gchoice_1_310_1'>\n\t\t\t\t\t\t\t\t<input name='input_310.1' type='checkbox'  value='Day 1'  id='choice_1_310_1' tabindex='535'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_310_1' id='label_1_310_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_310_2'>\n\t\t\t\t\t\t\t\t<input name='input_310.2' type='checkbox'  value='Day 2'  id='choice_1_310_2' tabindex='536'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_310_2' id='label_1_310_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_310_3'>\n\t\t\t\t\t\t\t\t<input name='input_310.3' type='checkbox'  value='Day 3'  id='choice_1_310_3' tabindex='537'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_310_3' id='label_1_310_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_310_4'>\n\t\t\t\t\t\t\t\t<input name='input_310.4' type='checkbox'  value='Day 4'  id='choice_1_310_4' tabindex='538'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_310_4' id='label_1_310_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_304' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_304_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_304' >\n                        <span class='ginput_left address_city' id='input_1_304_3_container' >\n                                    <label for='input_1_304_3' id='input_1_304_3_label' >Ville<\/label>\n                                    <input type='text' name='input_304.3' id='input_1_304_3' value='' tabindex='540'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_304.4' id='input_1_304_4' value=''\/><span class='ginput_left address_country' id='input_1_304_6_container' >\n                                        <label for='input_1_304_6' id='input_1_304_6_label' >Pays<\/label>\n                                        <select name='input_304.6' id='input_1_304_6' tabindex='542' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_288' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_288' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_288&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_288&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_288&quot;,&quot;filelist&quot;:&quot;gform_preview_1_288&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:288},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_288&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_288' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_288' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='543' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_288'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_288'><\/div><\/li><li id='field_1_292' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_333' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_333' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_333' id='input_1_333'  class='medium gfield_select' tabindex='544'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_327' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_327' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_327' id='input_1_327' type='text' value='' class='medium'  tabindex='545'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_321' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_321' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_321' id='input_1_321' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='546'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_321' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_315' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_315' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_315' id='input_1_315' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='547'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_315' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_309' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_309'><li class='gchoice_1_309_1'>\n\t\t\t\t\t\t\t\t<input name='input_309.1' type='checkbox'  value='Day 1'  id='choice_1_309_1' tabindex='548'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_309_1' id='label_1_309_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_309_2'>\n\t\t\t\t\t\t\t\t<input name='input_309.2' type='checkbox'  value='Day 2'  id='choice_1_309_2' tabindex='549'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_309_2' id='label_1_309_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_309_3'>\n\t\t\t\t\t\t\t\t<input name='input_309.3' type='checkbox'  value='Day 3'  id='choice_1_309_3' tabindex='550'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_309_3' id='label_1_309_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_309_4'>\n\t\t\t\t\t\t\t\t<input name='input_309.4' type='checkbox'  value='Day 4'  id='choice_1_309_4' tabindex='551'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_309_4' id='label_1_309_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_303' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_303_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_303' >\n                        <span class='ginput_left address_city' id='input_1_303_3_container' >\n                                    <label for='input_1_303_3' id='input_1_303_3_label' >Ville<\/label>\n                                    <input type='text' name='input_303.3' id='input_1_303_3' value='' tabindex='553'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_303.4' id='input_1_303_4' value=''\/><span class='ginput_left address_country' id='input_1_303_6_container' >\n                                        <label for='input_1_303_6' id='input_1_303_6_label' >Pays<\/label>\n                                        <select name='input_303.6' id='input_1_303_6' tabindex='555' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_299' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_299' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_299&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_299&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_299&quot;,&quot;filelist&quot;:&quot;gform_preview_1_299&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:299},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_299&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_299' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_299' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='556' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_299'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_299'><\/div><\/li><li id='field_1_291' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_332' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_332' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_332' id='input_1_332'  class='medium gfield_select' tabindex='557'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_326' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_326' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_326' id='input_1_326' type='text' value='' class='medium'  tabindex='558'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_320' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_320' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_320' id='input_1_320' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='559'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_320' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_314' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_314' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_314' id='input_1_314' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='560'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_314' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_308' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_308'><li class='gchoice_1_308_1'>\n\t\t\t\t\t\t\t\t<input name='input_308.1' type='checkbox'  value='Day 1'  id='choice_1_308_1' tabindex='561'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_308_1' id='label_1_308_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_308_2'>\n\t\t\t\t\t\t\t\t<input name='input_308.2' type='checkbox'  value='Day 2'  id='choice_1_308_2' tabindex='562'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_308_2' id='label_1_308_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_308_3'>\n\t\t\t\t\t\t\t\t<input name='input_308.3' type='checkbox'  value='Day 3'  id='choice_1_308_3' tabindex='563'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_308_3' id='label_1_308_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_308_4'>\n\t\t\t\t\t\t\t\t<input name='input_308.4' type='checkbox'  value='Day 4'  id='choice_1_308_4' tabindex='564'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_308_4' id='label_1_308_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_302' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_302_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_302' >\n                        <span class='ginput_left address_city' id='input_1_302_3_container' >\n                                    <label for='input_1_302_3' id='input_1_302_3_label' >Ville<\/label>\n                                    <input type='text' name='input_302.3' id='input_1_302_3' value='' tabindex='566'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_302.4' id='input_1_302_4' value=''\/><span class='ginput_left address_country' id='input_1_302_6_container' >\n                                        <label for='input_1_302_6' id='input_1_302_6_label' >Pays<\/label>\n                                        <select name='input_302.6' id='input_1_302_6' tabindex='568' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_298' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_298' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_298&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_298&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_298&quot;,&quot;filelist&quot;:&quot;gform_preview_1_298&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:298},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_298&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_298' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_298' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='569' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_298'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_298'><\/div><\/li><li id='field_1_290' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_331' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_331' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_331' id='input_1_331'  class='medium gfield_select' tabindex='570'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_325' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_325' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_325' id='input_1_325' type='text' value='' class='medium'  tabindex='571'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_319' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_319' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_319' id='input_1_319' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='572'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_319' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_313' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_313' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_313' id='input_1_313' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='573'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_313' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_307' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_307'><li class='gchoice_1_307_1'>\n\t\t\t\t\t\t\t\t<input name='input_307.1' type='checkbox'  value='Day 1'  id='choice_1_307_1' tabindex='574'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_307_1' id='label_1_307_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_307_2'>\n\t\t\t\t\t\t\t\t<input name='input_307.2' type='checkbox'  value='Day 2'  id='choice_1_307_2' tabindex='575'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_307_2' id='label_1_307_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_307_3'>\n\t\t\t\t\t\t\t\t<input name='input_307.3' type='checkbox'  value='Day 3'  id='choice_1_307_3' tabindex='576'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_307_3' id='label_1_307_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_307_4'>\n\t\t\t\t\t\t\t\t<input name='input_307.4' type='checkbox'  value='Day 4'  id='choice_1_307_4' tabindex='577'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_307_4' id='label_1_307_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_305' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_305_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_305' >\n                        <span class='ginput_left address_city' id='input_1_305_3_container' >\n                                    <label for='input_1_305_3' id='input_1_305_3_label' >Ville<\/label>\n                                    <input type='text' name='input_305.3' id='input_1_305_3' value='' tabindex='579'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_305.4' id='input_1_305_4' value=''\/><span class='ginput_left address_country' id='input_1_305_6_container' >\n                                        <label for='input_1_305_6' id='input_1_305_6_label' >Pays<\/label>\n                                        <select name='input_305.6' id='input_1_305_6' tabindex='581' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_295' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_295' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_295&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_295&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_295&quot;,&quot;filelist&quot;:&quot;gform_preview_1_295&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:295},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_295&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_295' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_295' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='582' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_295'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_295'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_239' class='gform_previous_button button' value='Previous' tabindex='585' onclick='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"7\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_239' class='gform_next_button button' value='Next' tabindex='584' onclick='jQuery(\"#gform_target_page_number_1\").val(\"9\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"9\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='583' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_9' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_9' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_238' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Attendance of Other Classes, interview or internships with Si Yuan<\/h2><\/li><li id='field_1_237' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_237' >How many times have you attended Other Classes, interview or internships with Si Yuan<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_237' id='input_1_237' onchange='gf_apply_rules(1,[341,341,340,340,339,339,338,338,337,337]);' class='medium gfield_select' tabindex='586'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>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><\/li><li id='field_1_336' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 1<\/h2><\/li><li id='field_1_378' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_378' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_378' id='input_1_378'  class='medium gfield_select' tabindex='587'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_372' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_372' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_372' id='input_1_372' type='text' value='' class='medium'  tabindex='588'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_366' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_366' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_366' id='input_1_366' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='589'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_366' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_360' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_360' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_360' id='input_1_360' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='590'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_360' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_354' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_354'><li class='gchoice_1_354_1'>\n\t\t\t\t\t\t\t\t<input name='input_354.1' type='checkbox'  value='Day 1'  id='choice_1_354_1' tabindex='591'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_354_1' id='label_1_354_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_354_2'>\n\t\t\t\t\t\t\t\t<input name='input_354.2' type='checkbox'  value='Day 2'  id='choice_1_354_2' tabindex='592'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_354_2' id='label_1_354_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_354_3'>\n\t\t\t\t\t\t\t\t<input name='input_354.3' type='checkbox'  value='Day 3'  id='choice_1_354_3' tabindex='593'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_354_3' id='label_1_354_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_354_4'>\n\t\t\t\t\t\t\t\t<input name='input_354.4' type='checkbox'  value='Day 4'  id='choice_1_354_4' tabindex='594'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_354_4' id='label_1_354_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_348' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_348_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_348' >\n                        <span class='ginput_left address_city' id='input_1_348_3_container' >\n                                    <label for='input_1_348_3' id='input_1_348_3_label' >Ville<\/label>\n                                    <input type='text' name='input_348.3' id='input_1_348_3' value='' tabindex='596'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_348.4' id='input_1_348_4' value=''\/><span class='ginput_left address_country' id='input_1_348_6_container' >\n                                        <label for='input_1_348_6' id='input_1_348_6_label' >Pays<\/label>\n                                        <select name='input_348.6' id='input_1_348_6' tabindex='598' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_342' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_342' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_342&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_342&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_342&quot;,&quot;filelist&quot;:&quot;gform_preview_1_342&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:342},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_342&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_342' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_342' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='599' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_342'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_342'><\/div><\/li><li id='field_1_341' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 2<\/h2><\/li><li id='field_1_383' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_383' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_383' id='input_1_383'  class='medium gfield_select' tabindex='600'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_377' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_377' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_377' id='input_1_377' type='text' value='' class='medium'  tabindex='601'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_371' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_371' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_371' id='input_1_371' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='602'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_371' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_365' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_365' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_365' id='input_1_365' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='603'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_365' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_359' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_359'><li class='gchoice_1_359_1'>\n\t\t\t\t\t\t\t\t<input name='input_359.1' type='checkbox'  value='Day 1'  id='choice_1_359_1' tabindex='604'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_359_1' id='label_1_359_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_359_2'>\n\t\t\t\t\t\t\t\t<input name='input_359.2' type='checkbox'  value='Day 2'  id='choice_1_359_2' tabindex='605'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_359_2' id='label_1_359_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_359_3'>\n\t\t\t\t\t\t\t\t<input name='input_359.3' type='checkbox'  value='Day 3'  id='choice_1_359_3' tabindex='606'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_359_3' id='label_1_359_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_359_4'>\n\t\t\t\t\t\t\t\t<input name='input_359.4' type='checkbox'  value='Day 4'  id='choice_1_359_4' tabindex='607'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_359_4' id='label_1_359_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_353' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_353_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_353' >\n                        <span class='ginput_left address_city' id='input_1_353_3_container' >\n                                    <label for='input_1_353_3' id='input_1_353_3_label' >Ville<\/label>\n                                    <input type='text' name='input_353.3' id='input_1_353_3' value='' tabindex='609'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_353.4' id='input_1_353_4' value=''\/><span class='ginput_left address_country' id='input_1_353_6_container' >\n                                        <label for='input_1_353_6' id='input_1_353_6_label' >Pays<\/label>\n                                        <select name='input_353.6' id='input_1_353_6' tabindex='611' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_347' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_347' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_347&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_347&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_347&quot;,&quot;filelist&quot;:&quot;gform_preview_1_347&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:347},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_347&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_347' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_347' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='612' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_347'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_347'><\/div><\/li><li id='field_1_340' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 3<\/h2><\/li><li id='field_1_382' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_382' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_382' id='input_1_382'  class='medium gfield_select' tabindex='613'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_376' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_376' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_376' id='input_1_376' type='text' value='' class='medium'  tabindex='614'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_370' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_370' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_370' id='input_1_370' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='615'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_370' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_364' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_364' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_364' id='input_1_364' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='616'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_364' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_358' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_358'><li class='gchoice_1_358_1'>\n\t\t\t\t\t\t\t\t<input name='input_358.1' type='checkbox'  value='Day 1'  id='choice_1_358_1' tabindex='617'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_358_1' id='label_1_358_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_358_2'>\n\t\t\t\t\t\t\t\t<input name='input_358.2' type='checkbox'  value='Day 2'  id='choice_1_358_2' tabindex='618'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_358_2' id='label_1_358_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_358_3'>\n\t\t\t\t\t\t\t\t<input name='input_358.3' type='checkbox'  value='Day 3'  id='choice_1_358_3' tabindex='619'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_358_3' id='label_1_358_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_358_4'>\n\t\t\t\t\t\t\t\t<input name='input_358.4' type='checkbox'  value='Day 4'  id='choice_1_358_4' tabindex='620'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_358_4' id='label_1_358_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_352' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_352_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_352' >\n                        <span class='ginput_left address_city' id='input_1_352_3_container' >\n                                    <label for='input_1_352_3' id='input_1_352_3_label' >Ville<\/label>\n                                    <input type='text' name='input_352.3' id='input_1_352_3' value='' tabindex='622'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_352.4' id='input_1_352_4' value=''\/><span class='ginput_left address_country' id='input_1_352_6_container' >\n                                        <label for='input_1_352_6' id='input_1_352_6_label' >Pays<\/label>\n                                        <select name='input_352.6' id='input_1_352_6' tabindex='624' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_346' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_346' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_346&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_346&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_346&quot;,&quot;filelist&quot;:&quot;gform_preview_1_346&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:346},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_346&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_346' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_346' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='625' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_346'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_346'><\/div><\/li><li id='field_1_339' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 4<\/h2><\/li><li id='field_1_381' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_381' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_381' id='input_1_381'  class='medium gfield_select' tabindex='626'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_375' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_375' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_375' id='input_1_375' type='text' value='' class='medium'  tabindex='627'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_369' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_369' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_369' id='input_1_369' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='628'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_369' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_363' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_363' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_363' id='input_1_363' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='629'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_363' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_357' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_357'><li class='gchoice_1_357_1'>\n\t\t\t\t\t\t\t\t<input name='input_357.1' type='checkbox'  value='Day 1'  id='choice_1_357_1' tabindex='630'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_357_1' id='label_1_357_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_357_2'>\n\t\t\t\t\t\t\t\t<input name='input_357.2' type='checkbox'  value='Day 2'  id='choice_1_357_2' tabindex='631'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_357_2' id='label_1_357_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_357_3'>\n\t\t\t\t\t\t\t\t<input name='input_357.3' type='checkbox'  value='Day 3'  id='choice_1_357_3' tabindex='632'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_357_3' id='label_1_357_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_357_4'>\n\t\t\t\t\t\t\t\t<input name='input_357.4' type='checkbox'  value='Day 4'  id='choice_1_357_4' tabindex='633'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_357_4' id='label_1_357_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_351' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_351_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_351' >\n                        <span class='ginput_left address_city' id='input_1_351_3_container' >\n                                    <label for='input_1_351_3' id='input_1_351_3_label' >Ville<\/label>\n                                    <input type='text' name='input_351.3' id='input_1_351_3' value='' tabindex='635'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_351.4' id='input_1_351_4' value=''\/><span class='ginput_left address_country' id='input_1_351_6_container' >\n                                        <label for='input_1_351_6' id='input_1_351_6_label' >Pays<\/label>\n                                        <select name='input_351.6' id='input_1_351_6' tabindex='637' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_345' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_345' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_345&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_345&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_345&quot;,&quot;filelist&quot;:&quot;gform_preview_1_345&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:345},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_345&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_345' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_345' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='638' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_345'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_345'><\/div><\/li><li id='field_1_338' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 5<\/h2><\/li><li id='field_1_380' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_380' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_380' id='input_1_380'  class='medium gfield_select' tabindex='639'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_374' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_374' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_374' id='input_1_374' type='text' value='' class='medium'  tabindex='640'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_368' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_368' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_368' id='input_1_368' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='641'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_368' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_362' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_362' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_362' id='input_1_362' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='642'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_362' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_356' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_356'><li class='gchoice_1_356_1'>\n\t\t\t\t\t\t\t\t<input name='input_356.1' type='checkbox'  value='Day 1'  id='choice_1_356_1' tabindex='643'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_356_1' id='label_1_356_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_356_2'>\n\t\t\t\t\t\t\t\t<input name='input_356.2' type='checkbox'  value='Day 2'  id='choice_1_356_2' tabindex='644'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_356_2' id='label_1_356_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_356_3'>\n\t\t\t\t\t\t\t\t<input name='input_356.3' type='checkbox'  value='Day 3'  id='choice_1_356_3' tabindex='645'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_356_3' id='label_1_356_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_356_4'>\n\t\t\t\t\t\t\t\t<input name='input_356.4' type='checkbox'  value='Day 4'  id='choice_1_356_4' tabindex='646'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_356_4' id='label_1_356_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_350' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_350_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_350' >\n                        <span class='ginput_left address_city' id='input_1_350_3_container' >\n                                    <label for='input_1_350_3' id='input_1_350_3_label' >Ville<\/label>\n                                    <input type='text' name='input_350.3' id='input_1_350_3' value='' tabindex='648'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_350.4' id='input_1_350_4' value=''\/><span class='ginput_left address_country' id='input_1_350_6_container' >\n                                        <label for='input_1_350_6' id='input_1_350_6_label' >Pays<\/label>\n                                        <select name='input_350.6' id='input_1_350_6' tabindex='650' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_344' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_344' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_344&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_344&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_344&quot;,&quot;filelist&quot;:&quot;gform_preview_1_344&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:344},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_344&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_344' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_344' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='651' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_344'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_344'><\/div><\/li><li id='field_1_337' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Course 6<\/h2><\/li><li id='field_1_379' class='gfield gf_left_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_379' >Teacher<\/label><div class='ginput_container ginput_container_select'><select name='input_379' id='input_1_379'  class='medium gfield_select' tabindex='652'   aria-invalid=\"false\"><option value='Dr. Richard Tan' >Dr. Richard Tan<\/option><option value='Delphine Armand' >Delphine Armand<\/option><option value='Eileen Han' >Eileen Han<\/option><option value='Paul Wang' >Paul Wang<\/option><option value='Other' >Other<\/option><\/select><\/div><\/li><li id='field_1_373' class='gfield gf_right_half field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_373' >Other Teacher (please specify) :<\/label><div class='ginput_container ginput_container_text'><input name='input_373' id='input_1_373' type='text' value='' class='medium'  tabindex='653'    aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_367' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_367' >Course starting date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_367' id='input_1_367' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='654'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_367' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_361' class='gfield gf_left_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_361' >Course ending date<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_361' id='input_1_361' type='text' value='' class='datepicker medium mdy datepicker_no_icon' tabindex='655'  \/>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_1_361' class='gform_hidden' value='https:\/\/www.siyuanbalance.com\/wp-content\/plugins\/gravityforms\/images\/calendar.png'\/><\/li><li id='field_1_355' class='gfield gf_list_2col gf_right_third gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label'  >Days you attended<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_1_355'><li class='gchoice_1_355_1'>\n\t\t\t\t\t\t\t\t<input name='input_355.1' type='checkbox'  value='Day 1'  id='choice_1_355_1' tabindex='656'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_355_1' id='label_1_355_1'>Day 1<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_355_2'>\n\t\t\t\t\t\t\t\t<input name='input_355.2' type='checkbox'  value='Day 2'  id='choice_1_355_2' tabindex='657'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_355_2' id='label_1_355_2'>Day 2<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_355_3'>\n\t\t\t\t\t\t\t\t<input name='input_355.3' type='checkbox'  value='Day 3'  id='choice_1_355_3' tabindex='658'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_355_3' id='label_1_355_3'>Day 3<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice_1_355_4'>\n\t\t\t\t\t\t\t\t<input name='input_355.4' type='checkbox'  value='Day 4'  id='choice_1_355_4' tabindex='659'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_1_355_4' id='label_1_355_4'>Day 4<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id='field_1_349' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label gfield_label_before_complex' for='input_1_349_3' >Location<span class='gfield_required'>*<\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_city has_country ginput_container_address gfield_trigger_change' id='input_1_349' >\n                        <span class='ginput_left address_city' id='input_1_349_3_container' >\n                                    <label for='input_1_349_3' id='input_1_349_3_label' >Ville<\/label>\n                                    <input type='text' name='input_349.3' id='input_1_349_3' value='' tabindex='661'  \/>\n                                 <\/span><input type='hidden' class='gform_hidden' name='input_349.4' id='input_1_349_4' value=''\/><span class='ginput_left address_country' id='input_1_349_6_container' >\n                                        <label for='input_1_349_6' id='input_1_349_6_label' >Pays<\/label>\n                                        <select name='input_349.6' id='input_1_349_6' tabindex='663' ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albanie' >Albanie<\/option><option value='Alg\u00e9rie' >Alg\u00e9rie<\/option><option value='Samoa am\u00e9ricaines' >Samoa am\u00e9ricaines<\/option><option value='Andorre' >Andorre<\/option><option value='Angola' >Angola<\/option><option value='Antigua-et-Barbuda' >Antigua-et-Barbuda<\/option><option value='Argentine' >Argentine<\/option><option value='Arm\u00e9nie' >Arm\u00e9nie<\/option><option value='Australie' >Australie<\/option><option value='Autriche' >Autriche<\/option><option value='Azerba\u00efdjan' >Azerba\u00efdjan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahre\u00efn' >Bahre\u00efn<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='La Barbade' >La Barbade<\/option><option value='Belarus' >Belarus<\/option><option value='Belgique' >Belgique<\/option><option value='Belize' >Belize<\/option><option value='B\u00e9nin' >B\u00e9nin<\/option><option value='Bermudes' >Bermudes<\/option><option value='Bhoutan' >Bhoutan<\/option><option value='Bolivie' >Bolivie<\/option><option value='Bosnie-Herz\u00e9govine' >Bosnie-Herz\u00e9govine<\/option><option value='Botswana' >Botswana<\/option><option value='Br\u00e9sil' >Br\u00e9sil<\/option><option value='Brunei' >Brunei<\/option><option value='Bulgarie' >Bulgarie<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cambodge' >Cambodge<\/option><option value='Cameroun' >Cameroun<\/option><option value='Canada' >Canada<\/option><option value='Cap-Vert' >Cap-Vert<\/option><option value='\u00celes Cayman ' >\u00celes Cayman <\/option><option value='R\u00e9publique centrafricaine' >R\u00e9publique centrafricaine<\/option><option value='Tchad' >Tchad<\/option><option value='Chili' >Chili<\/option><option value='Chine' >Chine<\/option><option value='Colombie' >Colombie<\/option><option value='Comores' >Comores<\/option><option value='R\u00e9publique d\u00e9mocratique du Congo' >R\u00e9publique d\u00e9mocratique du Congo<\/option><option value='R\u00e9publique du Congo' >R\u00e9publique du Congo<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='C\u00f4te d\u2019Ivoire' >C\u00f4te d\u2019Ivoire<\/option><option value='Croatie' >Croatie<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Chypre' >Chypre<\/option><option value='R\u00e9publique tch\u00e8que' >R\u00e9publique tch\u00e8que<\/option><option value='Danemark' >Danemark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominique' >Dominique<\/option><option value='R\u00e9publique Dominicaine' >R\u00e9publique Dominicaine<\/option><option value='Timor oriental' >Timor oriental<\/option><option value='\u00c9quateur' >\u00c9quateur<\/option><option value='\u00c9gypte' >\u00c9gypte<\/option><option value='Salvador' >Salvador<\/option><option value='Guin\u00e9e \u00e9quatoriale' >Guin\u00e9e \u00e9quatoriale<\/option><option value='\u00c9rythr\u00e9e' >\u00c9rythr\u00e9e<\/option><option value='Estonie' >Estonie<\/option><option value='\u00c9thiopie' >\u00c9thiopie<\/option><option value='\u00celes F\u00e9ro\u00e9' >\u00celes F\u00e9ro\u00e9<\/option><option value='Fidji' >Fidji<\/option><option value='Finlande' >Finlande<\/option><option value='France' >France<\/option><option value='Polyn\u00e9sie fran\u00e7aise' >Polyn\u00e9sie fran\u00e7aise<\/option><option value='Gabon' >Gabon<\/option><option value='Gambie' >Gambie<\/option><option value='G\u00e9orgie' >G\u00e9orgie<\/option><option value='Allemagne' >Allemagne<\/option><option value='Ghana' >Ghana<\/option><option value='Gr\u00e8ce' >Gr\u00e8ce<\/option><option value='Groenland' >Groenland<\/option><option value='Grenade' >Grenade<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guin\u00e9e' >Guin\u00e9e<\/option><option value='Guin\u00e9e-Bissau' >Guin\u00e9e-Bissau<\/option><option value='Guyane' >Guyane<\/option><option value='Ha\u00efti' >Ha\u00efti<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hongrie' >Hongrie<\/option><option value='Islande' >Islande<\/option><option value='Inde' >Inde<\/option><option value='Indon\u00e9sie' >Indon\u00e9sie<\/option><option value='Iran' >Iran<\/option><option value='Irak' >Irak<\/option><option value='Irlande' >Irlande<\/option><option value='Isra\u00ebl' >Isra\u00ebl<\/option><option value='Italie' >Italie<\/option><option value='Jama\u00efque' >Jama\u00efque<\/option><option value='Japon' >Japon<\/option><option value='Jordanie' >Jordanie<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Cor\u00e9e du Nord' >Cor\u00e9e du Nord<\/option><option value='Cor\u00e9e du Sud' >Cor\u00e9e du Sud<\/option><option value='Kosovo' >Kosovo<\/option><option value='Kowe\u00eft' >Kowe\u00eft<\/option><option value='Kirghizistan' >Kirghizistan<\/option><option value='Laos' >Laos<\/option><option value='Lettonie' >Lettonie<\/option><option value='Liban' >Liban<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libye' >Libye<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lituanie' >Lituanie<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Mac\u00e9doine' >Mac\u00e9doine<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaisie' >Malaisie<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malte' >Malte<\/option><option value='\u00celes Marshall' >\u00celes Marshall<\/option><option value='Mauritanie' >Mauritanie<\/option><option value='\u00cele Maurice' >\u00cele Maurice<\/option><option value='Mexique' >Mexique<\/option><option value='Micron\u00e9sie' >Micron\u00e9sie<\/option><option value='Moldavie' >Moldavie<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolie' >Mongolie<\/option><option value='Mont\u00e9n\u00e9gro' >Mont\u00e9n\u00e9gro<\/option><option value='Maroc' >Maroc<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibie' >Namibie<\/option><option value='Nauru' >Nauru<\/option><option value='N\u00e9pal' >N\u00e9pal<\/option><option value='Pays-Bas' >Pays-Bas<\/option><option value='Nouvelle-Z\u00e9lande' >Nouvelle-Z\u00e9lande<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nig\u00e9ria' >Nig\u00e9ria<\/option><option value='\u00celes Mariannes du Nord' >\u00celes Mariannes du Nord<\/option><option value='Norv\u00e8ge' >Norv\u00e8ge<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='\u00c9tat palestinien' >\u00c9tat palestinien<\/option><option value='Panama' >Panama<\/option><option value='Papouasie-Nouvelle-Guin\u00e9e' >Papouasie-Nouvelle-Guin\u00e9e<\/option><option value='Paraguay' >Paraguay<\/option><option value='P\u00e9rou' >P\u00e9rou<\/option><option value='Philippines' >Philippines<\/option><option value='Pologne' >Pologne<\/option><option value='Portugal' >Portugal<\/option><option value='Porto Rico' >Porto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Roumanie' >Roumanie<\/option><option value='Russie' >Russie<\/option><option value='Rwanda' >Rwanda<\/option><option value='Saint-Kitts-et-Nevis' >Saint-Kitts-et-Nevis<\/option><option value='Sainte-Lucie' >Sainte-Lucie<\/option><option value='Saint-Vincent-et-les Grenadines' >Saint-Vincent-et-les Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='Saint-Marin' >Saint-Marin<\/option><option value='Sao Tom\u00e9 et Principe' >Sao Tom\u00e9 et Principe<\/option><option value='Arabie Saoudite' >Arabie Saoudite<\/option><option value='S\u00e9n\u00e9gal' >S\u00e9n\u00e9gal<\/option><option value='Serbie' >Serbie<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapour' >Singapour<\/option><option value='Saint-Martin' >Saint-Martin<\/option><option value='Slovaquie' >Slovaquie<\/option><option value='Slov\u00e9nie' >Slov\u00e9nie<\/option><option value='Iles Salomon' >Iles Salomon<\/option><option value='Somalie' >Somalie<\/option><option value='Afrique du Sud' >Afrique du Sud<\/option><option value='Espagne' >Espagne<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Soudan' >Soudan<\/option><option value='Soudan Sud' >Soudan Sud<\/option><option value='Suriname' >Suriname<\/option><option value='Swaziland' >Swaziland<\/option><option value='Su\u00e8de' >Su\u00e8de<\/option><option value='Suisse' >Suisse<\/option><option value='Syrie' >Syrie<\/option><option value='Ta\u00efwan' >Ta\u00efwan<\/option><option value='Tadjikistan' >Tadjikistan<\/option><option value='Tanzanie' >Tanzanie<\/option><option value='Tha\u00eflande' >Tha\u00eflande<\/option><option value='Togo' >Togo<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad et Tobago' >Trinidad et Tobago<\/option><option value='Tunisie' >Tunisie<\/option><option value='Turquie' >Turquie<\/option><option value='Turkm\u00e9nistan' >Turkm\u00e9nistan<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='Ouganda' >Ouganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='\u00c9mirats arabes unis' >\u00c9mirats arabes unis<\/option><option value='Royaume-Uni' >Royaume-Uni<\/option><option value='\u00c9tats-Unis' >\u00c9tats-Unis<\/option><option value='Uruguay' >Uruguay<\/option><option value='Ouzb\u00e9kistan' >Ouzb\u00e9kistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Cit\u00e9 du Vatican' >Cit\u00e9 du Vatican<\/option><option value='Venezuela' >Venezuela<\/option><option value='Vietnam' >Vietnam<\/option><option value='\u00celes Vierges britanniques' >\u00celes Vierges britanniques<\/option><option value='\u00celes Vierges am\u00e9ricaines' >\u00celes Vierges am\u00e9ricaines<\/option><option value='Y\u00e9men' >Y\u00e9men<\/option><option value='Zambie' >Zambie<\/option><option value='Zimbabwe' >Zimbabwe<\/option><\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id='field_1_343' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Attachments<\/label><div class='gfield_description'>Please verify you attached all the necessary documents for each class attended. Thank you.<\/div><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_343' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_343&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_343&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_343&quot;,&quot;filelist&quot;:&quot;gform_preview_1_343&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;jpg,gif,png,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:343},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_343&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_343' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_343' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='664' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : jpg, gif, png, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_343'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_343'><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer'>\n                        <input type='button' id='gform_previous_button_1_384' class='gform_previous_button button' value='Previous' tabindex='667' onclick='jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"8\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <input type='button' id='gform_next_button_1_384' class='gform_next_button button' value='Next' tabindex='666' onclick='jQuery(\"#gform_target_page_number_1\").val(\"10\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' onkeypress='jQuery(\"#gform_target_page_number_1\").val(\"10\");  jQuery(\"#gform_1\").trigger(\"submit\",[true]); ' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='665' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n                    <\/div>\n                <\/div>\n                <div id='gform_page_1_10' class='gform_page' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_1_10' class='gform_fields top_label form_sublabel_above description_above'><li id='field_1_385' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study<\/h2><\/li><li id='field_1_386' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_386' >How many Case Studies do you have ?<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_386' id='input_1_386' onchange='gf_apply_rules(1,[388,388,391,391,395,395,396,396,404,404,407,407,419,419,417,417,418,418,416,416,415,415,414,414,413,413,412,412,411,411,410,410,409,409,408,408]);' class='medium gfield_select' tabindex='668'  aria-required=\"true\" aria-invalid=\"false\"><option value='1' selected='selected'>1<\/option><option value='2' >2<\/option><option value='3' >3<\/option><option value='4' >4<\/option><option value='5' >5<\/option><option value='6' >6<\/option><option value='7' >7<\/option><option value='8' >8<\/option><option value='9' >9<\/option><option value='10' >10<\/option><option value='11' >11<\/option><option value='12' >12<\/option><option value='13' >13<\/option><option value='14' >14<\/option><option value='15' >15<\/option><option value='16' >16<\/option><option value='17' >17<\/option><option value='18' >18<\/option><\/select><\/div><\/li><li id='field_1_388' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 1<\/h2><\/li><li id='field_1_389' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_389' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_389' id='input_1_389' type='text' value='' class='medium'  tabindex='669'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_387' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_387' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_387' id='input_1_387' type='file' class='medium' aria-describedby='extensions_message' tabindex='670' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_390' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_390' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_390&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_390&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_390&quot;,&quot;filelist&quot;:&quot;gform_preview_1_390&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:390},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_390&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_390' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_390' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='671' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_390'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_390'><\/div><\/li><li id='field_1_391' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 2<\/h2><\/li><li id='field_1_394' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_394' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_394' id='input_1_394' type='text' value='' class='medium'  tabindex='672'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_393' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_393' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_393' id='input_1_393' type='file' class='medium' aria-describedby='extensions_message' tabindex='673' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_392' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_392' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_392&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_392&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_392&quot;,&quot;filelist&quot;:&quot;gform_preview_1_392&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:392},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_392&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_392' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_392' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='674' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_392'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_392'><\/div><\/li><li id='field_1_395' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 3<\/h2><\/li><li id='field_1_402' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_402' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_402' id='input_1_402' type='text' value='' class='medium'  tabindex='675'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_401' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_401' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_401' id='input_1_401' type='file' class='medium' aria-describedby='extensions_message' tabindex='676' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_398' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_398' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_398&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_398&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_398&quot;,&quot;filelist&quot;:&quot;gform_preview_1_398&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:398},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_398&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_398' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_398' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='677' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_398'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_398'><\/div><\/li><li id='field_1_396' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 4<\/h2><\/li><li id='field_1_403' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_403' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_403' id='input_1_403' type='text' value='' class='medium'  tabindex='678'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_400' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_400' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_400' id='input_1_400' type='file' class='medium' aria-describedby='extensions_message' tabindex='679' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_397' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_397' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_397&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_397&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_397&quot;,&quot;filelist&quot;:&quot;gform_preview_1_397&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:397},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_397&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_397' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_397' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='680' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_397'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_397'><\/div><\/li><li id='field_1_404' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 5<\/h2><\/li><li id='field_1_406' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_406' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_406' id='input_1_406' type='text' value='' class='medium'  tabindex='681'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_405' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_405' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_405' id='input_1_405' type='file' class='medium' aria-describedby='extensions_message' tabindex='682' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_399' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_399' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_399&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_399&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_399&quot;,&quot;filelist&quot;:&quot;gform_preview_1_399&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:399},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_399&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_399' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_399' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='683' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_399'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_399'><\/div><\/li><li id='field_1_407' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 6<\/h2><\/li><li id='field_1_430' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_430' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_430' id='input_1_430' type='text' value='' class='medium'  tabindex='684'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_425' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_425' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_425' id='input_1_425' type='file' class='medium' aria-describedby='extensions_message' tabindex='685' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_420' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_420' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_420&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_420&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_420&quot;,&quot;filelist&quot;:&quot;gform_preview_1_420&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:420},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_420&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_420' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_420' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='686' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_420'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_420'><\/div><\/li><li id='field_1_419' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 7<\/h2><\/li><li id='field_1_431' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_431' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_431' id='input_1_431' type='text' value='' class='medium'  tabindex='687'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_426' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_426' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_426' id='input_1_426' type='file' class='medium' aria-describedby='extensions_message' tabindex='688' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_421' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_421' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_421&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_421&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_421&quot;,&quot;filelist&quot;:&quot;gform_preview_1_421&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:421},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_421&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_421' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_421' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='689' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_421'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_421'><\/div><\/li><li id='field_1_417' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 8<\/h2><\/li><li id='field_1_433' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_433' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_433' id='input_1_433' type='text' value='' class='medium'  tabindex='690'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_427' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_427' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_427' id='input_1_427' type='file' class='medium' aria-describedby='extensions_message' tabindex='691' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_422' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_422' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_422&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_422&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_422&quot;,&quot;filelist&quot;:&quot;gform_preview_1_422&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:422},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_422&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_422' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_422' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='692' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_422'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_422'><\/div><\/li><li id='field_1_418' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 9<\/h2><\/li><li id='field_1_432' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_432' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_432' id='input_1_432' type='text' value='' class='medium'  tabindex='693'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_428' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_428' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_428' id='input_1_428' type='file' class='medium' aria-describedby='extensions_message' tabindex='694' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_423' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_423' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_423&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_423&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_423&quot;,&quot;filelist&quot;:&quot;gform_preview_1_423&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:423},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_423&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_423' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_423' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='695' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_423'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_423'><\/div><\/li><li id='field_1_416' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 10<\/h2><\/li><li id='field_1_434' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_434' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_434' id='input_1_434' type='text' value='' class='medium'  tabindex='696'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_429' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_429' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_429' id='input_1_429' type='file' class='medium' aria-describedby='extensions_message' tabindex='697' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_424' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_424' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_424&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_424&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_424&quot;,&quot;filelist&quot;:&quot;gform_preview_1_424&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:424},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_424&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_424' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_424' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='698' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_424'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_424'><\/div><\/li><li id='field_1_415' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 11<\/h2><\/li><li id='field_1_458' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_458' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_458' id='input_1_458' type='text' value='' class='medium'  tabindex='699'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_450' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_450' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_450' id='input_1_450' type='file' class='medium' aria-describedby='extensions_message' tabindex='700' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_442' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_442' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_442&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_442&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_442&quot;,&quot;filelist&quot;:&quot;gform_preview_1_442&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:442},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_442&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_442' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_442' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='701' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_442'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_442'><\/div><\/li><li id='field_1_414' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 12<\/h2><\/li><li id='field_1_457' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_457' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_457' id='input_1_457' type='text' value='' class='medium'  tabindex='702'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_449' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_449' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_449' id='input_1_449' type='file' class='medium' aria-describedby='extensions_message' tabindex='703' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_441' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_441' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_441&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_441&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_441&quot;,&quot;filelist&quot;:&quot;gform_preview_1_441&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:441},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_441&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_441' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_441' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='704' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_441'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_441'><\/div><\/li><li id='field_1_413' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 13<\/h2><\/li><li id='field_1_456' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_456' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_456' id='input_1_456' type='text' value='' class='medium'  tabindex='705'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_448' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_448' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_448' id='input_1_448' type='file' class='medium' aria-describedby='extensions_message' tabindex='706' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_440' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_440' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_440&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_440&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_440&quot;,&quot;filelist&quot;:&quot;gform_preview_1_440&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:440},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_440&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_440' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_440' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='707' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_440'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_440'><\/div><\/li><li id='field_1_412' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 14<\/h2><\/li><li id='field_1_455' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_455' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_455' id='input_1_455' type='text' value='' class='medium'  tabindex='708'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_446' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_446' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_446' id='input_1_446' type='file' class='medium' aria-describedby='extensions_message' tabindex='709' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_439' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_439' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_439&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_439&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_439&quot;,&quot;filelist&quot;:&quot;gform_preview_1_439&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:439},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_439&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_439' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_439' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='710' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_439'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_439'><\/div><\/li><li id='field_1_411' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 15<\/h2><\/li><li id='field_1_454' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_454' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_454' id='input_1_454' type='text' value='' class='medium'  tabindex='711'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_445' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_445' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_445' id='input_1_445' type='file' class='medium' aria-describedby='extensions_message' tabindex='712' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_438' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_438' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_438&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_438&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_438&quot;,&quot;filelist&quot;:&quot;gform_preview_1_438&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:438},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_438&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_438' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_438' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='713' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_438'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_438'><\/div><\/li><li id='field_1_410' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 16<\/h2><\/li><li id='field_1_453' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_453' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_453' id='input_1_453' type='text' value='' class='medium'  tabindex='714'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_447' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_447' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_447' id='input_1_447' type='file' class='medium' aria-describedby='extensions_message' tabindex='715' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_437' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_437' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_437&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_437&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_437&quot;,&quot;filelist&quot;:&quot;gform_preview_1_437&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:437},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_437&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_437' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_437' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='716' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_437'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_437'><\/div><\/li><li id='field_1_409' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 17<\/h2><\/li><li id='field_1_452' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_452' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_452' id='input_1_452' type='text' value='' class='medium'  tabindex='717'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_444' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_444' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_444' id='input_1_444' type='file' class='medium' aria-describedby='extensions_message' tabindex='718' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_436' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_436' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_436&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_436&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_436&quot;,&quot;filelist&quot;:&quot;gform_preview_1_436&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:436},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_436&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_436' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_436' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='719' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_436'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_436'><\/div><\/li><li id='field_1_408' class='gfield gsection field_sublabel_above field_description_above' ><h2 class='gsection_title'>Case Study 18<\/h2><\/li><li id='field_1_451' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_451' >Title of your case study<span class='gfield_required'>*<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_451' id='input_1_451' type='text' value='' class='medium'  tabindex='720'   aria-required=\"true\" aria-invalid=\"false\" \/><\/div><\/li><li id='field_1_443' class='gfield gfield_contains_required field_sublabel_above field_description_above' ><label class='gfield_label' for='input_1_443' >Upload your case study<span class='gfield_required'>*<\/span><\/label><div class='gfield_description'>Before uploading your case study please make sure it complies with <a href=\"http:\/\/www.siyuanbalance.com\/certification-program\/case-study-guidelines\" target=\"_blank\">Si Yuan Case Study Guidelines<\/a><\/div><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='536870912' \/><input name='input_443' id='input_1_443' type='file' class='medium' aria-describedby='extensions_message' tabindex='721' \/><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><\/div><\/li><li id='field_1_435' class='gfield field_sublabel_above field_description_above' ><label class='gfield_label'  >Upload other documents here<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_1_435' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_1_435&quot;,&quot;container&quot;:&quot;gform_multifile_upload_1_435&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_1_435&quot;,&quot;filelist&quot;:&quot;gform_preview_1_435&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/?gf_page=130ab38714aa34b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/www.siyuanbalance.com\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Fichiers autoris\\u00e9s&quot;,&quot;extensions&quot;:&quot;doc,docx,odt,pdf&quot;}],&quot;max_file_size&quot;:&quot;536870912b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:1,&quot;field_id&quot;:435},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_1_435&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_1_435' class='gform_drop_area'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>D\u00e9poser les fichiers ici ou <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<input id='gform_browse_button_1_435' type='button' value='S\u00e9lectionnez des fichiers' class='button gform_button_select_files' aria-describedby='extensions_message' tabindex='722' \/>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span id='extensions_message' class='screen-reader-text'>Types de fichiers accept\u00e9s : doc, docx, odt, pdf.<\/span><div class='validation_message'>\n\t\t\t\t\t\t\t\t<ul id='gform_multifile_messages_1_435'>\n\t\t\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t\t<\/div><\/div><div id='gform_preview_1_435'><\/div><\/li>\n                            <\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_1' class='gform_previous_button button' value='Previous' tabindex='723' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]);' \/> <input type='submit' id='gform_submit_button_1' class='gform_button button' value='Submit' tabindex='724' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true;  ' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true;  jQuery(\"#gform_1\").trigger(\"submit\",[true]);' \/> <a href='javascript:void(0);' id='gform_save_1_link' class='gform_save_link' tabindex='725' onclick='if(window[\"gf_submitting_1\"]){return false;}  window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);' onkeypress='if(window[\"gf_submitting_1\"]){return false;} window[\"gf_submitting_1\"]=true; jQuery(\"#gform_save_1\").val(1); jQuery(\"#gform_1\").trigger(\"submit\",[true]);'>Save and Continue Later<\/a>\n            <input 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type='hidden' name='gform_uploaded_files' id='gform_uploaded_files_1' value='' \/>\n        <\/div>\n                        <\/div><\/div>\n                        <\/form>\n                        <\/div><script type='text\/javascript'> if(typeof gf_global == 'undefined') var gf_global = {\"gf_currency_config\":{\"name\":\"Euro\",\"symbol_left\":\"\",\"symbol_right\":\"&#8364;\",\"symbol_padding\":\" \",\"thousand_separator\":\".\",\"decimal_separator\":\",\",\"decimals\":2},\"base_url\":\"https:\\\/\\\/www.siyuanbalance.com\\\/wp-content\\\/plugins\\\/gravityforms\",\"number_formats\":[],\"spinnerUrl\":\"https:\\\/\\\/www.siyuanbalance.com\\\/wp-content\\\/plugins\\\/gravityforms\\\/images\\\/spinner.gif\"};jQuery(document).bind('gform_post_render', function(event, formId, currentPage){if(formId == 1) {jQuery('#gform_save_1').val('');gf_global[\"number_formats\"][1] = 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