{"id":1109,"date":"2026-02-18T19:45:56","date_gmt":"2026-02-18T19:45:56","guid":{"rendered":"https:\/\/atxmbastg.wpenginepowered.com\/?page_id=1109"},"modified":"2026-06-08T20:50:29","modified_gmt":"2026-06-08T20:50:29","slug":"forms","status":"publish","type":"page","link":"https:\/\/atx-mba.com\/?page_id=1109","title":{"rendered":"Membership Form"},"content":{"rendered":"[et_pb_section admin_label=&#8221;section&#8221;]\n\t\t\t[et_pb_row admin_label=&#8221;row&#8221;]\n\t\t\t\t[et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221;]<style id=\"wpforms-css-vars-1097-block-5e59ccb8-e77c-4a3a-a657-443e18622725\">\n\t\t\t\t#wpforms-1097.wpforms-block-5e59ccb8-e77c-4a3a-a657-443e18622725 {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n--wpforms-container-shadow-size-box-shadow: none;\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-container-quiz wpforms-stripe wpforms-block wpforms-block-5e59ccb8-e77c-4a3a-a657-443e18622725 wpforms-render-modern\" id=\"wpforms-1097\"><form id=\"wpforms-form-1097\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"1097\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F1109\" data-token=\"5dab274aeebd51f12a33b54d82d5cab3\" data-token-time=\"1781087088\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div id=\"wpforms-error-noscript\" style=\"display: none;\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\">\t\t<div id=\"wpforms-1097-field_2-container\"\n\t\t\tclass=\"wpforms-field wpforms-field-text\"\n\t\t\tdata-field-type=\"text\"\n\t\t\tdata-field-id=\"2\"\n\t\t\t>\n\t\t\t<label class=\"wpforms-field-label\" for=\"wpforms-1097-field_2\" >Total Membership Name<\/label>\n\t\t\t<input type=\"text\" id=\"wpforms-1097-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" >\n\t\t<\/div>\n\t\t<div id=\"wpforms-1097-field_18-container\" class=\"wpforms-field wpforms-field-date-time wpforms-field-readonly\" data-field-type=\"date-time\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">Date \/ Time<\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-date-type-datepicker\"><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-1097-field_18\" class=\"wpforms-field-date-time-date wpforms-datepicker\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"1\" data-disable-todays-date=\"1\" data-input=\"true\" name=\"wpforms[fields][18][date]\" placeholder=\"03\/04\/2026\" aria-errormessage=\"wpforms-1097-field_18-error\" ><a title=\"Clear Date\" data-clear role=\"button\" tabindex=\"0\" class=\"wpforms-datepicker-clear\" aria-label=\"Clear Date\" style=\"display:none;\"><\/a><\/div><label for=\"wpforms-1097-field_18\" class=\"wpforms-field-sublabel after\">Date<\/label><\/div><div class=\"wpforms-field-row-block\"><input type=\"text\" id=\"wpforms-1097-field_18-time\" class=\"wpforms-field-date-time-time wpforms-timepicker\" data-time-format=\"g:i A\" data-step=\"30\" data-rule-time12h=\"true\" data-min-time=\"11:30am\" data-max-time=\"01:00pm\" data-rule-time-limit=\"true\" name=\"wpforms[fields][18][time]\" placeholder=\"11:30a - 1:00p\" aria-errormessage=\"wpforms-1097-field_18-time-error\" ><label for=\"wpforms-1097-field_18-time\" class=\"wpforms-field-sublabel after\">Time<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1097-field_11-container\" class=\"wpforms-field wpforms-field-name\" data-field-type=\"name\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1097-field_11\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][11][first]\" aria-errormessage=\"wpforms-1097-field_11-error\" required><label for=\"wpforms-1097-field_11\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1097-field_11-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][11][last]\" aria-errormessage=\"wpforms-1097-field_11-last-error\" required><label for=\"wpforms-1097-field_11-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1097-field_12-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-1097-field_12\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1097-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1097-field_12-error\" required><\/div><div id=\"wpforms-1097-field_13-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-1097-field_13\">Phone<\/label><input type=\"tel\" id=\"wpforms-1097-field_13\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][13]\" aria-label=\"Phone\" aria-errormessage=\"wpforms-1097-field_13-error\" ><\/div><div id=\"wpforms-1097-field_15-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"payment-select\" data-field-id=\"15\"><label class=\"wpforms-field-label\" for=\"wpforms-1097-field_15\">Membership Level<\/label><select id=\"wpforms-1097-field_15\" class=\"wpforms-payment-price wpforms-field-medium\" name=\"wpforms[fields][15]\"><option value=\"1\" data-amount=\"35.00\" >Basic<\/option><option value=\"5\" data-amount=\"45.00\" >Future Member<\/option><option value=\"4\" data-amount=\"0.00\" >All Inclusive<\/option><\/select><\/div><div id=\"wpforms-1097-field_16-container\" class=\"wpforms-field wpforms-field-payment-select wpforms-conditional-trigger wpforms-field-select-style-classic\" data-field-type=\"payment-select\" data-field-id=\"16\"><label class=\"wpforms-field-label\" for=\"wpforms-1097-field_16\">Guest<\/label><select id=\"wpforms-1097-field_16\" class=\"wpforms-payment-price wpforms-field-medium\" name=\"wpforms[fields][16]\"><option value=\"1\" data-amount=\"45.00\" >Yes<\/option><option value=\"2\" data-amount=\"0.00\" >No<\/option><\/select><\/div><div id=\"wpforms-1097-field_10-container\" class=\"wpforms-field wpforms-field-name wpforms-conditional-field wpforms-conditional-hide\" data-field-type=\"name\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-1097-field_10\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][10][first]\" aria-errormessage=\"wpforms-1097-field_10-error\" required><label for=\"wpforms-1097-field_10\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-1097-field_10-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][10][last]\" aria-errormessage=\"wpforms-1097-field_10-last-error\" required><label for=\"wpforms-1097-field_10-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-1097-field_17-container\" class=\"wpforms-field wpforms-field-email wpforms-conditional-field wpforms-conditional-hide\" data-field-type=\"email\" data-field-id=\"17\"><label class=\"wpforms-field-label\" for=\"wpforms-1097-field_17\">Email <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"email\" id=\"wpforms-1097-field_17\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][17]\" spellcheck=\"false\" aria-errormessage=\"wpforms-1097-field_17-error\" required><\/div><div id=\"wpforms-1097-field_1-container\" class=\"wpforms-field wpforms-field-stripe-credit-card wpforms-conditional-field wpforms-conditional-hide\" data-field-type=\"stripe-credit-card\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Stripe Credit Card <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-no-columns wpforms-field-medium \" data-sublabel-position=\"above\" data-link-email=\"\" data-required=\"1\"><div id=\"wpforms-field-stripe-link-element-1097\"><\/div><div id=\"wpforms-field-stripe-payment-element-1097\"><\/div><input type=\"text\" class=\"wpforms-stripe-credit-card-hidden-input\" name=\"wpforms[stripe-credit-card-hidden-input-1097]\" disabled style=\"display: none;\"><\/div><\/div><div id=\"wpforms-1097-field_14-container\" class=\"wpforms-field wpforms-field-payment-total wpforms-field-medium\" data-field-type=\"payment-total\" data-field-id=\"14\" aria-live=\"polite\" aria-atomic=\"true\"><label class=\"wpforms-field-label\">Total<\/label><div class=\"wpforms-payment-total\" style=\"\">&#036;0.00<\/div><input type=\"hidden\" id=\"wpforms-1097-field_14\" class=\"wpforms-field-medium wpforms-payment-total\" name=\"wpforms[fields][14]\" value=\"0\"><\/div><script>\n\t\t\t\t( function() {\n\t\t\t\t\tconst style = document.createElement( 'style' );\n\t\t\t\t\tstyle.appendChild( document.createTextNode( '#wpforms-1097-field_2-container { position: absolute !important; overflow: hidden !important; display: inline !important; height: 1px !important; width: 1px !important; z-index: -1000 !important; padding: 0 !important; } #wpforms-1097-field_2-container input { visibility: hidden; } #wpforms-conversational-form-page #wpforms-1097-field_2-container label { counter-increment: none; }' ) );\n\t\t\t\t\tdocument.head.appendChild( style );\n\t\t\t\t\tdocument.currentScript?.remove();\n\t\t\t\t} )();\n\t\t\t<\/script><\/div><!-- .wpforms-field-container --><div class=\"wpforms-recaptcha-container wpforms-is-recaptcha wpforms-is-recaptcha-type-v3\" ><input type=\"hidden\" name=\"wpforms[recaptcha]\" value=\"\"><\/div><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"1097\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/atx-mba.com\/index.php?rest_route=\/wp\/v2\/pages\/1109\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-1097\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/atx-mba.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->[\/et_pb_text][\/et_pb_column]\n\t\t\t[\/et_pb_row]\n\t\t[\/et_pb_section]","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<!-- wp:wpforms\/form-selector {\"clientId\":\"5e59ccb8-e77c-4a3a-a657-443e18622725\",\"formId\":\"1097\",\"theme\":\"default\",\"themeName\":\"Default\",\"copyPasteJsonValue\":\"{u0022displayTitleu0022:false,u0022displayDescu0022:false,u0022themeu0022:u0022defaultu0022,u0022themeNameu0022:u0022Defaultu0022,u0022fieldSizeu0022:u0022mediumu0022,u0022backgroundImageu0022:u0022noneu0022,u0022backgroundPositionu0022:u0022center centeru0022,u0022backgroundRepeatu0022:u0022no-repeatu0022,u0022backgroundSizeModeu0022:u0022coveru0022,u0022backgroundSizeu0022:u0022coveru0022,u0022backgroundWidthu0022:u0022100pxu0022,u0022backgroundHeightu0022:u0022100pxu0022,u0022backgroundUrlu0022:u0022url()u0022,u0022backgroundColoru0022:u0022rgba( 0, 0, 0, 0 )u0022,u0022fieldBorderRadiusu0022:u00223pxu0022,u0022fieldBorderStyleu0022:u0022solidu0022,u0022fieldBorderSizeu0022:u00221pxu0022,u0022fieldBackgroundColoru0022:u0022#ffffffu0022,u0022fieldBorderColoru0022:u0022rgba( 0, 0, 0, 0.25 )u0022,u0022fieldTextColoru0022:u0022rgba( 0, 0, 0, 0.7 )u0022,u0022fieldMenuColoru0022:u0022#ffffffu0022,u0022labelSizeu0022:u0022mediumu0022,u0022labelColoru0022:u0022rgba( 0, 0, 0, 0.85 )u0022,u0022labelSublabelColoru0022:u0022rgba( 0, 0, 0, 0.55 )u0022,u0022labelErrorColoru0022:u0022#d63637u0022,u0022buttonSizeu0022:u0022mediumu0022,u0022buttonBorderStyleu0022:u0022noneu0022,u0022buttonBorderSizeu0022:u00221pxu0022,u0022buttonBorderRadiusu0022:u00223pxu0022,u0022buttonBackgroundColoru0022:u0022#066aabu0022,u0022buttonTextColoru0022:u0022#ffffffu0022,u0022buttonBorderColoru0022:u0022#066aabu0022,u0022pageBreakColoru0022:u0022#066aabu0022,u0022containerPaddingu0022:u00220pxu0022,u0022containerBorderStyleu0022:u0022noneu0022,u0022containerBorderWidthu0022:u00221pxu0022,u0022containerBorderColoru0022:u0022#000000u0022,u0022containerBorderRadiusu0022:u00223pxu0022,u0022containerShadowSizeu0022:u0022noneu0022,u0022customCssu0022:u0022u0022}\"} \/-->","_et_gb_content_width":"","footnotes":""},"class_list":["post-1109","page","type-page","status-publish","hentry"],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/atx-mba.com\/index.php?rest_route=\/wp\/v2\/pages\/1109","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atx-mba.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/atx-mba.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/atx-mba.com\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/atx-mba.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1109"}],"version-history":[{"count":0,"href":"https:\/\/atx-mba.com\/index.php?rest_route=\/wp\/v2\/pages\/1109\/revisions"}],"wp:attachment":[{"href":"https:\/\/atx-mba.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1109"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}