document.write("<div class=\"fsBody fsEmbed\">"+"\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"//static.formstack.com/forms/css/3/reset_53bc1bb20a.css\" />"+"\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"//static.formstack.com/forms/css/3/default-v4_f1d5918f48.css\" />"+"\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"//static.formstack.com/forms/css/3/light_256a248f06.css\" />"+"\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"//static.formstack.com/forms/../common/css/uil-static.css\" />"+"\n");
document.write("<link rel=\"stylesheet\" type=\"text/css\" href=\"//static.formstack.com/forms/css/common/dialogs_00a7ec5f05.css\" />"+"\n");
document.write("<!--[if IE]>"+"\n");
document.write("    <link rel=\"stylesheet\" type=\"text/css\" media=\"all\" href=\"https://laclippers-forms.formstack.com/forms/css/3/ie.css?20140508\" />"+"\n");
document.write("<![endif]-->"+"\n");
document.write("<!--[if IE 7]><link rel=\"stylesheet\" type=\"text/css\" media=\"all\" href=\"https://laclippers-forms.formstack.com/forms/css/3/ie7.css\" /><![endif]-->"+"\n");
document.write("<!--[if IE 6]><link rel=\"stylesheet\" type=\"text/css\" media=\"all\" href=\"https://laclippers-forms.formstack.com/forms/css/3/ie6fixes.css\" /><![endif]-->"+"\n");
document.write("<form method=\"post\" accept-charset=\"UTF-8\" novalidate enctype=\"multipart/form-data\" action=\"https://laclippers-forms.formstack.com/forms/index.php\" class=\"fsForm fsMultiColumn\" id=\"fsForm2827367\">"+"\n");
document.write("<input type=\"hidden\" name=\"form\" value=\"2827367\" />"+"\n");
document.write("<input type=\"hidden\" name=\"viewkey\" value=\"rZEOW34bWP\" />"+"\n");
document.write("<input type=\"hidden\" name=\"password\" value=\"\" />"+"\n");
document.write("<input type=\"hidden\" name=\"hidden_fields\" id=\"hidden_fields2827367\" value=\"\" />"+"\n");
document.write("<input type=\"hidden\" name=\"incomplete\" id=\"incomplete2827367\" value=\"\" />"+"\n");
document.write("<input type=\"hidden\" name=\"incomplete_password\" id=\"incomplete_password2827367\" />"+"\n");
document.write("<input type=\"hidden\" name=\"referrer\" id=\"referrer2827367\" value=\"http://www.nba.com/clippers/\" />"+"\n");
document.write("<input type=\"hidden\" name=\"referrer_type\" id=\"referrer_type2827367\" value=\"js\" />"+"\n");
document.write("<input type=\"hidden\" name=\"_submit\" value=\"1\" />"+"\n");
document.write("<input type=\"hidden\" name=\"style_version\" value=\"3\" />"+"\n");
document.write("<input type=\"hidden\" id=\"viewparam\" name=\"viewparam\" value=\"739978\" />"+"\n");
document.write("<div id=\"requiredFieldsError\" style=\"display:none;\">Please fill in a valid value for all required fields</div>"+"\n");
document.write("<div id=\"invalidFormatError\" style=\"display:none;\">Please ensure all values are in a proper format.</div>"+"\n");
document.write("<div id=\"resumeConfirm\" style=\"display:none;\">Are you sure you want to leave this form and resume later?</div>"+"\n");
document.write("<div id=\"resumeConfirmPassword\" style=\"display: none;\">Are you sure you want to leave this form and resume later? If so, please enter a password below to securely save your form.</div>"+"\n");
document.write("<div id=\"saveAndResume\" style=\"display: none;\">Save and Resume Later</div>"+"\n");
document.write("<div id=\"saveResumeProcess\" style=\"display: none;\">Save and get link</div>"+"\n");
document.write("<div id=\"fileTypeAlert\" style=\"display:none;\">You must upload one of the following file types for the selected field:</div>"+"\n");
document.write("<div id=\"embedError\" style=\"display:none;\">There was an error displaying the form. Please copy and paste the embed code again.</div>"+"\n");
document.write("<div id=\"applyDiscountButton\" style=\"display:none;\">Apply Discount</div>"+"\n");
document.write("<div id=\"dcmYouSaved\" style=\"display:none;\">You saved</div>"+"\n");
document.write("<div id=\"dcmWithCode\" style=\"display:none;\">with code</div>"+"\n");
document.write("<div id=\"submitButtonText\" style=\"display:none;\">SUBMIT</div>"+"\n");
document.write("<div id=\"submittingText\" style=\"display:none;\">Submitting</div>"+"\n");
document.write("<div id=\"validatingText\" style=\"display:none;\">Validating</div>"+"\n");
document.write("<div id=\"autocaptureDisabledText\" style=\"display:none;\"></div>"+"\n");
document.write("<div id=\"paymentInitError\" style=\"display:none;\">There was an error initializing the payment processor on this form. Please contact the form owner to correct this issue.</div>"+"\n");
document.write("<div id=\"checkFieldPrompt\" style=\"display:none;\">Please check the field: </div>"+"\n");
document.write("<div id=\"translatedWord-fields\" style=\"display:none;\">Fields</div>"+"\n");
document.write("<div class=\"fsPage\" id=\"fsPage2827367-1\">"+"\n");
document.write("<div id=\"ReactContainer2827367\" style=\"display:none\" class=\"FsReactContainerInitApp\" data-fs-react-app-id=\"2827367\"></div>"+"\n");
document.write("    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            <div class=\"fsSection fs4Col\" id=\"fsSection56803675\">"+"\n");
document.write("                                                    "+"\n");
document.write("                                        "+"\n");
document.write("            <div class=\"fsSectionHeader\">"+"\n");
document.write("            <h2 class=\"fsSectionHeading\">Season Ticket Membership </h2>"+"\n");
document.write("        "+"\n");
document.write("            <div class=\"fsSectionText\"><p style=\"text-align: center;\">Get the ultimate fan experience year round, with additional events, benefits, and savings exclusive to members.</p></div>"+"\n");
document.write("    </div>"+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow2827367-2\" class=\"fsRow fsFieldRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan25\" id=\"fsCell68382412\" lang=\"en\" fs-field-type=\"name\" fs-field-validation-name=\"Name\">"+"\n");
document.write("                                                                                <span id=\"label68382412\" class=\"fsLabel fsRequiredLabel hidden\">Name<span class=\"fsRequiredMarker\">*</span></span>"+"\n");
document.write("                    "+"\n");
document.write("                                        "+"\n");
document.write("                    <div class=\"fsSubFieldGroup\">"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("    "+"\n");
document.write("    <div class=\"fsSubField fsNameFirst\">"+"\n");
document.write("        <input type=\"text\" id=\"field68382412-first\" name=\"field68382412-first\" size=\"20\" aria-label=\"First Name\" value=\"\" required class=\"fsField fsFieldName fsRequired\" aria-required=\"true\" />"+"\n");
document.write("        <label class=\"fsSupporting fsRequiredLabel\" for=\"field68382412-first\">First Name<span class=\"hidden\">*</span></label>"+"\n");
document.write("    </div>"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    <div class=\"fsSubField fsNameLast\">"+"\n");
document.write("        <input type=\"text\" id=\"field68382412-last\" name=\"field68382412-last\" size=\"20\" aria-label=\"Last Name\" value=\"\" required class=\"fsField fsFieldName fsRequired\" aria-required=\"true\" />"+"\n");
document.write("        <label class=\"fsSupporting fsRequiredLabel\" for=\"field68382412-last\">Last Name<span class=\"hidden\">*</span></label>"+"\n");
document.write("    </div>"+"\n");
document.write("    "+"\n");
document.write("</div>"+"\n");
document.write("<div class=\"clear\"></div>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLabelVertical fsSpan25\" id=\"fsCell56803677\" aria-describedby=\"fsSupporting56803677\" lang=\"en\" fs-field-type=\"email\" fs-field-validation-name=\"Email\">"+"\n");
document.write("                                                                                                    "+"\n");
document.write("                                        "+"\n");
document.write("                    <input type=\"email\" id=\"field56803677\" name=\"field56803677\" size=\"50\" required=\"required\" value=\"\" class=\"fsField fsFormatEmail fsRequired\" aria-required=\"true\" />"+"\n");
document.write("                                                                                                        <div id=\"fsSupporting56803677\" class=\"fsSupporting\">E-mail</div>"+"\n");
document.write("                                                                        "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLabelVertical fsSpan25\" id=\"fsCell56805098\" aria-describedby=\"fsSupporting56805098\" lang=\"en\" fs-field-type=\"phone\" fs-field-validation-name=\"Phone\">"+"\n");
document.write("                                                                                                    "+"\n");
document.write("                                        "+"\n");
document.write("                    <input type=\"tel\" id=\"field56805098\" name=\"field56805098\" size=\"20\" required value=\"\" class=\"fsField fsFormatPhoneUS  fsRequired\" aria-required=\"true\" data-country=\"US\" data-format=\"national\" />"+"\n");
document.write("                                                                                                        <div id=\"fsSupporting56805098\" class=\"fsSupporting\">Phone Number</div>"+"\n");
document.write("                                                                        "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsSpan25\" id=\"fsCell56805101\" aria-describedby=\"fsSupporting56805101\" lang=\"en\" fs-field-type=\"select\" fs-field-validation-name=\"Plan Type\">"+"\n");
document.write("                                                                                                    "+"\n");
document.write("                                        "+"\n");
document.write("                    <select id=\"field56805101\" name=\"field56805101\" size=\"1\"required class=\"fsField fsRequired\" aria-required=\"true\">"+"\n");
document.write("        <option value=\"\">&nbsp;</option>"+"\n");
document.write("        <option value=\"Full Season\">Full Season</option>"+"\n");
document.write("        <option value=\"Half Season\">Half Season</option>"+"\n");
document.write("        <option value=\"Just the big games\">Just the big games</option>"+"\n");
document.write("        <option value=\"Weekends only\">Weekends only</option>"+"\n");
document.write("        <option value=\"6-10 games\">6-10 games</option>"+"\n");
document.write("</select>"+"\n");
document.write("                                                                                                        <div id=\"fsSupporting56805101\" class=\"fsSupporting\">Plan Type</div>"+"\n");
document.write("                                                                        "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                          <div class=\"fs-clear\"></div>"+"\n");
document.write("                        </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow2827367-3\" class=\"fsRow fsFieldRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026378\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"Gender\">"+"\n");
document.write("                                                                                                        <label id=\"label57026378\" class=\"fsLabel\" for=\"field57026378\">Gender                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field57026378\""+"\n");
document.write("  name=\"field57026378\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("         value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText    \""+"\n");
document.write("      />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026499\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"location\">"+"\n");
document.write("                                                                                                        <label id=\"label57026499\" class=\"fsLabel\" for=\"field57026499\">location                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field57026499\""+"\n");
document.write("  name=\"field57026499\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("         value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText    \""+"\n");
document.write("      />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026523\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"DOB\">"+"\n");
document.write("                                                                                                        <label id=\"label57026523\" class=\"fsLabel\" for=\"field57026523\">DOB                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field57026523\""+"\n");
document.write("  name=\"field57026523\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("         value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText    \""+"\n");
document.write("      />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026783\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"religion\">"+"\n");
document.write("                                                                                                        <label id=\"label57026783\" class=\"fsLabel\" for=\"field57026783\">religion                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field57026783\""+"\n");
document.write("  name=\"field57026783\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("         value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText    \""+"\n");
document.write("      />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                          <div class=\"fs-clear\"></div>"+"\n");
document.write("                        </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow2827367-4\" class=\"fsRow fsFieldRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026771\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"education\">"+"\n");
document.write("                                                                                                        <label id=\"label57026771\" class=\"fsLabel\" for=\"field57026771\">education                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field57026771\""+"\n");
document.write("  name=\"field57026771\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("         value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText    \""+"\n");
document.write("      />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026649\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"Website\">"+"\n");
document.write("                                                                                                        <label id=\"label57026649\" class=\"fsLabel\" for=\"field57026649\">Website                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field57026649\""+"\n");
document.write("  name=\"field57026649\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("         value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText    \""+"\n");
document.write("      />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026766\" lang=\"en\" fs-field-type=\"text\" fs-field-validation-name=\"Work\">"+"\n");
document.write("                                                                                                        <label id=\"label57026766\" class=\"fsLabel\" for=\"field57026766\">Work                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    <input"+"\n");
document.write("  type=\"text\" id=\"field57026766\""+"\n");
document.write("  name=\"field57026766\""+"\n");
document.write("  size=\"50\""+"\n");
document.write("         value=\"\""+"\n");
document.write("  "+"\n");
document.write("  class=\"fsField fsFormatText    \""+"\n");
document.write("      />"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsLast fsLabelVertical fsHidden fsSpan25 fsHiddenByFieldSetting\" id=\"fsCell57026754\" lang=\"en\" fs-field-type=\"textarea\" fs-field-validation-name=\"BIO\">"+"\n");
document.write("                                                                                                        <label id=\"label57026754\" class=\"fsLabel\" for=\"field57026754\">BIO                                                    </label>"+"\n");
document.write("                                            "+"\n");
document.write("                                        "+"\n");
document.write("                    "+"\n");
document.write("<textarea id=\"field57026754\""+"\n");
document.write("          class=\"fsField \""+"\n");
document.write("          name=\"field57026754\""+"\n");
document.write("          rows=\"10\""+"\n");
document.write("          cols=\"50\""+"\n");
document.write("                                                                      ></textarea>"+"\n");
document.write("                                                                "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                          <div class=\"fs-clear\"></div>"+"\n");
document.write("                        </div>"+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("                "+"\n");
document.write("                    "+"\n");
document.write("                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("                                                "+"\n");
document.write("                <div id=\"fsRow2827367-5\" class=\"fsRow fsFieldRow fsLastRow\">"+"\n");
document.write("            "+"\n");
document.write("                                        "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("                        "+"\n");
document.write("                        "+"\n");
document.write("            <div class=\"fsRowBody fsCell fsFieldCell fsFirst fsLabelVertical fsSpan25\" id=\"fsCell56805929\" lang=\"en\" fs-field-type=\"embed\" fs-field-validation-name=\"\">"+"\n");
document.write("                                                        "+"\n");
document.write("                                        "+"\n");
document.write("                    <style>"+"\n");
document.write(".fsForm select.fsRequired, .fsForm textarea.fsRequired, .fsRowBody input[type=email].fsRequired, .fsRowBody input[type=number].fsRequired, .fsRowBody input[type=tel].fsRequired, .fsRowBody input[type=text].fsRequired {"+"\n");
document.write("    background-color: #efefef;"+"\n");
document.write("}"+"\n");
document.write(".fsBody {"+"\n");
document.write("    padding: 20px;"+"\n");
document.write("    border: 1px solid #ccc;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSectionHeader {"+"\n");
document.write("    padding: 10px 0 20px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsFieldRow, .fsBody .fsRowBody {"+"\n");
document.write("    margin-bottom: 10px!important;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSectionHeader {"+"\n");
document.write("    background-color: #ffffff;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsForm {"+"\n");
document.write("    margin: 0 auto;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsSectionHeader {"+"\n");
document.write("    position: relative;"+"\n");
document.write("}"+"\n");
document.write(".fsSocialAutofill--buttons a {"+"\n");
document.write("    -moz-border-radius: 0;"+"\n");
document.write("    -webkit-border-radius: 0;"+"\n");
document.write("    border-radius: 0;"+"\n");
document.write("    border: none;"+"\n");
document.write("    text-decoration: none;"+"\n");
document.write("    text-shadow: none;"+"\n");
document.write("    background-image: none;"+"\n");
document.write("    background-image: none;"+"\n");
document.write("    background-image: none;"+"\n");
document.write("}"+"\n");
document.write(".fsSocialAutofill--buttons a:hover {"+"\n");
document.write("    border: none;"+"\n");
document.write("}"+"\n");
document.write(".fsSectionText p {"+"\n");
document.write("    margin: 0;"+"\n");
document.write("}"+"\n");
document.write(".fsSocialAutofill {"+"\n");
document.write("    margin: 0;"+"\n");
document.write("    text-align: center;"+"\n");
document.write("    margin-bottom: 10px;"+"\n");
document.write("}"+"\n");
document.write(".fsBody .fsFieldRow {"+"\n");
document.write("    margin-bottom: 0!important;"+"\n");
document.write("}"+"\n");
document.write(".fsForm .fsSubmit {"+"\n");
document.write("    margin-top: 0;"+"\n");
document.write("    padding: 0;"+"\n");
document.write("}"+"\n");
document.write(".fsNextButton, .fsPreviousButton, .fsSubmitButton {"+"\n");
document.write("    background-color: #c8102e!important;"+"\n");
document.write("}"+"\n");
document.write("div#fsRow2827367-3 {"+"\n");
document.write("    display: none;"+"\n");
document.write("}"+"\n");
document.write(".fsSectionHeader img {"+"\n");
document.write("    position: absolute;"+"\n");
document.write("    top: 5px;"+"\n");
document.write("}"+"\n");
document.write(".fsborderradius .fsBody .fsSectionHeader {"+"\n");
document.write("    position: relative;"+"\n");
document.write("}"+"\n");
document.write(".fsForm select {"+"\n");
document.write("    color: #edeff0;"+"\n");
document.write("    background-color: #212121 !important;"+"\n");
document.write("}"+"\n");
document.write(".fsRowBody input[type=\"text\"], .fsRowBody input[type=\"email\"], .fsRowBody input[type=\"number\"], .fsRowBody input[type=\"tel\"], .fsForm select, .fsForm textarea {"+"\n");
document.write("    text-transform: uppercase;"+"\n");
document.write("    font-weight: 600;"+"\n");
document.write("}"+"\n");
document.write(".fsborderradius .fsBody .fsSectionHeader {"+"\n");
document.write("    margin-bottom: 0;"+"\n");
document.write("    padding-bottom: 0;"+"\n");
document.write("}"+"\n");
document.write("input.fsSubmitButton {"+"\n");
document.write("    display: block;"+"\n");
document.write("    width: 100%;"+"\n");
document.write("    max-width: 240px;"+"\n");
document.write("    border-radius: 60px !important;"+"\n");
document.write("    padding: 15px 5px;"+"\n");
document.write("}"+"\n");
document.write("@media (max-width: 991px){"+"\n");
document.write(".fsSectionHeader img {"+"\n");
document.write("    max-width: 40px !important;"+"\n");
document.write("}    "+"\n");
document.write("}"+"\n");
document.write("</style>"+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                    "+"\n");
document.write("                                                </div>"+"\n");
document.write("                                          <div class=\"fs-clear\"></div>"+"\n");
document.write("                        </div>"+"\n");
document.write("                        "+"\n");
document.write("                    "+"\n");
document.write("        "+"\n");
document.write("    </div>"+"\n");
document.write("        "+"\n");
document.write("</div>"+"\n");
document.write("  "+"\n");
document.write("<div id=\"fsSubmit2827367\" class=\"fsSubmit fsPagination\">"+"\n");
document.write("    <button type=\"button\" id=\"fsPreviousButton2827367\" class=\"fsPreviousButton\" value=\"Previous Page\" style=\"display:none;\" aria-label=\"Previous\"><span class=\"fsFull\">Previous</span><span class=\"fsSlim\">&larr;</span></button>"+"\n");
document.write("    <button type=\"button\" id=\"fsNextButton2827367\" class=\"fsNextButton\" value=\"Next Page\" style=\"display:none;\" aria-label=\"Next\"><span class=\"fsFull\">Next</span><span class=\"fsSlim\">&rarr;</span></button>"+"\n");
document.write("    <input id=\"fsSubmitButton2827367\""+"\n");
document.write("           class=\"fsSubmitButton\""+"\n");
document.write("           style=\"display: block;\""+"\n");
document.write("           type=\"submit\""+"\n");
document.write("           value=\"SUBMIT\" />"+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("    "+"\n");
document.write("  <div class=\"clear\"></div>"+"\n");
document.write("  <div class=\"withAds\">"+"\n");
document.write("      </div>"+"\n");
document.write("</div>"+"\n");
document.write("    <script type=\"text/javascript\">"+"\n");
document.write("        window.FS_FIELD_DATA_2827367 = [];"+"\n");
document.write("    </script>"+"\n");
document.write("            <script type=\"text/javascript\" src=\"//static.formstack.com/forms/js/3/scripts_d87273c617.js\" ></script>"+"\n");
document.write("            <script type=\"text/javascript\" src=\"//static.formstack.com/forms/js/3/analytics_0e96c0d8a9.js\" ></script>"+"\n");
document.write("            <script type=\"text/javascript\" src=\"//static.formstack.com/forms/js/3/google-phone-lib_c1e61f3e9c.js\" ></script>"+"\n");
document.write("    "+"\n");
document.write("    <script type=\"text/javascript\">"+"\n");
document.write("                (function() {"+"\n");
document.write("          if (typeof sessionStorage !== \'undefined\' && sessionStorage.fsFonts) {"+"\n");
document.write("            document.documentElement.className = document.documentElement.className += \' wf-active\';"+"\n");
document.write("          }"+"\n");
document.write("          var pre = document.createElement(\'link\');"+"\n");
document.write("          pre.rel  = \'preconnect\';"+"\n");
document.write("          pre.href = \'https://fonts.googleapis.com/\';"+"\n");
document.write("          pre.setAttribute(\'crossorigin\', \'\');"+"\n");
document.write("          var s = document.getElementsByTagName(\'head\')[0];"+"\n");
document.write("          s.appendChild(pre);"+"\n");
document.write("          var fontConfig = {"+"\n");
document.write("            google: {"+"\n");
document.write("              families: ["+"\n");
document.write("                \'Lato:400,700\'"+"\n");
document.write("              ]"+"\n");
document.write("            },"+"\n");
document.write("            timeout: 2000,"+"\n");
document.write("            active: function() {"+"\n");
document.write("              if (typeof sessionStorage === \'undefined\') {"+"\n");
document.write("                return;"+"\n");
document.write("              }"+"\n");
document.write("              sessionStorage.fsFonts = true;"+"\n");
document.write("            }"+"\n");
document.write("          };"+"\n");
document.write("          if (typeof WebFont === \'undefined\') {"+"\n");
document.write("              window.WebFontConfig = fontConfig;"+"\n");
document.write("              var wf = document.createElement(\'script\');"+"\n");
document.write("              wf.type  = \'text/javascript\';"+"\n");
document.write("              wf.async = \'true\';"+"\n");
document.write("              wf.src   = (\'https:\' == document.location.protocol ? \'https\' : \'http\') +"+"\n");
document.write("                         \'://ajax.googleapis.com/ajax/libs/webfont/1/webfont.js\';"+"\n");
document.write("              s.appendChild(wf);"+"\n");
document.write("          } else {"+"\n");
document.write("            WebFont.load(fontConfig);"+"\n");
document.write("          }"+"\n");
document.write("        })();"+"\n");
document.write("        "+"\n");
document.write("        if(window.addEventListener) {"+"\n");
document.write("            window.addEventListener(\'load\', loadFormstack, false);"+"\n");
document.write("        } else if(window.attachEvent) {"+"\n");
document.write("            window.attachEvent(\'onload\', loadFormstack);"+"\n");
document.write("        } else {"+"\n");
document.write("            loadFormstack();"+"\n");
document.write("        }"+"\n");
document.write("        "+"\n");
document.write("        function loadFormstack() {"+"\n");
document.write("            var form2827367 = new Formstack.Form(2827367, \'https://laclippers-forms.formstack.com/forms/\');"+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            form2827367.logicFields = [];"+"\n");
document.write("            "+"\n");
document.write("            form2827367.calcFields = [];"+"\n");
document.write("            "+"\n");
document.write("            form2827367.dateCalcFields = [];"+"\n");
document.write("            form2827367.init();"+"\n");
document.write("                        if (Formstack.Analytics) {"+"\n");
document.write("                form2827367.plugins.analytics = new Formstack.Analytics(\'https://laclippers-forms.formstack.com\', 2827367, form2827367);"+"\n");
document.write("                form2827367.plugins.analytics.trackTouch();"+"\n");
document.write("                form2827367.plugins.analytics.trackBottleneck();"+"\n");
document.write("            }"+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            "+"\n");
document.write("            window.form2827367 = form2827367;"+"\n");
document.write("        };"+"\n");
document.write("    </script>"+"\n");
document.write("</form>"+"\n");
document.write("<div class=\"fs-ngdialog fs-modal-small fs-form-dialog fs-form-dialog--hidden\">"+"\n");
document.write("  <div class=\"fs-ngdialog-overlay\"></div>"+"\n");
document.write("  <div class=\"fs-ngdialog-content\">"+"\n");
document.write("    <div class=\"fs-modal__top fs-form-dialog__title\"></div>"+"\n");
document.write("    <div class=\"fs-modal__middle\">"+"\n");
document.write("      <div class=\"fs-form-dialog__message\"></div>"+"\n");
document.write("      <label class=\"hidden\""+"\n");
document.write("             for=\"fsSaveResumePassword\">Enter your save and resume password</label>"+"\n");
document.write("      <input type=\"password\""+"\n");
document.write("             id=\"fsSaveResumePassword\""+"\n");
document.write("             class=\"fs-form-input fs-form-dialog__password fs-form-dialog--hidden fs--mt20\" placeholder=\"Enter your save and resume password\">"+"\n");
document.write("       <textarea class=\"fs-form-dialog__textarea fs-form-dialog--hidden\" rows=\"3\" style=\"width: 100%; margin-top: 10px\" aria-label=\"Add an optional comment\"></textarea>"+"\n");
document.write("    </div>"+"\n");
document.write("    <div class=\"fs-modal__bottom\">"+"\n");
document.write("      <a class=\"fs-form-dialog__cancel fs-btn2 fs-btn2--size_medium fs-btn2--style_edit-dark\" title=\"Cancel\">"+"\n");
document.write("        <div class=\"fs-btn2__content\">"+"\n");
document.write("          <div class=\"fs-btn2__text\">"+"\n");
document.write("            <span class=\"fs-form-dialog__button-text\">Cancel</span>"+"\n");
document.write("          </div>"+"\n");
document.write("        </div>"+"\n");
document.write("      </a>"+"\n");
document.write("      <a class=\"fs-form-dialog__confirm fs-btn2 fs-btn2--size_medium fs-btn2--style_create fs--float-right\" title=\"Confirm\">"+"\n");
document.write("        <div class=\"fs-btn2__content\">"+"\n");
document.write("          <div class=\"fs-btn2__text\">"+"\n");
document.write("            <span class=\"fs-form-dialog__button-text\">Confirm</span>"+"\n");
document.write("          </div>"+"\n");
document.write("        </div>"+"\n");
document.write("      </a>"+"\n");
document.write("    </div>"+"\n");
document.write("  </div>"+"\n");
document.write("</div>"+"\n");
document.write("</div>"+"\n");
document.write(""+"\n");
