{"id":8133,"date":"2019-11-18T13:06:20","date_gmt":"2019-11-18T10:06:20","guid":{"rendered":"https:\/\/www.rowad-alkhaleej.edu.sa\/?page_id=8133"},"modified":"2019-11-18T13:45:58","modified_gmt":"2019-11-18T10:45:58","slug":"special-education-form","status":"publish","type":"page","link":"https:\/\/www.rowad-alkhaleej.edu.sa\/en\/special-education-form\/","title":{"rendered":"Special Education form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f8132-o1\" lang=\"en-GB\" dir=\"ltr\" data-wpcf7-id=\"8132\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/8133#wpcf7-f8132-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"8132\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_GB\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f8132-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<div class=\"container\" >\n\t<div class=\"row\" >\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> Name *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> What is the gender of your child?*<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"gender\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Female<\/span><input type=\"radio\" name=\"gender\" value=\"Female\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Male<\/span><input type=\"radio\" name=\"gender\" value=\"Male\" \/><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> Mobile *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"phone\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> City *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"city\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"city\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> Age *<\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"age\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label><br \/>\nWhat is the diagnosis of the child? * <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"category\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><span class=\"wpcf7-list-item-label\">Hyperactivity and distraction<\/span><input type=\"radio\" name=\"category\" value=\"Hyperactivity and distraction\" checked=\"checked\" \/><\/span><span class=\"wpcf7-list-item last\"><span class=\"wpcf7-list-item-label\">Autism<\/span><input type=\"radio\" name=\"category\" value=\"Autism\" \/><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> IQ Test Degree * <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"iq\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"iq\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> Upload IQ Test * (pdf) <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"iq-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"iq-file\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-4\">\n\t\t\t<p><label> Upload child Medical Report * (pdf format max size 4MB) <\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"col-sm-8\">\n\t\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"medical-file\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file wpcf7-validates-as-required\" accept=\"audio\/*,video\/*,image\/*\" aria-required=\"true\" aria-invalid=\"false\" type=\"file\" name=\"medical-file\" 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